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Home My WebLink AboutSeptic As-Built Card N M �t S lb itg59 pa3 LOT Nb. : ADDRESS: (,✓ c- <� . OWNERS NAME. :5 e rr Lc SEWAGE PERMIT 0. : $7--c7.5 NEW: REPAIR: + DATE ISSUED: 5 ao/$7DATE INSTALLED: T--( 9 7 INSTALLERS NAME: d (7 a? � INSTALLATION OF: "/?!'�i '_< `✓€- WATER TABLE: FINAL INSPECTION BY:7.# DRAWING OF INSTALLATION ON REVERSE SIDE: 3 L. Ac,, . 3CS f w-2'