1912 Carnelian Lane - Tie In Card
L.Ll 13'L13GGs
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
/ PERMIT FOR SEWER SERVICE CONNECTION
DATE: Goa fL NOMBER /I 9
OwxE La~L=(.[4L~. Address /9/Z
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PLUMBER TYPE OF PIPE
LA~vIJ
DESCRIPTION OF BUIID ING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge
/ 1 h 3' Permit Fee
! Street Repairs
Total
Inspected by:
Date
Rem-aarrks -
By r1~
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 Esgan Toamship, Dakota County, ~Minnesota
Q~
Please notify when ready for inspection and connection and before an
of the work is covered. Y portion