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9084344
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9084344
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Last modified
1/15/2020 11:55:21 AM
Creation date
1/3/2020 2:38:40 PM
Metadata
Fields
Template:
Permits
Permit Address
34939 NORTH SANTIAM HY SE
Permit City
GATES
Permit Number
555-12-06306
Parcel Number
094E29 00600
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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SEPTIC ACTIVITY CEWTCT,TST . <br /> nu NOMBER: I Z=D Is 3 0.1 • DATE: ( I rif 2_ <br /> . ADDRESS: . <br /> The fallowing support docemmh have been aaaohad to the above fie end scut ta the applicant with our 5nalreport <br /> No Alleahmeati Required - <br /> • • ��� pEBMTTAPPROVAL • <br /> SITE EVALIIATION APPROVAT( ✓/DtgnedA ad She Plan . <br /> _SigmdAppraved Bim Plan " SollNotea/Flsld Wm:bloo t(612 or 5i3) <br /> _SofNotedi5eld Wodceheet(S12 or SU) YSath&k Tobin(S210 <br /> . . 5mmaot?mwdmm(633) - _Sep&TmkAbuodomnemtFlom(52) . <br /> _SandP31t=Pmket(S27) Carnal: k <br /> _ dDlago=(MI), • <br /> _ATTPat(Sap09): ,CappmgFiIlDhq=(E4) ' <br /> SITE IIVALDATIONDENLAfyI /1303nont itPmnp Guide Punknt(S11) <br /> _SIgmdDmm Pim Jied Si ✓PmawarPaclat(&23) <br /> _SmlNote/ WdWaduhoot(612 or S13) _SadFOtmInspecdrm Schedule(525) <br /> Raevehadimltegmet(S14) - _Pmeeme DlsuflavtlmPmket(617) <br /> WndraWear Review gegnest(&3,7) _ i s <br /> ATT Syammcx aticaForm(556) : . . ' <br /> ADDMONAL INFORMATION As CHECKED ' <br /> _'9lmdmd Oprem&Hebden®aa (340) PmnpecFam(S19) <br /> • _SandFll�Operefim&Mainlmmce(826) _Septlo TankAbardomnetFom(S2) <br /> _One-Party EeaeniS(S9) - • _SotarkTable(S2g) <br /> ' _Two-Patty Emma/sat(310) . . . .. Standard SyEt=Broolme(D32)- <br /> Emil Arm Condderetirm(642) _TeetPltRngniro (634} , <br /> _6ea1.1Sfer BgelemHrocimm(S?R) _TSIs Dewetedng Sydow(835) , . <br /> RECORD REVIEW I - ' PLAVPARIITIONMOS <br /> )1=11:an SYSTXWADTHORMATION •_To Planning Depatment . <br /> . _SigoedAppmved Sim Plea _Copy oflapage ofi®oedpenmt <br /> _Overall5fla Plan Ipr ,SA ,, / <br /> NOTES/COMMENTS: Uh'1Vy"i,�IVn,1n I V <br /> . �^.\ 1 1 \ cy' <br /> Q,1POB1AS16�IIL1F36.Atltvity Cpot1i km' CS-3B. rem 12/01,2/111— 'I <br />
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