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HomeMy WebLinkAboutInspection Report 2015 Oct 28 - . w�.� o , Z - �o -:�:....�. o - , n ' Date:_ � : , ; �, Scheduled For: V���'�� '� �i�'C `�. �����1 �� I��QUEST F�OR TIT�.E°S INSP�ctr�M i4dc����� d � � • ` Re���t��&y: e �e Owners Narne: It �i �.�.C�. . c t� �A �Q Phc���#: Fax#: �'�0 J pr 1'P�1�"'"'` Er���i•t����s:. . � �la�[fi��A�'(�rE�s: +'" Lr I #Ber�r�ptrrs: . 1 #Residents: Last Occupied: ,�,�,�= , � Year Rot��nd"? TorRvn/Wefl Water:-� Last Pum:pe.d? � . f�arb��`�r��•citi�'?.�N- Laundry. Tied into Septic?� Sump Pump? Wa�r�1J��-Last:2 Yea rS:__ ��� � 3 I') �Gb I "�� - .� ��,, DGb — ��� _� �.c,�1� -- v ,/� - ` , Re€�.ett��r: IC�V 1 � �.� ' ►r P_l�l PQ.. • ���(��, Y� L�..�-�S•C -- c�'1 Ad�F'i�ifl�ai l.r�fa � a�mflu��rn�e: �� r "1- w,. � �1� Tifle Five l.nspectiori.&e R�part Q2��j.� � 'Tovun �ee � �0 � �0 (�CC)t"(� � �t��tio�nal Chacges � ��,�I r�9 i ; E - m��� , a � �w , . . rQ�����tl$y: �'Ir�n G�1C'�C.. ����Zprt#o be sent�o: . 1 1 co�1���8&8'Ext�avation, Ir�c..to perform a Title Five Septic Inspection cr�t�ie above ref�ren.ced properfy. �►�r�";i�a.t tMe�irr�ormation�corrr{rle'ted on this form is correct 1 undeestand that B&B Excavatron Inc.is not r�spet�n�Eil�.for damage to any in-q�aund irrigation, if damnged during inspection. � Sig�t�d: '; �L --� �� � �,,z �t�`��- �'- Y �'�''l �� t,'-�,�� �1��"�.'��, �(� � �S�S �/��� `���-. ��