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<br /> .•;,,,,fe ,•;..7. :. : IVIAlt10 N COUNTY-BUILDING INSPECTION,,. IN.D.MutTAL:ON,811:4SEWAGESYSTEIVIRECORD
<br /> •• ---- ' 1•'.5.155::Si18icttpizAd NE (to be completed by system 41.,stAII:p*)
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<br /> ',.'''tdiARION - . •• - - . .
<br /> .P..EWITNO...C..5.:.%-„ie-5,--. : . .."' '. i- ..
<br /> .!.' COUNTY '
<br /> .• •• hitp:/twww,ico.marion.onus/PWilluilitimilii ti c9. .0091: c11.- .17-gm-T,..7----1:3—,1 .
<br /> Di---sPec-°'1 'SITS ADDRES&,a0(0.87+, 17.klkiNt...9'.c.tE •NE
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<br /> AS413VIVT.FIAN..OF CONSTRUCTED Avrcra. ,bR cl--.71.00.. .Q.' ..
<br /> :. . - " . North.
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<br /> OpenMop .• , .: <
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<br /> Conlinunity Church
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<br /> Neighboring': • .
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<br /> 1 ' '• ,.- Budding; ' - -, , '" • .,... ., ,,
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<br /> 0,E111421, ••
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<br /> 2,•6'48
<br /> X-7348.6,'
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<br /> Driveway
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<br /> slioallide'ailci'dirniiiiifinetniintitrilifiedtif all narriPotiOnts.1..of Ifie,,systerninilielutint) .. .. ...._.., . .
<br /> .,., .. .. .. . _. ... .. .,.., ... --,$YSTEM:KATERIALS ANDSPECIFICATIONSi .' .INSTALLERS CERTIFICATION::
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<br /> - PNEOF.IYCERTIFY:141AT.1717TEON4ITESEYtAGEpYsr.E14 Ig'.-
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<br /> .,; $1*.tenv.Desigg Sew,gge Flow. - - ' . . Gallons/Dm STALLED AT THE Apoye:ADDggs :-.viks'CONSTAIXTF..D.-IN.Ac,„.0R-
<br /> - TANXAiie'l 10 total gallons. k.''tingre.cdinisartthiit 0Afnk. ,*ftt-ttli441:0001:ii**0,.0.t71*i *#'MOtit:lit:A:8.g
<br /> -.• .." . ..d...! mi'7.ikbisitii4tilteti.;.Qtlktire COMMISSION
<br /> • Manufacturer :t.i4-‘4). L I.double oitiartirtent. . - -• - -- .
<br /> liditetialt: r.g.:94-\;er-4'f' t... .t.:3';flow through , - to
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<br /> EffinencSOyet. Aiii•derPipe. . 7,174g,$system was wq.5;:inggjre4-.-17y: .-.:
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<br /> S.iiellirintl :SilelMael . ,.. . . t 1, •optetr Owner(petnntten)
<br /> ' - • . ' - '----: ' ' "" ----" - •- .' • -. '- '. . -''. ticepsed SO.vgg;'-0isPos.nt Service
<br /> DRAINFIEL.1).; IIik!•cie-p.tiiii•-1ches ifok(e0i
<br /> .105noito ! „,,,rigo,.. License Number
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<br /> tg*an4 **Oil*. - .,i l':.qr?0,
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<br /> . •-°.i.Pe- total depth : I 4'.Diktriiiiitibii j I Pliitti&. g-T (--f4 —
<br /> DEO Certification Number . ...! „ : , --0-• • .„ .
<br /> ! . Dainfielif Material(Alternative.Orperr•pipt) .. . . .
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<br /> Totirbrititleid Footage. . . trenclir:Dmiffloiliiiinum Maximum.
<br /> Curtain Drain Depth . . A,.. , ,• . . Siinedt,.. ,• -..--..: •
<br /> trtinenr:i!tnnp.i..,i3Intp:idociai 1-s,Wit . • ,-.. 'T,
<br /> ,73.. e. . „: . . . ... .. . „ . . ... . .
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<br /> tfitieliif iiiiiiiitti On off ..Oilltotig.,,pidtCcId. .i:..: ,. . .0m.T1p•apyiparne . i', 77tNier‘o..(3..,,,,,i, _Ort,Z.117t.
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<br /> ATT;Make and Model . , .
<br /> Attih,attodintittnilisfiettfiYreomtsonetittand!mtaterials-noi,listeitibove.-
<br /> 'bate: ...Al 14 .9:
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<br /> :(Fifir MiitiotvCOtni- .:I.NeOnt.iil••':17h .'..aboxid-.••Optic.syttiii fins been:intOntedby:Matintr.COinity Thdinrciiiiltitabii' ::beeriaeteiriiiftea:.to,bd:Accurate:
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<br /> an.dthesystem is: :. .Approved (" .I:Approved With.torreetionsFseelbspeetionxeport: 1 1 tknied
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<br /> Signed! _,---____- Title kats (6•?,1-4-ci-5.-- Date:
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<br /> hle:"S.':I.teiffalta:4112';51:I41•;:l.E/17,- •GASzieni:4.30iidtiS41.Ai:-Biiilt20,13VethiOn2011:dac; Will.TE,!•Mittiotaiuitty;': `._: .M.0*ifirallAllatit$011-or-
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