HomeMy WebLinkAboutCertificate of compliance 7/23/09FEE i
No. COMMONWEALTH/OF MASSACHUSETTS
Board of Health, >
CI;I'TIFICd IJ ®F COMPLIANCE
Description of Work: ā Individual Component(s) Complete System
The undersigned hereby certify that the Sewag Disposal Syste ; Constructed ( ), Repaired ( ), Upgraded{āj-Aandoned ( )
by:
at
has been installed in accord with the ro%7sions of 0 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to
ce
application No. dated Approved Design Flow (gpd)
Installer /! %
Designer:. /.?(jā la di 111G L Inspector: X162 04 Date:
The issuance of this permit shall not be construed as a pav4tee at the system will function as designed.