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1447 Balsam St - Tie In Card EAGAW TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 2/1 9/74 NUMBER 218 OWNER: ", , , , c, r ict „ C.O. Address 77 u4+ ;:rm::•iait> PLUMBER b y - t9 c 'I, ' ..rc w:r34YPE OF PIPE Yesvy 0 - . ,, i DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units jJ g (:0.',, , .ai� Location of Connections: Connection Charge Permit Fee 10 i ! "i e3 ll fs Street Repairs Total Inspected by: Date \ Remarks: \.1,1 I BY ln ,/ M Chief Inspector aideration of the issue and delivery to me of the above permit, I T agree to do the proposed work in accordance with the rules and Fiona of Eagan Township, Dakota County, Minnesota \ By . C ,i1,ti for ';gack.a, ) — . when ready for inspection and connection and before any portion covered.