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Site Address:
)ate Permit Issued: -10 -24—/ 19 Inspected By:
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Commercial or Domestic Joint
Distance from property line to sewer main a,
Distance from house building line to property line 3 Y
Minimum grade from main to property line
Distance from M.H. No. to Wye
Depth of sewer main at Wye
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Inspector
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Contractor: &Ax e-,
Date: 17 -2 -..IC _
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7. Depth of pipe at house
8. Type of Pipe Size of Pipe
9,' Remarks