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HomeMy WebLinkAboutPermit Mechanical 1991-5-22 ~ . INSPECTION ~RD FIELJ? CARD /. 407~ ~~. TOWNSHIP ~NGE I .. SECTION TAX LOT / c? CJ 2. as; ;)... ca.?- cJ ? SUBIII-sIOt;l/PARTITION L ~ r /." /l;J LOT/PARCEL . 7~ ::J/U'.::-n./'----t"...?7r )~, hZ O~INER'S NAME AND SITE ADDRESS ~___ ~____~...I L/t?7h ~_U:/ ~ CONTRACTDR"S NAME AND ADDRESS .--- WATER SUPPLY U.--<eLL ~ C "Br ~y FeLl ~SPe"L-n~ . MINIMUM SETBACK REQUIREMENTS: , Serial ~qUal SDS INSTALLATION ---,---- SPECIFICATION: allon Tank , Ln. ft. Drainfield ~ Max. trench depth Ne.- Repair ___ yteration ___ ~~. DIRECTIONS TD SITE ,..'5. Pn/t!/2___Al a.r2<<---"M_ ._~.-i~J")../7.-?~_i!/J_ ~.. /), /J ' ,:7 PC' --LtY ;/~~ . r-~~/ Yc.tJ..t.(...;L..C -,ca-.n~4A:1~~ . . v INSPECTION .JE APV/DISAPV DATE ~ REMARKS # BEDROOMS --3 # PLUMBING FIXTURES # EMPLOYEES , ' fJ~ .SPe- PERMIT NUMBER ,-$ t/! cJ,:;)"- 0'0 BLOCK TELEPHONE NUMBER /~6--797? TELEPHONE NUMBER CL, front CL, side Interlor f " ~.' d~tJ' v v ;' . r . "' ~ ~', . . , . . . ,.. 5=2-2..-CJ/I'" ."'''r ,:~ -r d~~ Pk ~~~ · ')'r fV:_ "I~'. A., (",.~ · , "'!t ... -. ..... ",. .., T ... , .;:" . .~ , .. ,,)-# -.- ~. "'I~~:' :'~ ~.' . ..o",.. , , . /: - . . . ..