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METRO WEST INSPECTION SERVICES, INC. • 763-479-1720 W <br />BOX 248 • LORETTO, MN 55357 <br />CITY OF ( N <br />m <br />WORKSHEET FOR SEWAGE DISPOSAL WORK 0 <br />Date "7 — 7 <br />:n <br />Inspector ® Building Permit No. J/ S� "�` f"�'% �t n°) <br />Owner ' L. e <br />Property Address 3 W L -" 'W'v— VO - <br />Kind <br />-Kind of Building F <br />SSTS Installer ILIA-�j 0S 9 License #(0 <br />Septic Tanks <br />Material robow A v Number of Tanks . <br />Size <br />Drain Field: <br />Total length of lines (v i Number of lines 13 <br />Type of soil [![, Percolation Test +`i w-sc,-Y <br />Width of trench Type of filter materialc� �+ <br />Size of Rock Bed ! 0' "V- 6 Size of Absorption Area <br />Draw detailed diagram with measurements indicating distances to septic tank risers from a <br />permanent structure. <br />Al `l <br />T 0 pec, <br />