1049 Keefe St - Tie In Card
MAN TOWNSHIP
3795 Pilot Knob Road
St. Paul. Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
2
Date: Number: 412
✓x~90
10G9
Billing Name: w.jde Construction Site Address: "'T
Roger Olson- wade Coast. Billing Address
Owner:
Plumber: Thompsun a,l:arbing Co.
Connection
Location of Connection Meter Size
Meter No. Permit Fee
Meter Reading_ Meter Dep.
Meter Sealed: Yea Add'1 Chg.
3 4 NO Total Chg.
.37~
Inspected by
o r' ZO~7G
Date
Building is a: Remarks:
Residence sac
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.
BY:
'tY u;:::c:aun 111;anLin,~ Co.
Please notify the above office when ready for inspection and connection.