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1166 Rainbow Rd -DEPARTMENT,, O' ` tt CSEPTIC TANK IMPROVEMENTS,-PERMIT'AND .CERTIFICATE F G Q COMPLETIOZJ , (Ground'Absorpt n .Sewage Dispo L_System='- G:S. +Chapterr130-Article ;13C) 4.. .N _ OWNER OR CONTRACTOR .-�1- DATE f0--`h/- �3 PERMIT X10. LOCATION' ` 3 S.R.. NO. SUBDIVISION NAME LOT.N0. SECTION OR BLOCK; r HOUSE Q MOBILE HOME BUSINESS s LOT AREA , N0. BEDROOMS N0. ,BATHROOMS .' GARBAGE DISPOSAL .UNIT YES I - ANO • AUTO. DISHWASHER . ,: YES Q NO Q ' �,..`AUTO.,WASH. MACHINE .;''YES' Q NO D j; SITE SUITABLE YES 13 NO _] SIZE OF TANK D© ga 1.c (J W-3 NITRIFICATION .FIELD c7 sq. ft. i r E IN�LINES; �. DEPTH OF STON ;:-,WATER SUPPLY:` Individual Public L14--1 i,. IMPROVEMENTS PERMIT BY / INSTALLED ,B r i' 4-CERTIFICATE.OF ,COMPLETION BY, ,. DATE (8/16/73) *Construction must comply with all other Applicable' Statd,ai nd local. regulations — `� � � 4�' - � e �� *. , ,:. .:. ., �, .„ � �r' 3.. �� .. ,. ,:_ - y .. ,,., ,,. ,, _ �, � � .�; {. �� r. ': � .. .. _ I �� ._� �t, :r s ;, , ... � ., . ,. ,, �� 4 y � `i % � � � T � r 1 .. � _ .. .. �. t. '. ._ . { ':, .. ;" .;r ,.•r � .. r .: ... _ _ ,._ - ., t: � a •j + �" F r � r � x {r : t � � - 1 � `