HomeMy WebLinkAboutLandes Street 2030CITY OF PORT TOWNSEN6 SIDE SEWER AS -BUILT PERMIT NO. MTYk'7y57
OWNERVO-\j ��-
,Date Permit Issued:
1. Commercial or Domestic LX_21
2. Distance from property line to seg
3. Distance from house building line
4. Minimum grade from main to prol
5. Distance from M. H. No.
6. Depth of sewer main at Wye —
F 2DATA\FORMSIsidesewe r. asb u ilt.frm. doc
Site Address: 7-030 LCLvIcle 5 51t- QT _ Contractor: V1 �-
7 Inspected By:
Inspector
2� 4
Date:
main _[J i
property line
v line
Joint Eli 6 K&4- 7. Depth of pipe at house connection ZFame+-
8. Type of PipeO Size of Pipe
e } 9. Remarks