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Sewer & Water Tie Card
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Address: 20658 Gosford Way
Contractor• ��
Permit Number: 187559
Final Date: �,� 1�-= ��
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 1( IM�
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OF SEWER &WATER INSPECTION !
� i 20195 Holyoke Avenue,Lakeville,MN 55044
952-985-44Q0•952-985-4499 fax
wwwlakevillemn.gov
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Sewer & Water Tie Card
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Address: 20658 Gosford Way
Contractor:
Permit Number: 187559
Final Date•
Street Drain-Tile: Yes
Size of Water Service: 1"
Commenxs: AIRTEST SANITARY OVER 20'/2 FITTINGS
THIS CARD MUST BE COMPLETED AND ON-SITE AT TIME
OF SEWER &WATER INSPECTION
20195 Holyoke Avenue,Lal:eville,MI�'S5Q44
952-985-4400•952-985-4499 fax
wtvw.takevillemn.gov