1041 Keefe St - Tie In Card
G '&WAN TOWNSHIP ti~ ~i~Z ¢ac.
3795 Pilot Knob Road
St. Paul, Minnesota 55111,
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Nrn►. 21, 1967 Number: 46
Billing Name: Claruaoe Knutaon Site Address: 1041 Keefe St.
Owner: above Billing Address
Plumber: above
Location of Connection Meter Size Connection Chg.
Meter No. Permit Fee 7.50 Pd_ 11/21
-
I / Meter Reading Meter Dep.
Meter Sealed: Yea_ Add'l Chg.
3 NO Total Chg.
P p
\ ° / N Inspected by Qty--
Date / 72 J
Building is a: Remarks: it-3c "d7_e"-Qj-y
QQ e e u e~,w~t~ . lea ~ d~ ~ d ' N
Residsuce X
Multiple No, unite
Commercial
Industrial BY: Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tle proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Pleaae notify the above office when ready for inspection and connection.