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14th Street 1229
CITY OF :PORT TDVNNSEND SIDE SEWER. PLAT- P.ERNII'F: No. SOF 1z" 13 -03 '16A L L ^ L a�r5 a✓1 'Address r �.z fi,ontractor Owner a. Date Permit Issued -Date Job Completed and Accepts GhtG t� aai Al eo 3 1a6,' x 1. Commercial or tic ........ ....... :. ....__ ------- .... _ ..... - __.... - Jul nt_._._. ..��h .. _.__. _..� "" COMMERCIAL ONLY 2, 3. Dist, from propert�to sewer main ....... _ ..... _;. Dist. Dist. from house bldg. line to property line...._..._.._. 1, Name._._._..._.__._.._.._._ ...._.._........_ 4. Min. grade from main to property line ...................... __._.From Property line.........._. __ 2, Type .... :,............. _._.___... __..._...._.— ..__. —. 5. Dist. of M. H. No......��,�! .:............ao Wy;............. _... .._.._.._- ..._..._...._._....._ ..--- •..._... —._ ..._._.�. 3. Frontage...- .._.._.....__..._ 6. Depth of sewer main to wye ..............5... 4, No. of Floors ......... _ ......... _ ... ......_.._. ..- •- -- ...-•-- _-- .---- ......_._ 7. Bascment ................... .......................Basement connection ...__....... ....__._ ................__..__. _ 5. Rent. arks....... .................. ........ : ............... _._:....-- - - - - -- _— 8. Depth of pipe at house connection ..............� ?us._..._._.._ ............. . ....... __._._:_..._....._...._.... —•__ .- ,_ - - -- ._.............._.. - - - - -- - --- - __. ....� 9. Type of pipe .............?rL.. t -... of pipe.......... ..._... .._. 10. R e rn a rkp. .. .... ................................ ......... ........:;........... _.,. ; _ .._..._.__._..._._. .... _......_._ ..:._ .. . :_............................_ P EMPii T...N;aT