1770 Serpentine Dr - Tie In Card EAGAN TOWNSHIP
w 3795 Pilot Knob Road Mr
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEriER SERVICE CONNECTION 569
DATE: // / - r /T<' NIRiBER ' / . - /
e
oWNER:r' //, o : -' I '.∎ to fr ' Address '-,+ ", : A ni / ) 7''
N i
PWMBER r ' 4- > TYPE OF PIPE T /
DESCRIPTION OF'BUIIDING
Industrial Commercial Residential Multiple Dwelling No. of unite
xz
T.pcation of Connections: Connection Charge 2 xt 4/6/70
Permit Fee 10.00 r4 4/6/13
Street Repairs
Total
5-e r
� d,' Inspected by: �"
Date 0 �/I ` 7 �
IIIII:IIIJ
a Remarks:
.1
By
Chief. Inspector
In consideration of the issue and delivery to me of the above permit, 1
hereby, agree to do the proposed work in accordance with the rules and
regulations of Eagan Torn:ship, Dakota County, Minnesota
$y is vlJ
Please; notify when ready for inspection and connection and before any portion
of the work is covered.
Mi