Loading...
HomeMy WebLinkAboutSeptic As-Built CardLOT NO.: y7 ADDRESS: lf~ /~i,~,G~=~ ~,. ~~--p~° X07 UtJNERS NAAiE : 6 _~ ~ SEWAGE PERMIT N0.:1x~~~~NEW: REFAIR: DATE ISSUEll: !o ~c ATE IPISTALLED: ~ - Li~STALLERS NAME : . ~~ /lf'i INSTALLATION OF : ~~J~d ~' ~,~OD~'GI'~-I/Gt/~ WATER TABLE:a~i'~~ FINAL INSPECTION BY:~_ DRAWING OF INSTALLATION ON REVERSE SIDE: R~S~~S _ aoN ~-~~-K a ao~c a o ~ S.~4S. ~ ~~ ~--~ 3~ ~ -~ 3Z. -~ -~~3 ~~'~ 'd ~ ~~G 2Q. ~ ~,-~ 31.E ~~ ~ ~ ~ r ,~ L o r y~ ~7/)P /0~ ~j~ LOT N0.: ADDRESS:__ S ~!,?/~~ ~_ `~ OWNERS NAME : _ ~ ~ ~/!/f~ ~~ SEWAGE PERMIT NO.: NEW: REFAIR: q DATE ISSUED:_~DATE INSTALLED: ~-,~~ <v INSTALLERS NAME: INSTALLATIONI OF WATER TABLE:~~FINAL INSPECTION BY• Df~AWING OF INSTALLATION ON REVERSE SIDE~~~' J ~1- f~-C = 2G ~C = 26 /-~'b "' Z) 1.3.0 - 3 0 A-~ . 3 ~ ~ c =38 ~~ =- ~ y ~~= 5~ ~~-2 ~ I~ G a p I, ~~J ~ F Nr~~ l~~ A~DD~RESS~ ~ ~ ~ _ ~ ~.3 LbT NO.: o ~ OIJNERS NAME SEWAGE PERMIT NO.: O-'1 NEW:/ REFAIR: DATE ISSUEll: ~-t U DATE IrJSTALLED: INSTALLERS NAME: L INSTALLATION1 OF: ~~~~ ~~ WATER TABLE: FIN INSPECTION BY: DRAWING OF INSTALLATION ON REVERSE SIDE: