1000 Apollo Rd - Tie In Card
EAGAN TOWNSHIP
:795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: NUMBER
100C) C l f)c 1 1 v
OWNER Address
PLUMBER TYPE OF PIPE
DESCRIPTION OF BUILDING
-
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge__
Permit Fee
I Street Repairs
Total
Inspected,by -'.r- •a., f
{ Date
Remarks:
i
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 County, Minnesota
By
Please notify when ready for inspection and connection and before any portion
of the work is covered.