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Address: 602 & 604 N Elm St <br />Owner: Hidden Farms Inc P <br />Plumber: Sewer Rooter <br />Permit No: 10081 D <br />Date Permit Issued: 12/2/16 <br />Inspector: dscoggins D <br />Date of Inspection: 12/5/16 <br />Sewer District No or Project No: 28 <br />Lot: Block: Addition /Subdivision: <br />Sewer Tap /Cap Location: Tap into MH #381 -1 (per Fred Tustin's approval) <br />As- Built: <br />Sewer lateral is in the Right of Way just o <br />outside of property line — a License Agreement i <br />is required. <br />0,SI r <br />IN <br />vv <br />1›0°) 3" <br />NOT" - I C S 4 ALE- <br />Sanitary Sewer Tap /Cap Inspection Report <br />201608398 <br />