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TIE CARD
Sewer & Water Tie Card � _-- -- ----- -T---r _-� --,�_ _ - --�- -. � �-- , , � , , , ; � „ ;-- i , � -- - � � � � --f- -� , ! i d I ' � � - -� ; � � � � � — , -- I -____ .-- t��1-_..._ _�... - — �' i I � —__ ,- --- -- � i � � , ' ; , -- ' - -�_-��_I-_ 1--�-- � _� �_.L_� Address: 7560 184th St Contractor: DSM Permit Number:_,[,�1 g�,3$� Final Date� Street Drain-Tile: No 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 INSPECTItJN 20195 Holyokc A��enue,Lakeville,I��iN 57044 952-985-4400•95z-98;-4�99 fax ww�tv.lakevil lem n.g�v