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Permit - 1305699
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Permit - 1305699
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Entry Properties
Last modified
4/13/2011 2:30:58 PM
Creation date
9/5/2003 8:38:21 AM
Metadata
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Template:
Permits
Permit Address
12473 FRY RD NE
Permit City
Aurora
Permit Number
555-95-13255
Parcel Number
041W21A 00400
Permit Type
Permit
Permit Doc Type
Permit Document
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Th~ following re~ir~nt~ a~ly to th~ evaluation of an <br />s~wag~ System. Please ~eleo~ th~ appropriate ~octlo~ an~ foll~ ~he directions <br />carefully. <br /> <br /> of Sa~isfaotory c~pletioa hag been issu~ for the system, the ~eptic <br /> tank does mot ~lre ~ping at =his <br /> a. Authorization ~0~i~e~ ~o ~gt re~ire a field inz~ction of the <br /> sysco. A re~rt ca~ ~ issued based on a revi~ of our files. <br /> b. Existing sy~t~ .~va%gat%ons ~-=~i=e a field lns~ction of the <br /> enti~e syst~ an4 a re~ will ~ is0ue~, <br /> <br /> If your s~wage syst~ is ~t~n ~e 15~ vea~ old and the septic <br /> tank has not been ~um~ wi=hin the last five (~) years, follow the <br /> dir~¢tion~ below. ~f ~u hav~ pr~f that ~he ~%~i~ taBk has be~n pum~d <br /> within the last five (5) yearm, se=tion (a) will no~ ~ re~ired. <br /> <br /> b. ~he septic tank purer .m~st ~o~plete the ~o~ below. <br /> Au=horizati~n Notices ~ Existing $yst~ EvaluatiQns r~quire a <br /> field ins~ction to verify ~he location and =ondition of the <br /> <br /> *for ~eptic ~m~ use, <br /> <br />DIAGRAM OF HOUSE AND SEPTIC TANK: <br /> <br />APPROXIMATE SIZE OF TANK= gallons <br />SEPTIC T~K MATERIAL: Co~erete~ SteelE; Other__ <br /> IS TANK ~N GOOD CONDITION~ .. ~ <br /> ...... Yes ; Nc <br /> <br />If "No*, explain= <br />ARE INLET & OUTLET FITTINGS IN PLACE?., Yes~; No <br />IS DISPOSAL FIELD BACKING INT0 TANK? ... YeS~; No__~__ <br />If "Yes", explain= <br /> <br /> (show ~e~ail with measuremo,ts) <br /> <br />UN 1 2 1995 <br /> <br />MARION COUNTY <br />BUILDING INSPECTION <br /> <br />DATE OF PUMPING <br /> <br />MClS-Sl9 <br /> <br /> <br />
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