3964 Beryl Rd - Tie In Card •
EAGEN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 5.111
Telephone 454 -5242
PERMIT FOR SEr7ER SERVICE CONNECTION
∎TIMER: WA Grove Conat. _ Address 3964 Ber R oad )
'LUMBER cr -' rnc_ TYPE OF PIPE
DESCRIPTION OF BUILDING
ndustriall Commercial Residential Multiple Dwelling No. of units
1
.cation of Connections: • Connection Charged -AO
so
Permit
nn i Street Repairs
g L Total s � - ��
Inspected by:
Remarks: n•�
By Chief Inspector
In consideration of the issue and delivery to me of the above pn`'Jt, I
ereby agr3o to do the proposed work in accordance wit h the rules and
regulations of Eagan Township, Dakota County, . in e
By o� <G•cC/L�
Please notify when reedy for inspection and coonaction and before any port°Im
of the cork is covered.