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'~ order Uo' properly eva~uace your e.¥is¢ing sewage Sysrem, O.~e £O!~o:,'ing <br />information ' ~ ~ <br /> <br />your sewage sysuem is !ess Than five (5) years olj, and we <br /> <br />ff your sewage system is less ~han five (5) ~ear$ old, and we <br />do not have a record of a~ approved installau~on of the sysuem: <br /> <br />If your s~wage system is mor_._~ ~ban five (~) years old or has nou <br />been pumped ~ithin the las~ five years: <br /> <br /> Have =he sepuic'=an~ pumper compleue ~he form below_ <br /> A fi m!d visit will bm required by ~be s~niumr~m co <br /> verif~ the !oca~ion and con~iuion of =he s~p~ic sysrmm, <br /> If you have proof =ha= your septic =auk h~s been <br /> <br /> will no~ be required. <br /> <br />-£or Sep~-c Tar~ Pumper Use Only- <br /> <br />COMPANY NAME: Mike's Septic Service Inc. <br /> <br />LICENSE NO: 33519P-2 <br /> <br />PROPERTY OWNER: <br /> <br />ADDRESS WHERE TANK PUMPED: 7~ ~.~]~c~? ~c~ . <br /> <br />IS Dp-4INF.~-D BACKING ~ INTO <br /> <br />YES; <br /> <br />If ~s, explain; <br /> <br />DIACR.~-~! OF HOUS-~ <br />LOCATION OF Ti~¥K: <br /> <br />~ Sepcie Tank <br /> <br /> 1' <br /> <br />NO <br />NO <br /> <br /> <br />