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' • METRO WEST INSPECTION SERVICES, INC. • 763-479-1720 <br /> BOX 248 • LORETTO, MN 55357 <br /> CITY OF f� �O� � <br /> WORKSHEET FOR SEWAGE DISPOSAL WORK <br /> Date �C�— )3 --1 '� <br /> Inspector ��+`J cs �L.� Building Permit No. 2 b/y — /�8 � <br /> Owner_� v h,K 2 t� �n r�t S <br /> Property Address 1 �i s �i r'�-��� l./�h�e. <br /> Kind of Building `�J �� <br /> SSTS Installer t't�4 k �C.� � �o ti^S License# � � �� <br /> Septic Tanks <br /> Material CU�^G1K.^�C �D��w�+�� Number of Tanks � <br /> � <br /> Size 3 — I 3 C�O <br /> Drain Field: � <br /> Total length of lines �9 � Number of lines � <br /> Type of soil ��4,�— Percolation Test IZ �s� a I S o i-� <br /> Width of trench '� Type of filter material t'—�.�►^� G <br /> Si2e of Rock Bed J a �� �O 3 Size of Absorption Area Zo' b 3- 3.r� �$�1 <br /> Draw detailed diagram with measurements indicating distances to septic tank risers f m a <br /> permanent structure. , <br /> ' � 3 � <br /> � � � 21 i �( '� � . <br /> 2� � � ' �'� '�'e <br /> 3' 3� o S '� /� <br /> , � <br /> � ., �(, g3 � <br /> � �� <br /> Z- 3 � . <br /> 3 � �8' : <br />� � br . <br /> � � �, P �► ,, <br /> �� <br /> �7 ' 1�e�� N '�� � <br /> 3 �`' <br /> 2�.�j�� ��r� ��'� <br /> ��►�`p <br /> t,u � � 1��1�1 <br /> ; <br />