HomeMy WebLinkAboutEast Park Avenue 0851CITY OF PORT TOWNSEND
OWNER C-,ertir
Date Permit Issued: _
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SIDE SEWER AS -BOIL voive
Site Address: $S 1 k Qom.✓ k
Inspected By:
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1. Commercial or Domestic \ I Joint 13,
2. Distance from property line to sewer matrP:-a -'
3. Distance from house building line to property line j0'
4. Minimum grade from main to property line 12"
5. Distance from M.H. No. to Wye
6. Depth of sewer main at Wye
F2DATA \FORMS \sidesewer asbuilt frm doc
ERMIT NO. CC'-5
Contractor:
Date: 712- / z0 ► 3
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I RECEIVE
JUL 2 3 2013
CITY OF PORT TC D j
7. Depth of pipe at house connection ti' G+ shop —9, of seG/w 3��b
8. Type of Pipe W' 30 —34 Size of Pipe 4"
9. Remarks