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Permit
• Accumulative Sewer Tally Tenant Name: / LA _ This SWR# Address: 1 i This PLM #: 4i0 G �` OOi c'7 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New Value Capped off value added # added #s total Count off #s count value values Baptistry/Font 4 Bath - Tub /Shower 4 - Jacuzzi/Whirlpool 4 Car Wash - Each Stall 6 - Drive Through 16 _ Cuspidor/Water Aspirator 1 Dishwasher - Commercial 4 - - -- - - -� - Domestic 2 Drinking Fountain 1 . Eye Wash 1 Floor Drain /sink - 2 inch 2 - 3 inch 5 - 4 inch 6 - Car Wash Dm 6 Garbage Disposal 16 - Domestic (to 3/4 HP) • - Commercial (to 5 HP) 32 - Industrial (over 5 HP) 48 Ice Machine /Refrigerator Drains 1 Oil Sep (Gas Station) 6 Rec. Vehicle Dump Station 16 Shower - Gang (Per Head) 1 - Stall 2 Sink - Bar /Lavatory 2 1 Z Z- ) - Bradley 5 - Commercial 3 - Service 3 Swimming Pool Filter 1 Washer - Clothes 6 Water Extractor 6 Water Closet - Toilet 6 Urinal 6 TOTALS 7Z-- Total fixture values: 7 2J divided by 16 = EDU ' 2-D - ' HISTORY (4(i rei. • • S — J.10 Et0 `Ji riz- PLM #° ,- 9 J EDU# SWR# q`b -02:4 PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# i:\dsts\swrtaly.doc