1056 McKee St - Tie In Card r-....4 EAGA!N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111! 4---
I mo. Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Nov. 13. 1967 Number: 34
Billing Name: Gerald Jon Site Address: 1056 M1Kee
Owner: Billing Address
Plumber: All State
Location of Connection Meter Size qt Connection Chg.'$200. I'd 11/13
u 7.50
Meter No473 2t. Permit Fee
/ Meter Readinglll Meter Dep. 15.00 "
iv
71 Meter Sealed: Yes Add'I Chg.'
Ci
3 J LW-
4 NO Total Chg. 222.50
o ■Z I
Inspected by /�). Q c (.2)--r-K,-,..4., .A
I
Date /IJ14")6
Building is a: Remarks: D It .
Residence
Multiple No. Units j
Commercial
Industrial By:
Other I Chief Inspector
In consideration of the issue and deliveryjto 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, Minn so
B - f �%t
Y:
y /7%
Please notify the above office when readyjfor inspection and connection.