1713 Sartell Ave - Tie In Card 6 76
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. P au1, Minnesota 55111
" Telephone 454.5242
c� PERMIT FOR S81ER SERVICE CONNECTION
• DATE:
A t 1 � N[AIBER 1110
" LAr
OWNER:
?Ye- ), ( l L Address
('
PLUMBER 7 'I! 1 TYPE OF PIPE \
DESCRIPTION OF BUILDING
Industrial : Commercial Residential Multiple Dwelling No. of units
260.00 1:d H/22/72
Location of Connections:
Connection Charge
Permit Fee 1044 ✓. =k /7.,TZ -�14
Street Repairs
Total
7 3 Z Inspected by:
Da te /b^ Z — 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, Minneso
Please notify when : ready for inspection and connection and before any portion
of the work is covered.