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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.