1994, 08-15 Permit: 94004696 InspectSEWER CONNECTION INSPECTION REPORT F..0 q-'7-?
INSPECT. DATE 9 4 DUPLEX PERMIT No. . INSPECTOR :
PIPE TYPE & SIZE : 41" /411C 3o3 I.
CONTRACTOR /PoN
PARCEL No. : LOT : BLK :
ADDRESS : 5 U. I `I 0 8 11/0 t 46,2
SUBDIVISION / U.L.I.D. : 4,20C FC/PEST
YES NO OTHER
COMPLETED APPROVED EXTERIOR CONNECTION ? ❑ 0 ❑
INTERIOR PLUMBING CHANGES ? YES I NO ❑ UNKNOWN ❑
COMMERICIAL BLDG : ❑ NEW ❑ RESIDENTIAL BLDG : NEW E
SEWAGE CONTAINER(S) ABANDONED ? YES E NO 0
BY: En CONTRACTOR or ❑ OTHERS Af.e fE'U
TO BE ABANDONED IN THE FUTURE
BY: ❑ CONTRACTOR or ['OTHERS
ALL WASTEWATER SYSTEMS CONNECTED ? YES❑ NO UNKNOWN❑
DOUBLE PLUMBING : ❑ (OKAY TO BACKFILL ? YES NO
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ON UP -DATE : ❑
PENDING : ❑
START
BILLING DATE :
LEDGEND
E.O.P. EDGE OF PAVEMENT
G/M GAS METER
DE ELECTRICAL
W/M WATER METER
C� CLEAN-OUT
POWER POLE
® MANHOLE
STORM DRAIN
• HYDRANT
CENTERLINE
B L. BUILDING UNE
}- —> — --)1110- -
DASHED UNE WITH
ARROWS INDICATES
BORED SECTION OF
SEWER UNE.
COPY TO BLDG CODES
❑ COPY TO HEALTH DIST
❑ COPY TO OWNER
NORnI ARROW
FILE No. ASHUILT.Ow!