2804 Beam Lane - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454.5242
PEPMIT FOR SEWER SERVICE CONNECTION
NUMBER itrYt.-;1
DATE: July 9 1969
1'hoc;as k. ieek AddressP04 Pctn L:::na
OWNER:
lenzel ; lw::biiiir Lautirg TYPE OF PIPE i'cxvy caOt i.rcn
PLUMBER
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
j'j
Connection Charge
Location of Connections: ,1ec_al uc;:'
Permit Fee
Street Repairs
Total
Inspected by: a ~
Dare
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 is accordancceee ith the rules and
regulations of Eagan Township. Dakota County,
BY
2i'i71F ,_ze,m Lane
Please notify when ready for inspection and connection and before any portion
of the work is covered.