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Permit 1 — // : / i• r(.• I C- c ,•.0 rI , ,.c= c .L ,<___ PA 1-4 wy, ti Accumulative Sewer Tally �� �� ,��� r renant Name: ( iZ i i PA ' s C( - i L) ' C.... This SWR# \ddress: /150 9 6 PAC 14 w `/ This PLM #: i H 9g - 0 a-75- = ixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added # added #s total Count off #s count value values 3aptistry/Font 4 3ath - 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 / 9. 3 6P - Bradley 5 ' - Commercial 3 - Service 3 Swimming Pool Filter 1 Washer - Clothes 6 Water Extractor 6 / - Water Closet - Toilet 6 , / C� 1' Cn Urinal 6 TOTALS Total fixture values: Deco divided by 16 = AA ° � S EDU - 0 'DL )yin /ilC2i 45`— HISTORY P.� a.F �-c �u 1 S / g i / G PLM# q - 7 - oq _ . EDU# a, SWR# 4 7 - 0 3 `' PLM# EDU# SWR# PLM# q c- 0 I LF EDU# a, SWR# , _ pr;.g,. PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# iAdsts\.swrtaly.doc