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V Street 0405
CITY OF PORT T0WNSEND SIDE SEWER PLAT PERMIT No. 12 Owner ��y' ✓1 1 �'� Address Owner X S� Contractor A 0`1 W KF C, AAf Tate Permit Tssuefi Date Job Completed and Accepted I By 1. Commercial or Domestic ............. 2. Dist. from property line to sewer main.._.. .._..._._.__._.__.._— _._ —__._r 3. Dist. from house bldg. line to property line ..................... ....... _._....— ._......_ .- .... -.__. 4. Min. grade from main to property line.__.... ............. _ ..... .... ...From Property line_._. 5. Dist, of M. H. No..... .._.... -- -- ...to Wye ..... ......... ........ .......... ..... ....... -- - - 6. Depth of sewer main to wye .. .... _- ............... - --------- . -°-------..........-----_....._—•-- 7. Basement..._._ ... ...... ......... .._...._Basement connection --•-•- ••- -- - °--- -- -..... __...----.------ 8. Depth of pipe at house connection .......... ........._..... 9. Type of pipe .... .......... Size of pipe ........ - ....--...... -----------•----- 10. Ftemarks ......... ................... - -------------------- _.. ........ — ..._..__... - -- e,e-To m QN i`L c9C. COMMERCIAL ONLY 1. Name ........ . ...... — 2. Type__ ....... . ..•- - ........... — ........ 3. Frontage . ------ .......... _ ............ ._. 4. No. of Floors _ .................._..- ....... 5. Remarks........- .......... ...... ....... .. :..... PERMIT No, .