1406 Balsam St - Tie In Card t
y
EWAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minne30ta 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: December 21, 1.970 NUMBER 680
OWNER:'Cil&en domes Address 1406 Balsam, Evergreen Park
PLUMBER George J. Lueeken TYPE OF PIPE cast iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
xracc
Location of Connections: Connection Charge
Permit Fee 10.00 poi 122"2-L/70
Street Repairs
Total
/
Inspected by: .Z
.3'~1 J7 Date
Remarks:
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.
1 ` d
By
George J. 1.4ecken
Nu. 1'.xU1
Please notify when ready for inspection and connection and before any portion
of the work is covered.