4053 Amethyst Lane - Tie In Card EAGIN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: ! i....v 2 � ��, NUMBER / 93
OWNERC h . //JJ •� • _ Address 4" I - Hl/3 3 � a-r v.i.6. 71
PLUMBER C/y,,� TYPE OF PIPE ( ot..../i .td.., .I
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
C'''''
Location of Connections: Connection Charge a °-
9 • s 4 P.c'
Permit Fee
Street Repairs
Total
Inspected by:
q(ii ' I
b Date /j/7.i/(v 6
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 with the rules and
regulations of Eagan Tounship, Dakota Count Minneso�p
By ).... ..Q/
Please notify when ready for inspection and connection and before any portion
of the work is covered.