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1475 Lone Oak Rd - Tie In Card EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: NUMBER OWNER: Address r 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 J- Inspected bq: C s �c- U � Date 7if: Remarks: ait 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 Please notify when ready for inspection and connection and before any portion of the work is covered. ..1.-„z