1771 Bluestone Dr E EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: -, /' / //' NUMBER
i
OWNER �. 'i ", U ��;. Address l,i.i, f r �
PLUMBER - - - -. TYPE OF PIPE i
DESCRIPTION OF BUIIDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge ? 1. %'> >,1 -'/1'/70
Permit Fee 10.0k - `!i /70
Street Repairs
Total
Inspected by ,€
Date
Remarks:
By
Chief Inspector
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
Please notify when ready for inspection and connection and before a y portion
of the work is covered.