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As-Built from Inspection Report
A _ 7 L 64128 6IQ)/1/4��: ,� I.OT NO. : L -ayiADDRESS:_ 1 � OWNERS NAME: c-o po SEWAGE PERMIT NO. : NEW: v/ REPAIR: DATE ISSUED:IN/zo/'77 DATE INSTALLED: /°//z/7V INSTALLERS NAME: 44 INSTALLATION OF: 1.0")-1-..o.ti p-co,a SS'kt,p;+'1 '.shh... WATER TABLE: 12.5 Eittal INSPECTION BY c.�./t -•.., /L(-/az DRAWING OF INSTALLATION ON REVERSE SIDE: Li$'' '' 1 2. ys- y,► r' 30' .76 n 54' ift SS'