Plans 1.
7
3 Toirenbach & 3-Turct
3430-A S.W. 209th Ave., EXCAVATING AND UTILITIES Office (503) 591-5987
Aloha, OR 97007-1073 OCCB #121807 Fax (503) 848-6832
Email: handh20@Jimo.com
RESIDENTIAL SANITARY SEWER
AS-BUILT
Date: \.\4.) 1 41)
Building Pe 't # c2 0 C) — 6 GO t-
Building Contractor:
Subdivision: Address:
Depth of Connection to City Stubout: 7 Distance off curb to ity tug • ut: 7
Type of Pipe: \L7 Size of Pipe:
Type of Connection: Inspection Date: `-(1 k /
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ALOHA SANITARY ERVICE
INVOICE NO.
8600 SW Hillsboro Hwy., Hillsboro, OR 97123 1 452
503-644-2797 • 503-648-6254
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NAME: --/iri 7-1,11,ed....-12
ADDRESS:
Orr: STATE: ZIP:
HOME: 9 -.5- WORK: 7 ,..,
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JOB SITE: / ;71‘,1,/. .,./Z --
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PAID BY CHARG‘rik, CHECK CI CASH CI CREDIT CARD CI
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DATE Z---,/ 3 — 2,6 DRIVER /71 I 7/taczl/ AMOUNT
PUMP SEPTIC TANK
D INSPECTION FEE 1
D SERVICE CALL • .: i l
D LABOR, LOCATING, DIGGING, BACKFIL
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- - THIS Is NOT A SEPTIC STEM INSPECTION REPORT - - TOTAL $ 7-
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TYPE OF TANK: STE Di C CRETE 0 PLZSTIC 0 HOMEMADE D
HO IZONTAL D VERT SAL J ,AECTANGLE 0 0 OTHER
SIZE OF TANK: 350 D 500 D 75 /000 0 1250 LI 1500 0 2000 CI 3000 0
LID LOCATION: INLET 0 OUTLET I/' MIDDLE D ENTIRE TOP D
TANK CONDITION: GOOD 0 FAIR 0 \ POOR 0
FITTINGS: BAFFLES 0 CONC TE 0 \ CAST IRON 0 PLASTIC 0
NEEDS NEW LID? YES 0 SIZ
GROUND COVER OVER TANK
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COMMENTS ON CONDITION OF DRAINFIp_D ETC. 1 /
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3430 -A S.W. 209th Ave.,
Aloha , OR. 97007 -1073
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CCen6ctch & Lurc( Inc.
EXCAVATING AND UTILITIES
OCCB #121807
FAX TRANSMITTAL
Office (503) 591 -5987
Fax (503) 848 -6832
Email: handh20 Juno.com
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