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Sewer & Water Tie Card
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Address: d 1
Contractor•
Permit Number: �� ��1�'f
Final Date•
Street Drain-Tile: Yes
Size of Water Service: 1"
Comments: AIRTEST SANITARY OVER 20'/2 FITTINGS
�'TI�IS CARD MUST BE COMPLETED AND ON—SITE AT TIME
OF SEWER & WATER INSPECTION ' '
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20195 Holyoke Avenue,Lake�rille,MI�55044
952-985-4400•952-985-4499 fax
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