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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