1392 Cleome Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: 4' /Wela ( NUMBER 14 -3
OWNER: 11188n Conatruotion (o. Address 1392 Clea4a Lrne 21-2-2
PLUMBERL. Gallati for Luecken Exc. TYPE OF PIPE haavy cast iron
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
xx
Location of Connections: Connection Charge 200.00 p0 8/14/73
Permit Fee10.00 dp12/29/12
.50 pd 1 2/ 2 9/72
3 Street Repairs
Total
Inspected by:
Date /. • -- _/ '!
Remarks:
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
By
L. 0 111.:t1 Mcc. for Laockcr7
Please notify when ready for inspection and connection and before any portion
of the work is covered.