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PERMIT FOR CONNECTION TO <br />•1ETROPOLITAN WASTE CONTROL COMMISSION FACILITIES <br />Supplemental Data Sheet <br />Community ( iY�_ c <br />Individual Making /Application ,/,qfrUk 7Qh <br />Representing Who r', W\, Fr q fLJ()pu { rx l' wvIz -, <br />Location of Connection 3o c, 6, Spr St <br />Work to be Done by .V,Qrn/ <br />Type of Connection /gel"; S /9 c�� <br />Size of Connecting Sewer <br />Date <br />Phone `pp�Q't/_oy/lier <br />°I- L7 r , to <br />Invert Elevation Jr(O <br />Area Served in Acres: <br />Residential 0 <br />Industrial 9 <br />Predicted Flow in Gallons Per Day <br />Initial <br />Characteristics of Discharge: <br />Residential <br />Commerical <br />Industrial <br />Depth /3 a <br />Pipe Material pocti X': X <br />Commerical <br />Design <br />9 <br />Unusual Characteristics of Above (Strength, Oils, Chemicals, Temperature and etc.) <br />4 <br />