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Sewer 8� Water Tie Card
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Address: 19271 Hillcrest Ave
Contractor: DLR
Per�nit Number: �$$199
Final Date.�/�a'�� a`�
Street Drain-Tile: Yes
Size of Water Service: 1"
Comments: AIRTEST SANITARY OVER 20'/2 FITTINGS
THIS �;ARD MUST BE COMPLETED AND ON-SITE AT TIlVIE
OF SEWER &WATER INSPECTION
20195 Holyoke Avenue,Lakeville,MN 55044
952-985-4400•952-985-4499 fu�
www.lakevillemn.gov