4058 Amethyst Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111 j
Telephone 454 -5242 ✓
PERMIT FOR SEWER SERVICE CONNECTION
DATE: t�. - ttL- .?4 p /AO. . NUMBER /94 //
OWNER /y1. -, t.. (/x�c Addreee.2i -1 0 - S S'OSf'ance./74q.1 ,�i -7u.
PLUMBER ..I/ i eiy� ! J TYPE OF PIPE ,/A.4'34I
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Y(
Location of Connections: Connection Charge a o-o.' 10.14, Ib Z4,,
Permit Fee !7, 44 6e- ,,
Street Repairs
6 " ‘.5 i Total
Inspected by: (- 1t!! /r--,
` Date 7/ r (r
Remarks: a
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 Co ,Min�nessota
By -J .......« ...../.:
Please notify when ready for inspection and connection and before any portion
of the work is covered.