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CITY OF PORT TOWNSEND
Owner: v-%
Date Permit Issued:
iz N
SIDE SEWER AS -BUILT PERMIT NO. M ►'P 1 -2- - w 3
Site Address: 110-7 ek A � yo � S4 Contractor: C.ev -�r r V` vvP- CCA A—
Date Job Completed /Accepted /� °� -�Z _ By: _At)( I&A -
611 pvc.
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1. Commercial or Domestic p J Joint
2. Distance from property line to sewer main 44-71
3. Distance from house building line to property line '72
4. Minimum grade from main to property line !!/ %Cr
5. Distance from M.H. No. i to Wye of 15
6. Depth of sewer main at Wye _Z,-
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Av�
C-ine0<
)cove
7. Depth of pipe at house connection _-
8. Type of Pipe D!K 303H Size of Pipe 4 �
9. Remarks