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Hill Street 3946
CITY OF PORT TOWNSEND SIDE SEWER AS -BUILT PERMIT NO. 00b �11(,� C�� Contractor: `_o ' _�= - _ OWNER $� C ©L U Site Address: q4& 1' Date Permit Issued: Inspected By: j Inspector Date: ks v- 1. Commercial or Domestic O r'l,e-Sk� C 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 �®lp 5. Distance from M.H. No. to Wye 6. Depth of sewer main at Wye F2DATA\ FORMS \sidesewer.asbuilt.frm.doc R 'Vt�c_ 0 �Ak) 0,1 1 11 7. Depth of pipe 8. Type of Pipe 9. Remarks O� house connection y vie n , he �G Size of Pip