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a <br />c <br />3 <br />0 <br />m <br />CU <br />L0 <br />rn <br />N <br />IT <br />-0 <br />12 12 09:30p Brad <br />7636820977 <br />CITY OF Q <br />WORKSHEET FOR SEWAGE DISPOSAL WORK <br />t Dale -1-1& -- t C� <br />Inspector__ —_ �A� i t i` + C �1 Building Permit No. <br />p.9 <br />Kind of Building 'S F D <br />SETS Installer_ license# L (a ` � <br />Septic Tanks <br />Material CLM ek 111 '�'��^-� Number of Tanks 3 <br />Size f:"ll`JMO moi' 000 . / goo <br />drain Field: <br />r <br />Total length of lines _ ` �9 _ _ _ Number of lines <br />Type of soil' Ctti Percolation Test V 6 1 4Ceti�-3- <br />Width of trench Type of filter material` G-" _ 6 r [c_ <br />Size of Rork Bed Size of Absorption Area <br />Draw detailed diagram with measurements indicating distances to septic tank risers from a <br />permanent structure. <br />A . 17 <br />W <br />U <br />Sherg <br />r <br />