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4504 Oak Chase Rd - Tie In Card EAGAN' TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 ' PERMIT FOR WATER SERVICE CONNECTION Dater November 13, 1972 Number: 1038 Billing Name; Ja:aea Marosa Site Address: 1404 OMMc Chase Owner: same Billing Address Plumber: name Location of Come tion Mater Size Connection Chg.300.00 Pa 11/1 Meter No. Permit Fee 10 .0 0 pd 11/13(12 70 14 11/ Neter Reading____ Meter Dep. Meter Sealed: • Yee Add'l Chg. r� Q 47 N Total Chg. Inspected by Date 11. 70L 7?' Building is a: Remarks: Residence xx V5.00 RE- INSPECTION FEE FOR Multiple No. unite Ii.,PROPERLY INSTALLED METERS. Comme Industrial By: Other Chief Inspector In consideration of the iaaue and delivery to me of the above permit, I hereby agree to do tie proposed work in accordance with the rules and regulati of Eagan C ounty , Mi By: Please notify the above office when ready for 'inspection and connection.