1045 Keefe St - Tie In Card f 01-1/- v
EAGAN TOWNSHIP - ) ry
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION � (,
Date• • Deo�ber 11, 1967 Number:
Viot" H. ■Schauer Site A ddress: 10¢5 Keefe St.
Billing Name:
above Billing
Address abo
Owner:
Plumber: A11 State Plb •
Connection Chg. � cre Pd. 12/11
Meter Size � �
Location of Connection 7.5�
Meter No./1/212L4 Permit Fee -_2_
Jl� Meter Dep. "
Meter ReadiaS
N Meter Sealed: Yes__ Add' 1 Chg...______—.—. --
` OH- (' a� 2222.50 M.
J', V I Total Chg. inspected by _ _4 ..' A
Da te 1,2
Building is a: Remarks: J f---
Residence x
Multiple _ No. Units
Commercial
Industrial B y' Chief Inspector
Other
In consideration of the issueeand delivery accordance of
wthe e above
a p I nd
hereby agree to Eagan the p P nnesota. ���
regulations of Fagan n Township, Dakota County,
BY: /w-op i
/
Please notify the above office when ready for inspection and, connection.