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SIDE SEWER AS -BUILT PERMOT No.
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)ate Permit Issued: Inspected By: Date:
Inspector
1, Commercial or Domestic --Du ytir •, ; i c! Joint / V ,
2. Distance from property line to sewer main 5 FT
3. Distance from house building line to property line _? I-
4,
4. Minimum grade from main to property line Y`ri
5. Distance from M.H. No. F / to Wye L 3
6. Depth of sewer main at Wye
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7. Depth of pipe at house connection % 0— —
8. Type of Pipe 7"L , '� y Size of Pipe _ y '
9. Remarks
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