4041 Amethyst Lane - Tie In Card EAGE,N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minns ota 55111
Telephone
PERMIT FOR SEWER SERVICE CONNECTION NUMBER
DATE: YLY 29� 19
C onat. Address 3 -11-5 3 -11-5 � 7
OWNER: C s �� o. oast iron
PLUMBER gta ins,
Ino. TYPE OF PIPE
DESCRIPTION OF BUILDING •
Industrial Commercial Residential
Multiple Dwelling No. of units
00.00 Pd 5/LTI�
Connection Charges 2--�
Location of Connections: permit Fee
7.5
Street Repairs
•
2oT•5D
Total
Inspected by:
Lt
Date
Remarks•
v BY Chief Inspector
the above permit' I
delivery to me of th a
with a bo rules pr i
hereby agree to of the issue ed work in accordance the agree to Jo an Township, Dakota County, Minnesota
hereby g
regulations of Eagan Steins ��
By
Please notify when ready for inspection and
connection and before any portion
of the work is covered.