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Kat Lane 4662
CITY OF PORT TOWNSEND OWNER Site Address: Date Permit Issued: I l SIDE SEWER AS -BUILT PERMIT NO. lM 19C)q _ 0z-S' 7A L"s Contractor: Date Job Completed /Accepted �� �I © By: xk AD 1. Commercial or Domesti Joint 2. Distance from property line to sewer main 3. Distance from house building line to property line 4- Minimum grade from main to property line 5. Distance from M.N. No. to Wye 6. Depth of sewer main to Wye . GAPW Envneering\Qevelooment Reviewl F21)ATAIFORMSIsidesewer .asbuilt.frm.dbc x=10 r --ice 5. Distance from M.H. No. to Wye 6. Depth of sewer main to Wye 7. Depth of pipe at h se onnection 8. Type of Pipe ^ Size of Pipe 9. Remarks