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OWNER: <br />ADDRESS: <br />INSTALLER: <br /> <br /> MARION COUNTY <br />COMMUNITY DF.V~LOPMENT DEPART~NT <br />BUILDING INSPECTION DIVISION <br /> <br /> ..... ....... <br /> <br />ON SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br /> ~/~)~ S ~6~ .... PERMIT NO. ~) 63q ? <br /> <br />SEPTIC TANK: <br /> ~o. ~ALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: ~_,~ <br />EFFLUENT SEWER MAT'L: <br /> <br />DRAINFIELD: <br /> 'TOTAL L~NGTH: <br /> PIPE MAT'L: <br /> TRENCH ,D~PT~: <br /> ROCK, DEPTH: <br /> DIST. TO. WELL:___~_~__ <br /> BOXES: <br /> <br />COM~ENTS: <br /> <br />DATE OF INSPECTION: 7-~-~ <br />INSPECTED BY: <br /> <br />APPROVED: YES / ;NO <br /> <br />TITLE: <br /> <br /> <br />