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CITY OF PORT TOWNSE'ND SIDE SEWER. PLAT' PERMIT No,'
Owner Z t- Q{i (( i. P-S Address I G� � y +�. ��1� r✓ontr o� UI' f T
Date Permit Issued �.
Date Job Completed and Accept By
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1. Commercial or Do.mast4c Z�..1 �C ._. Jo'lnt
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2, Dist, from property line to sewer main...-..._ �. G1 _.._.,.�._,.^,— _,___--- __: - -__—
COMMERCIAL ONI-Y
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3, Dist. from house bldg, line to property line.... -,.•11 !/ ,_•- ,_--- „_;,••••__....- ._ —._:-
4. Min, grade from main to property line ....Ir ........... _...._.�.From Property line ......... ___..__,.._ . Type ................. . _ _._...._ „— ,.__._,_� �_T_•__-
5. Dist, of M. H. No ............ ; ...... to M Wye ........... aZ j
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—
6. Depth of sewer main to wye ..........�..1i.....^._ ...... -- --._._. ....... _ ............ .__._.,...._...__._....,__..... 4, 'No. of Floors ......... _........._......,._..,... --- .,.-------- -- ....,.
7. Basement ... ............................... .......Basement connection ....._..-----.. ._..........__........:.__._..• 5. Remarks ....... ......... . ........................ .... ....
— ._:..,,__,___ -
8. Depth of pipe at house connection ........ ?,..
9. Type of pipe...- .!./..11.. .... ......,Size of pipe.......... _ .. .........
...- - - - - - -- -
10. Rernar6tr,
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..... .... -- ......... .............. _ ......... ............. - - -- _ __ --_