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4034 Amethyst Lane - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION ,gyp DATE: , 3D � 9L /�.�f 4, NUMBER ' 269 OWN ".4X Address /7-/a-.S D 4/6.3r .(�nro./.(s PLUMBER 1 Gill( TYPE OF PIPE ect.t..G — IIA/X, DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units X Location of Connections: Connection Charge Permit Fee Street Repairs 2> Total Inspected by: A 3 4t1 Date t) /(t t 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 any portion of the work is covered.