1950 Sibley Memorial Hwy - Tie In Card EAGAN TOWNSNIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:Oefif/SCY 1 2,',/9t7 NUMBER 7
OWNER: /(JZ` 116dl--$ Address 611
PLUMBER t �. TYPE 01? PIPE tat J.4-
DESCRIPTIG OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of unite
Location of Connections: Connection Charge
Fee ��/ �°
Street Repairs �
Total
if z s
i
t Sb�� T 2avt fx0h
Ed o f $1. Inspected by:
11046,04.- Date
Remarks: ct4.
By e 8 e'e
Chief Inspector
In cons :Aeration of the issue end 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 Coun , - ..eao a
BY
Please notify when ready for inspection and connection and before any portion
of the work is covered.