4040 Amethyst Lane - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PEEMIT FOR SEWER SERVICE CONNECTION
DATE: /WY J NUMB°U eZ d G
OWNER: 1. Address
PL.U!lBER TYPE OF PIPE
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge .2 oa. 'Le Pd 7/17 /ja
Permit Fee -71 ry
Street Repairs
Total p7 .y 7 r Inspected by: H 4,0-v
/ 4,0-y
}0 Date 7/'yy 69
Remarks: a k
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 Coupty, Minnesota
Ce.e[. ~•i e-C
By.
Please notify when ready for inspection and connection and before any portion
of the work is covered.