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Sewer & Water Tie Card
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AddreSs: 18056 Harlow Path
COntreCtOr: Allied Excavating
Permit Number: 187581
Final Date: i,�-'a�—��
Street Drain-Tile: Yes
Size of Water Service: 1"
Comments: AIRTEST SANITARY OVER 20'/2 FITTINGS
THIS CARD MUST BE COMPLETED AND ON-SITE AT TIME
OF SEWER & WATER INSPECTION
20195 Holyoke Avenue,Lakeviffe,MN 55044
952-985-4400 952-985-4499 fax
www.lakevillemn.gov