1072 Keefe St - Tie In Card 4 i
EAGAN TOWNSHIP `-/ W ,A. 1N 0-(-
3795 Pilot Knob Road
St. Pep. Minnesota 55111
Telephone 4
ephone 454 -5242 L/'
PERMIT FOR WATER SERVICE CONNECTION
Date: November 15. 1967 Number: 58
Billing Name: Site Address: 1072 Keefe St.
Owner: George Williams Billing Address
Plumber: All State Plbg. `)
Location of Connection Meter Size 57t Connection Chg. A200.006
200.00 6 J
Meter No_-415.- Permit Fee .50 Pd. 11/15
S Meter Reading) / ) Meter Dep. 1
Meter Sealed: Yes Add'l Chg.
t• ry . Total Chg. 4999.50
Inspected by/ ? /' a-----
Date 8/ O'
Building is a: Remarks: 44
Residence X 1ti) - ✓ne_p fin:
Multiple No. Units +rrii
Commercial
Industrial By:
Chief Inspector
Other
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do tile proposed work in accordance with the rules and
regulations of Eagan Township, DakoB !
Please notify the above office when ready for inspection and connection.