4035 Amethyst Lane - Tie In Card EACAN TOWNSHIP ,04:t Z- - -L'L • /(
3795 Pilot Knob Road �J��__ _�
St. Paul, Minnesota 55111 ;a- - -.Cf
Telephone 454 -5242 g em -� f�r-ff_-
PERMIT FOR SEWER SERVICE CONNECTION •L�1/�
DATE• v
NUMBER I a 3
x � c r
03 S
OWNER Address ^
PLUMBERST y,.._ TYPE OF PIPE C. -t lt.2
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling
No. of units
& 1
Connection Charge oZ ''?
Location of Connections: m s.
Permit Fee
Street Repairs
a
Total ...." 0' 440.0 �a�r1_
Inspecte b
Date �
r Remarks: 0
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 Minnesota
the rules and
regulations of Eagan Township, Dakota County,
Stain, Inc.
By
Please notify when ready for inspection and connection acd before any portion
of tha work is covered.