1058 Beatrice St - Tie In Card ■
_ F,AGAN TOWNSHIP
3795 Pilot knob Road
St. Paul, Minnesota 55111
Telephone 454 -
PERMIT FOR SMILER SERVICE CONNECTION
N[R�ER� -_ .
io /ii �i7
DATE:
u,¢nDA✓� k Addsess '�•�
FR f
o v.-c, -
OWNER: PLUMBER_ TYPE OF PIPE
DESCRIPTION OF BUILDING
Industrial Commercial Residential
Multiple Dwelling No. of units
Connection Charge '��• -�"'-
r---�
_______-..--- "-& "V/1. Location of Connections: 1 Permit Fee
Street Repairs
Total
Inspected by _
Data ( � �' �
.13 ' Q Remark.: s L. WTi - -vP
\ 311
BY Chief Inspector
In of the above permit, I
issue and delivery to me with above
rules and
hereby agree ttoa of the ( osed work in accordancete i ts the
he agree to Jo an Township, Dakota County, regulations of Eagan
"-----
?teem: notify when ready for inspection and cornect!.rn anal before an:+ port7.an
of the work is covered.