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.