HomeMy WebLinkAboutCertificate of Compliance - Not Issued No.�/b ��C �i�� /,.ss��'c� - �,.�
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Board of Health, ��($�2 G�
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Description of Work: ���d�Component(s) ❑Complete System ���� ��" /�`��u`-�'"/
The undersigned hereb cer ' L��(�
Y t�fy that the Sewage Disposal System; Constructed O,Re �red `" �'�
bY` .C_ P ( ),Upgraded ( ),Abandoned ( )
at
�as been instailed in accord - r
�e with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
pplication No. — , dated_,���Fj �
�staller ---�--7Approved Design Flow d�
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Designer:�„����� �
Inspector: ���� �
The issuance of this permit��not be construed as a Date:
gaarante that the system wi]]function as designed.