4041 Beryl Rd - Tie In Card
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: NQMR n e? O 4
OWNER: ~':r4 (~.t Address Z . y . J y Ci
PLUMBER It_ 9 TYPE OF PIPE 2~ ~ A or" J
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
X
Location of Connections: Connection Charge a n o.°= 0 U 4
°
Permit Fee
Street Repairs
Total
inspected by: K~
Date 7) 22d G
Remarks: ° .K
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
Bq t/ .L
Please notify when ready for inspection and connection and before any portion
of the work is covered.