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METRO WEST INSPECTION SERVICES, INC. • 763-479-1720 <br /> BOX 248 • LORETTO, MN 55357 <br /> CITY OF ���� � <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK <br /> Date <br /> Inspector Building Permit No. <br /> Owner <br /> Property Address �� 7-S�ti.4�j ,¢rK h�.// J�o�l� <br /> Kind of Building c���- � � �•¢y••1�., c�we ll�- s <br /> SSTS Installer License# <br /> Septic Tanks <br /> Material Number of Tanks <br /> Size <br /> Drain Field: <br /> Total length of lines Number of lines <br /> Type of soil Percolation Test <br /> Width of trench Type of filter material <br /> Size of Rock Bed Size of Absorption Area <br /> Draw detailed diagram with measurements indicating distances to septic tank risers from a <br /> permanent structure. <br /> �RG�10 C�!PY <br />