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CERTIFICATE OF' SATISFACTORY COMPLETION <br /> <br />0WN~R: <br />ADDRZSS: <br />INSTALLER: <br /> <br /> MA/{ION COUNTY <br />COM~4UNITY DEVELOPFi~NT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br /> <br />SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />J~ ~.~ SIT~. No. qb~ <br /> <br />PERMIT NO. <br /> <br />SEPTIC TANK: <br /> NO. GALLONs: ~O~ <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER <br />EFFLUENT SEWER MAT'L~~ <br /> <br />DRAINFIELD: <br /> TOTAL LENGTH~ <br /> · IPE MAT'L: <br /> TRENCH DE~TH= ~.~'a <br /> ROCK DEPTH: <br /> DIST. TO, WELL: <br /> ~ox~s: <br /> <br />COM. MJ~NT~: <br /> <br />DATE OF INSPECTION: /D-Q"~'~ APPROVED: YES ~-/ ;NO <br /> <br />Rev 8-88 15-65 <br /> <br /> <br />