1904 Carnelian Lane - Tie In Card EAGE;N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
NUMBER
DATE: /lbtr (v/
OWNER ^ ' r..•evL C ^ °•t_ Cn . Address
PLUMBER A !i TYPE OF PIPE
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Connection Charges --pd.
Location of Connections:
qq / Permit
14 Street Repairs
/ 1r Total n
l o( \ Inspected by: t
Date / 2L b
Remarks: l���
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 accordaannc wi the rules and
regulations of Eagan Township, Dakota County,
sy
Pleaee ratify when ready for inspection and connection and before any portion
of tha work is covered.