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MER WE E£ 7.6.3-479-1720 <br />BOX 248- 357 <br />CITY OF 0 RD r U <br />WORKSHEET FOR SEWAGE DISPOSAL WORK <br />Date S _2:1 — <br />Inspector !I Building Permit No. ZU i 5- 00 SSS. <br />Owner U i " (C,cYctic.+v. 76.w.es Cw.-i,.> <br />Property Address I I ZS } t.r3E V j.‹-k-.J' b -i t'& <br />Kind of Building 5 F-0 <br />SSTS Installer 1-10414 s ± Sah.`> License# L( 4-0 <br />Septic Tanks <br />Material (',okCkC-e_ ( Number of Tanks 3 <br />Size 13 00 / ioo / 1 3 C.)0 I Pr <br />Drain Field: <br />Total length of lines l9 I Number of lines <br />Type of soil Percolation Test Tv S vnj,So z Sj yam' <br />Width of trench Type of filter material 6e 4 <br />Size of Rock Bed 10'X <br />031 <br />Size of Absorption Area lin <br />ii <br />Draw detailed diagram with measurements indicating distances to septic tank risers from a <br />permanent structure. <br />1}v0Se.- <br />Lail <br />9PC-51 6 > J2 <br />t Wei" <br />3; /y iA) ivoil‘fa 3 <br />3 <br />2= 31 <br />3