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• FROM , Price Rite Septic Inc. ice Inc. PHONE NO. : 503 538 2276 Jan. 10 1999 10:26PM Ps <br /> 0.1/08i aT9 • FRI- 09:45 FAX 1. 803 388 7048 MARION BLDG INSP 002 <br /> INDIVIDUAL ON—SITE SEWAGE SYSTEM RECORD <br /> (to be Completed by system installer) • <br /> iv d r' a <br /> • <br /> SITS =DOSS t P...2="«k L - .I • tom` ,V .1 'PERMIT NO. ' Pj -045'161. <br /> as-su2LT PLAN o TR C D a T Ii <br /> scale! 1" . �� —.__--- ___' _ -. _,____ _ �_._ ._ . _ _ <br /> � <br /> L <br /> .. RECEIVED North <br /> 1: 1 E' 1 I I.' 111% <br /> .• <br /> MARI 0 COUNTY <br /> • BUILDING INSPECT luN <br /> • <br /> . . . • �,... . " �� ._ c VT R <br /> • <br /> • <br /> r....,.—.. <br /> � � • <br /> or . <br /> ,604 <br /> • <br /> 7 • r ` ` e e� ar 1�i <br /> . (s osv a Ca i In • Otte 'asoesaaiy to locate •41 components of the system in the future) <br /> septic =aa:er Sites I'8OD Kai'l: CO it Rig, whim t`.t1�lS T TIM os-tlsst9 "WA" <br /> tin�as eYBTftN sN a rt�1►88VS ,maces T+r11a Casc- <br /> Aoaisi Tank: dipl`�� mt.1,..-, �-'t' gTJi0C1'f� Al M'co3D s NM? BiQ OP <br /> za MUM J� TO innizs or net PINtAot L <br /> U i.... V L11Y commzesmcs. <br /> ifirasst Simon $iscr i ' f '/ ' p4 x have tested Ott sotto utilc and Certify <br /> AO to be wattart:iy2ttr <br /> , scat.■>_ p4.„Diatributianr I Drop ! : i ] Concrete' bld p1aac.c <br /> araSa!! ld•s3yao 8st a rtamiait Reader- :4Mi4 4.1,lost t.....'.�^ ?a :PC <br /> est xya a _sa :I by <br /> l <br /> : , <br /> Satai DSa;aEi. d ldauiialPPe! sack 73apCh: rtlWl .LCaaeadC. in Diapaal <br /> Sccviee • <br /> VIcaz ate:osptLa its attitusrat 2.4 'I, Itaaikus:1*a t '%oral Os tbi 4_ <br /> P limpet: <br /> 4;'42 <br /> REflusee pumps map scowl:__�~ s st:at is 8et4d to Systems-^'�'^'1t. b'te •'r . TLC/ <br /> COepany Setae ( s + <br /> Rump eyrie %lamb: r Qal3aaa per tyciaa =,,,,,,_ (Pug. Print),hark as add3tiona7. sheet !Os ad biogenesis S nabrilan sell naiad alawn. Vitas /— I•"f fi(!or Marion County ROC+.ep1Lyl,• <br /> The above septic system has been inspected by ri n Cow' -'he information has bean debaroined <br /> za ba ac and.the system is <br /> [ ] Ap d FILE <br /> '� I �s•rove• -,it- Co radtioue: see 3.neplatl, re <br /> t 3 Denise• J 1 <br /> Signed: ��, :A. _ r ^ ..._.. t'itle: Date: _ ' <br /> as-. t:. 5 TE:Marioh C012317y; YE - n• ,et; - h' a•-er <br /> a.. •. a.. • • <br />