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Septic•Permit 555-21-011416-PRMT Page 3 of 3 <br /> Date Cer ifr ate Issued b W 2f2t 23 4 k C 6 <br /> WorkDesclrlpti& FIRE MAJ REPAIRREiPL'I Bt RM LT NSFIO�48D tM-*SAME FOOTPRINT ' � h N <br /> f�f�"ti y '��y7F a ti r7i Certlficat Sf 5atisfac rjr. r'OrC pletI1C�►R3 ', ` `` <br /> System Inspection: Yes Operation of Law-7 Days Notice: No Pre-Cover Inspection Waived Per 340-071: No <br /> Comments: COSC Issued ok to use <br /> Ff ` /661`‘; •PcMIPM:019,919N1f,cti911, 112M,. N r <br /> Inspector Inspection Inspection Date Inspection Result <br /> Kimberlee Aldrich 7020 Pre-cover 03/23/2023 Approved <br /> Kimberlee Aldrich 7020 Pre-cover )/10// 2020//20222G} Partial <br /> Jarttial <br /> t <br /> Im gc; dA/D- f <br /> er ee I n Onsite Wastewater Specialist 2 P <br /> CALL BEFORE YOU DIG...IT'S THE LAW <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administration Rules. You may obtain <br /> copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-800-332-2344.) <br /> • <br /> • <br /> 3/22/23:9:09:05AM ONS_OnsiteCSC_pr <br />