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West Septic Removal <br />(Contractor will remove) <br />APPENDIX B <br />8020147TH AVE NW, Septic <br />(Show locetton of house., tank, <br />Wank Size /Z - <br />Square footage of <br />dreinfield area* <br />th <br />Depof rock <br />under pipe r ri <br />Depth of rock <br />over pi;!1 <br />Depth -of dirt <br />cover <br />Number of. <br />bedraoms <br />Wier Table <br />Sewer pipe <br />House to tan <br />Outside lift <br />Ejector <br />Gravity <br />Permit fee <br />Surtax <br />ota1 <br />Cast <br />1 1 <br />( ) <br />( ) <br />w l <br />• <br />Hpt.rSS <br />drainfield, <br />East Septic Removal <br />(City will remove) <br />property line and well. <br />NORTH <br />—1 <br />II tJlim, fAnis mast' he •xpo ed . - <br />Page 6of7 <br />