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4065 Amethyst Lane - Tie In Card
EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION NUMBER '° O OWNER: ^-a_. P_r ti ©mat. Address PLUMBER U in Tne _ TYPE OF PIPE ^ r Trop DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units 1 .20).o, eel 3 4 , 4a , of Connections: Connection Charge 1I Permit Fee T Sd Street Repairs Total /� Inspected by: 1 Jr o + � Da te Remarks• By Chief Inspector In consideration of the issu o delivery i livver accordance a o above eu I hereby agree to do the prop ance with regulations of Eagan Township, Dakota County, ,,. Inc., By Please notify when ready for inspection and connection and before any portion of tha wcrk is covered.