HomeMy WebLinkAboutPolk Street 085525O Madison Street, Suite 3 | port Townsen d, wA 9836ri8iFff[tffi
SIDE SEWER AS-BUILT
8 | 360.379.5095 | www.cityofpt.us
PERMIT NO.SDP
DEvEr-oeMENT
SERVICES
9onOWNER
Date Permit lssued: I o - !.f -q lnspected By:1r a/f
Contractor:
Date: . Z^2^
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7. Depth of pipe at house connection ) I
ite Address
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1. Commercial or Domestic
2. Distance fro m property line to sewer main 6 I
3. Distance from hous4. Minimum grade fro
e build ing line to property line _1\).1
m main to property line ?olo5. Distance from M.H. No. &4 I
6 Depth of sewer main at Wye
10.20t7
AY^l
to Wye 62t
Joint
!. 1vo. of Pipe a 3o-<ri NL9. Remarks
Size of Pipe 4/r