4054 Pumice Lane - Tie In Card ', . , EAGAN TOWNSHIP
•N, •-. 3795 Pilot Knob Road
St. 'Paul, Minnesota 55111 1144-7 Telephone 454 -5242
PERMLT FOR WATER SERVICE CONNECTION
l0 , Number: dQ0
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'� `bite Address:
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Owns \ 4 14111 C"11QQ\ % \3 7i -Billing Address`s) / (._ t(C &'cyk L.
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Location of Connection Meter Size_ Connection Chg. 300.00 pa 7/3/72
Meter No._ Permit Fee 10.00 pd 7/3/72
.50 pd 7/3/72
4 Meter Reading Meter Dep.
3 Meter Sealed: Yea_ Add' 1 Chg
NO Total Chg.
. ' . Inspected by
..1004.400 Date L - 1 -1 y
Building is a: Remarks:
Residence hoc:
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.
( \mot ( .1 (.-.)
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Please notify the above office when ready for inspection and connection.