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At Name. ~ a OiAt „<r-o aca 5 Accumulative Sewer Tally This SWR#: !q4 q- 0O/ 37 Aress: 15875 5w 7A'j /91/f.- This PLM#: Iq 4 Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New Value Capped off value added # added total #s total Count off #s count value values Baptistry/Font 4 Bath - Tub/Shower 4 - Jacuz/Whpl 4 Car Wash - Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 1 `I I Dishwasher - Commer 4 - Domest 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink 2 inch 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dom Ito 3/4 HP) Comm (to 5 HP) 32 Ind (over 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep (Gas Station) 6 Recreational Vehicle Dump Station 16 Shower - Gang (Per Head) 1 - Stall 2 Sink - Bar/Lavatory 2 Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer, Clothes 6 Water Extractor 6 Q Water Closet, Toilet 6 Urinal 6 TOTALS Total fixture values: .j 04, divided by 16 = 1q,50 EDU n. 5 7~t HISTORY PLM# EDU# SWR#l c, PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR#