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HomeMy WebLinkAboutCertificate of Compliance 10/19/07i �'v J o VS T 3 O 7.6 0 Z 7 � No. _ COS' MONWEALT14 OF NIASSACHUSFTT Board of Health, rkP1,C , MA? CERTII;IC TE ©F COMPLIANCE P if /% Q FEE told Description of Work: O Individual Component(s) 1rComplete System The undersigned hereby tify that toe Sewage Disposal System; Consn-ucted ( ), Repaired ( ), Upgraded /bandoned ( ) by: ce S 122' at 5P rl has been installed in accordance with the rovi ns of 310 CMR 15-6 (Title 5) and the proved design plans./as-built plans relating to application No. 0 7, dated �^ 7. Approved Design Flow,-�bpd) Installer JI�,� n:er Q l t`�'lsd . _ _ _ �ry Designer:.S'�%,-e-44'7i__ [ Inspector: __ Date: The issuance of this permit shall not be construed as a guarantee that the system will function as designed.