As-Built Sketch LOT NO. : ADDRESS:_'7 yvIt Gee. '2-
OWNERS
OWNERS NAME:MIL( gv
o
SEWAGE PERMIT NO. : /1I0 C NEW: REPAI : V
DATE ISSUED: y12� DATE 'INSTAL EU: U
INSTALLERS NAME: r51 • , w,p�
�e0. pp/ tt
INSTALLATION OF:to o o C .44,1 7L 1�61( 2 �f-)owt
WATER TABLE: FINAL INSPECTION BY rail
DRAWING OF INSTALLATION ON REVERSE SIDE: