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Point of Sale Inspection Form - Compliancy Expires 09-15-2031
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Bayside Road - (AKA: Co. Rd. 84)
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3211 Bayside Road - 05-117-23-41-0018
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Point of Sale Inspection Form - Compliancy Expires 09-15-2031
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Last modified
8/22/2023 5:21:41 PM
Creation date
9/16/2021 10:27:36 AM
Metadata
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Template:
x Address Old
House Number
3211
Street Name
Bayside
Street Type
Road
Address
3211 Bayside Rd
PIN
0511723410018
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Updated
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Service Line Inspection Details <br />Weather Conditions: <br />Approximate Depth of Service tr PI/C <br />Type and Size of Service W\ WG <br />Overall Condition of Service Pipe <br />Please note all connections, fittings, points of concern on service line including infiltration, tree root, <br />cracks, misaligned joints, etc. <br />This report must include a digital copy of the televising. <br />Feet <br />Comment <br />Example: <br />0 <br />Start for 4" cleanout in NE corner of Basement <br />1-10 <br />Misaligned joint —Infiltration <br />ell <br />Notes: <br />Cap 01L t t,4 rM <br />
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