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Madison Street 0909
CITY OF PORT TOWNSEND SIDE SEWER AS -BUILT PERMIT NO. OWNER ��� _ �3.rr Site Address: � � M4S0" Contractor: IA�. Date Permit Issued: Inspected By: Inspector Date: 1. Commercial or Domestic VA -eel f" C- 2. 2. Distance from property line to sewer main 3. Distance from house building line to property line 4. Minimum grade from main 49propertyline 5. Distance from M.H. No. ",a ,5' ,. 1 �4 to Wye 6. Depth of sewer main at Wye F2DATA\FORMS\sidesewer. asbuilt.frm.doe 6 int `e (,A C o f �7. Depth of pipe at house connection �% 8. Type of Pipe (o =, Size of Pipe �� - 9. Remarks V,, 'r© (`'l * e W \ G'1 1 -,\