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1073 Keefe St - Tie In Card /Va /, ..— e.4, a { c e4:%1 , 2€t— 4 OV RAGFdt 1150SH Road . vs'7(: � n , /C d4 i / 3795 Pilot Knob VVVV St. Paul, Minnesota 55111 gam/ �� �N r^ 1+ c .1 ✓ I;r Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: /Qe.. a, ? /14 7 Number: i � Billing Name: Ci-o/10o,✓ 1343-/t/L Site Address: /0 Owner: Billing Address I. Plumber: 39 Ht Location of Connection Meter Size VS Connection Chg. a o o• P° ' %s/ Mater No./7321 I ' Permit Fee AO Meter Reading /) Meter Dep. /5% O° Meter Sealed: Yee Add'1 Chg. n od NO Total Chg. So 3 3 � i 1 (J /�44-i J. Inspected by / •( 0 Date Building is a: Remarks: p � Residence 1 .- 67, // - 30 --6 7 Multiple No. Unite Commercial Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above percit, I hereby agree to do the proposed work in acco d ce with the rules and regulations of Eagan Township, Dakota Coun Minnesota. /1 / li By : &1t Please notify the above office when ready for inspection and connection.