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F-re-VIO 1: •' <br />CITY OF 01'e'rN'd <br />WORKSHEET FOR SEWAGE DISPOSAL WORK <br />Date t a b /a a ;L / <br />Inspector —fin �-7_ Building Permit No. <br />Owner, �sGe1t'l <br />Property Address <br />Kind of Building F� <br />SSTS Installer A5cetx, fI ` 4 License # qo? c . <br />is Tanks , <br />a erial Ce Aci-L& Number of Tanks 112 <br />Size 100r) <br />Drain Field: <br />Total length of lines <br />Type of soil <br />Width of trench <br />Number of lines <br />Percolation Test <br />Type of filter material <br />Siz � Bed Size of Absorption Area <br />w detailed diagram with measurements indicating distances to septic tank risers from a <br />