4035 Beryl Rd - Tie In Card EAGAN TOWNSHIP ✓
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
/� ! PERMIT FOR SEWER SERVICE CONNECTION
DATE:rcc /%6,7 NUMBER
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OWNER: (t y y,� . XZ� ter. L Mr.t Address) " 1/435 lac i �,rra f
PLUMBER TYPE OF PIPE L"-gal
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
V
Location of Connections: Connection Charge
Permit Fee
to Street Repairs
I / Total
Inspected by: /(,4
Date 7/2 3-ho '
Remarks: cy.
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
By r
Please notify when ready for inspection and connection and before any portion
of the work is covered.