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1709 Monticello Ave - Tie In Card EAGAN TOWNSHIP A t ' 3795 Pilot Knob Road St Paul Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: i ' r( �-NN umber: 965 Billing Name, \ e V r " f)k) ( . ` )f" Site Address: / 7C/ ''' t 1 17 f i i,) Owner: C-* 1 1 ' ' I Billing Address/ - 4I' \ '17C( f` Plumber: 15 -tF'I i� , li 1�7. ),riq . St .' �u1 i- Ln. - ' l i Location of Connection Meter Size Connection Chg. 300.00 pd 0/29/72 ....." . ' '''''''''....-...'j L"---\ Meter No. Permit Fee 10.00 pd 8/29/72 .50 pd U/29/72 sic Meter Reading.„_ Meter Dep. if Meter Sealed: Yea Add'1 Chg. y ? 1 — NO Total Chg. Inspected by Date / e • Il' 7 '...'l Building is a: Remarks: Residence Multiple- No. Units Commercial Industrial By: Chief Inspector Other In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: Please notify the above office when ready for inspection and connection.