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14:82 FROM TRUE URLUE 50S 854 3108 TO 15887948 P.02 <br /> <br />NOTICE/EXISTING $~TE~ ~ALU~TION <br /> <br /> PUMPER FO~J~ <br /> <br /> ~een pumped vi~in ~he last five yeer~: <br /> <br />Stain/Mill <br /> City <br /> & <br />CO~AN~ N~Z: ~ptic ~i~.. DEQ LICZ~S~ ~0. 34916 <br /> <br />~o~z~T~ o~¢~ Kevin Hill <br /> <br />~RES~ ~ERE TA~ PQM~O: 195 G~ymore Drive <br /> <br /> Detroit, Oregon,,,,,, 97342 <br /> <br />APPROXIKATE SIZ~ OF SEPTIC TA~F; <br /> <br />~$ DRAINFIELD BACKING UP iNTO TA~K? <br />~f ye~. explain; <br /> <br /> **~NOTE: Needs new lid <br /> <br />X ~; ~o <br />X YES~ NO <br /> <br />Steel X Other <br /> <br /> REC,EIVEi] <br /> <br />i~ARION COUNT7 <br />BUILDING <br /> <br />example.- <br /> <br />w <br /> <br />SZGNATUR~ OF PUMPER: <br />DATE OF POMaTUm. <br /> <br /> ti: <br /> <br />$1gY'ro~, MILL Cl,'ry g ,',','"or-, <br /> <br /> <br />