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MARt•t?N COUNTY BUILDING I S' + TIQN INDIVIDUAL ON 51TE SEWAGE SYSTEM RECORD
<br /> S1S5<Salverton ttd Nt~ (to be completed b system installer)
<br /> = ,973o5
<br /> •- MARION '
<br /> COUNTY
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<br /> t ; - a to locate all com zm»
<br /> -- ' ubow all,detatls and dimenstott�nesess [NSTALC,EitS CER-TIFICA'Ft(SN
<br /> ` SYSTEM AtATER AND1SPECI CAFtONS I
<br /> : 3 I.HEEtBY CERTIFY THAT THE ON-SITESEWAGE SYSTEM IN
<br /> . ... G• ,-- -- a-, STALLED AT THEABOVE ADDRESS\ AS CONSTRtlt.tt:tJt M ACCOR_.I
<br /> SYs#r�n Drsegn 7
<br /> ,= ; a. Pf iti a compartment THE rR E1.1'S T.
<br /> DANCE WITH REQtl EM (?F TH>~PERMi AN©'FHE EiUfsES-
<br /> TA3�FKSrz O�t313 ,.. total gallmts' CF 7NE ETIVIRONMENTAI,QEIAI.TLIf GOMMISSIDN; .
<br /> �` F doubte:companme. i
<br /> 11+taaufadrarr 1 06 {-- j ' "2, j l havo.tested=the septic tank and'eertify,it to be watertight,• t,
<br /> ; fatrnat : . a a [_ ftoW tdrougff r,
<br /> ,, -PZ Tht!•sYstetrt was Installed byc
<br /> Edo ,e t' 03 Neader P,pe ti� Pro ert Qwner( ermtttee)
<br /> sIn+>tart ¢ i' 1 P �'
<br /> ;Ltcensed Sewage Disposal•ServIee ' y
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<br /> DItA13tIF EL� is dcpih(Inches) "Boi(esl "
<br /> '{7" , 5- b¢Concretc bEQ`t cerise Numbers
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<br /> '‘ I:_ID=''''button -(::iPlastic ,
<br /> DE Certificat on.Number> �< ��
<br /> Dtautftcldtyauaiv (Altemat�ve otped pt a ,
<br /> p+s 9fen ihMmt um�� Maxirnum �
<br /> ?otat Draiotidd p m„ -S
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<br /> Etriuea1Fump:Pump:hfodsl,• '.
<br /> ''Ines:'''mttlutes on "' ufT �'' " Øailons per Cyclrs Company vamp - r k 0-
<br /> j .iTFlllalte and Mode) - -� (please�flRt) y
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<br /> Attaeii an sddittoaal'beet for cam 'nents itd m*terials not ll�tcd nlwvc. Pate _ ' _ _
<br /> (For.-Marion Count' Ilse Only,LT(t•e above septic system has been Inspecu;d by Marion County' The inbonnatiop has I dete na ned to b1:...7 rate' .
<br /> and"ihe system is Aggro "e"`d r ;Approved with,corrections see,Inspection report ( �Denied ,. s
<br /> St d _ :: :._ Title: , //5 . . } , ��,;b:. rA. , e'. r/j/v� 'r
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