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SIDE SEWER AS-BUILT PERMIT N 0. 7t)°°- Lb&
WNER
Site Address: (AYCA 5 Contractor:
ate Permit Issued: - - ----- Inspected By: Date-,
5t (_ t Inspector
Commercial or Domestic
Distance from property line to sewer main
Distance from house building line to propertyline
Minimum grade from main to property line Vq P
Distance from M.H, No.. to Wye
Depth of sewer main at Wye
)ATATORMS\ i[ag
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Joint
7. Depth of pipe at house connection.
8, Type of Pipe 1 o'q--o Size of Pipe
9. Remarks