1054 Beatrice St - Tie In Card
r
RAGAN TOWNSHIP
3795 Pi1Mi Knob sotao55111
St. Paul,
Telephone 454-5242
PST FOR S&1ER SERVICE CONNECTION J9
DATE: fz9
Address
OWNER,.-Rtl C
r~wl _ TYPE OF PIPE "
Pun v ~
DESCRIPTION OF BUILDING
Multiple Dwelling No. of units
Industrial Commercial Residential
°O p° iO/9/L7
Connection Cbarge. 4
Location of Connections: 7,So
Permit lea
street Repairs
Total
I /
j Inspected bY:~.J
1 9-0
C\ Date 1 r7
jI Remarks:
By C iief Inspector
to ne of the above Pe=lit- I
1 1,
accordance the rules and
In conr'lieration of the issue and delivery
rk in hereby agree to do the proposed we to County,Hi.nueeot
regulations of Eagan Toeniship, DakO
By
cornnct+.en and before any port4.0n
Pl~rs° n°Yit.7 when ready for inspection and
os the work is covered.