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Sewer & Water Tie Card
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Address: 20234 Glenbrook Path
Contractor: Installe� Building Solutions
Permit Number: ��� �'�
� Final Date: � ��v' a�
T 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 INSPECTION
20195 Holyoke Avenue,Lakeville,i�IN 55044
952-985-4400•952-985-4499 faY
www.lakevillemn.gov