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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.