4046 Amethyst Lane - Tie In Card EAGE'N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
NUMBER 173
DATE: tHay 20� 19F�R
OWNER: mvIlms C.nnnt. Co. Address ►0 6 AmethYSt Ln (19 -10-5)
PLUMBER a+ in Ina TYPE OF PIPE oast lran
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Y
Location of Connections: Connection Charge ;200.00 Pd. 5/20/
7�c�p M
Permit Fee J`
Street Repairs
207.50 N
Total //��_,�.� �y
Inspected by: ' �T'_1� `
b Date f ( L
, Remarks:
By Chief Inspector
In hereby gree to do of theeproposednworklin accordancefwith above I
and
regulations of Eagan Township, Dakota County, Minnesota
gy Steins Ino.
Please notify when ready for inspection and connection and before any portion
of the work is covered. '