1040 Keefe St - Tie In Card C.(.r77 -`/ G ✓� :Il;"l Ci
EAGAN TOWNSHIP 1, &
3795 Pilot Knob Road —714-T �z1 1
St. Paul, Minnesota 55111 ; \
Telephone 454 -5242 ')t
PERMIT FOR WATER SERVICE CONNECTION
Date: Nov. 21, 1967 Number: 45
Billing Name: Valentin. rareeoh Site address: 1040 Keefe St.
Owner: above Billing Address
Plumber: above
Location of Connection Meter Size c on C
Meter No. Permit Fee 7.5U Pd 11/21
Meter Reading Meter Dep. 15.00 "
Meter Sealed: Yes Add'1 Chg.
NO Total Chg.
Inspected by ( .&
J` Date / 3- I -L
Building is a: Remarks:
Residence i tla�A (• r' 01'(""
Multiple No. Unita
Commercial
Industrial B
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do de 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.