1862 Jade Lane - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
{ PERMIT FOR SEWER SERVICE CONNECTION
DATE : `!I S NUMBER 11L6
OWNER \: % /NY
PLUMBER (( t
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} 11ll DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
� 1
Location of Connections: Connection Charge' ° " 1"1 9/09/72
Permit Fee 10.00 rd 9/19/72
.5J yl 9/19/7
Street Repairs
Total
ry y6 Inspected by:
Date /O — 2 7 �•�
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
\
— t 11 k i 'u .11 P t'v ! : ;1i',
Please notify when ready for inspection and connection and before any portion
of the work is covered.