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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DTVTSION <br /> <br />OWNER: <br /> <br />INSTALLER: <br /> <br />ON SITE SEWAGE SYSTEM TNSTALLATION INSPECTION <br /> <br /> ~J^C~C (.A~-L-- SITE NO. ,~L~OD7 <br /> <br />PERMIT NO. I(22~d~ <br /> <br />SEPTIC TANK'. <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br /> <br />COMMENTS: <br /> <br />DRAINFIELD: <br /> TOTAL LENGTH: <br /> PIPE FLAT'L: <br /> TRENCH DEPTH:, <br /> ROCK DEPTH: <br /> DIST. TO, WELL: <br /> sox~s: <br /> <br />DATE OF INSPECTION: ~--~'~ ~I~PPROVED: YES_~;NO <br /> <br /> <br />