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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br /> <br />~N SITE <br /> <br />EWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />SITE NO. <br /> <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT <br /> <br />DRA%NFIELD: <br /> TOTAL LENGTH: ~O <br /> PIPE ~IAT'L: ~7~ <br /> TRENCH DEPTH: ~ <br /> ROCK DEPTH: ~'~ <br /> DIST. TO, WELL: <br /> BOXES: ~ <br /> <br />DATE OF INSPECTION: '~- (c~_,~ APPROVED: YES / ;NO <br /> <br /> <br />