3958 Beryl Rd - Tie In Card
8-2-5
EAGEY TJ'vTNSHIP
:795 Pilot I:nob Road
St. Paul, Minnesota 55'111
Telephone 454-5242
PEP,MIT FOR SEjZR SERVICE CoPR7E
'C,I0;I
DATE: _t,r a--?~ rata.
OWNER: __red
Address coca e
PLL2BER TYPE OF PIPE,+lob
DESCRIPTION OF BUILDING ^
Industrial Cuacnercial Residential Multiple Dwelling No. of urits
Location of Connections;
Connection Charge o?ao. -"J' 'ev '/sy~~y
Permit Fee 71 Street Repairs
Total 2v7. s °
Inspected by:
Date
~ fff
Remarks:
By
Chief Ir4;~QCenr
In consideration of the the issue and delivery
hereby agrso to do to me of the above Pr't4t:, I regulations of PrePosed work in accordAnce with the n31es a«d
Eagan Township, Dakota County, Minnesota
Stein, Inc.
By
Please rotify "hen ready for inspection and connection and
Of the cr.rk 13 ccvared. before any porn co