4047 Beryl Rd - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
/� PERMIT FOR SEWER SERVICE CONNECTION
DATE: a„... /.1 �� _ / %6a' NUMBER v?c?
OWNERGt °- %5���e�c �. Address 4 `/D97 /- �,•.�
PLUMBER TYPE OF PIPE /
DESCRIPTION OF BUIIDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge
Permit Fee
Street Repairs
Total
A
6
• Inspected by:
3�
Date 3/2 -3/6 3
Remarks: d
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
Please notify when ready for inspection and connection and before any portion
of the work is covered.