4040 Beryl Rd - Tie In Card
EAGAN TOWNSY.IP
:795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242 /
PERMIT FOR SEWER SERVICE CONNECTION d
DATE: 4 ~~l
1.Ci "-NUMBER
OWNERS
~ • Address 9 ;S S yv'/L1
v
PLUMBER TYPE OF PIPE C~1 G
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge a 0- d2.1 '1714,'
Permit Fee ~J. Sa y~~~~~
Street Repairs
Total
Inspected by:
Date /?//G (7 _
Remarks:
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_ ~-O
Please notify when ready for inspection and connection and before any portion
of the work is covered.