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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.