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CITY OF OrOY16 <br />WORKSHEET FOR SEWAGE DISPOSAL WORK <br />Date //—i9-c;2S <br />Building Permit No. S'U QS-yowa2 <br />Property Address 1 LZ u r <br />Kind of Building 9 r <br />SSTS Installer <br />Septic Tanks <br />Material Ce <br />of <br />a <br />Drain Field: <br />Total length of lines t 3 Number of lines <br />Type of soil Percolation Test <br />Width of trench Type of filter material <br />Size of Rock Bed to X 63 Size of Absorption Area <br />Draw detailed diagram with measurements indicating distances to sep4LIL4Wipers from a Sb <br />t. <br />permanent structure. <br />