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. - — — l � � r <br /> ..� ""• ' <br /> ' SNOHOMISH HEAITH DISTRICT , .-�• P�R\'IT N0.11'_4►_L�s <br /> Sanitation Ottice — 259�9473 � O��Q <br /> ON-SITE SEWAGE OISPOSAI INSPEI TION CARU <br /> oare �i <br /> Post Thi� Card <br /> /�/� � <br /> ACCT. NO�.T7� � �w: � rt �at/LTS No. Lot _ � <br /> �JAME � ��/L d ADDRESS 7O� InY������+����' <br /> I here6y certity this system was installed ander my supervision and conirol and complies with all provisions o( Sn iomi h " � I <br /> Health District Sewage Waste ispos i Reyulations. /�� I <br /> Signature oi Installer ' � � —'�� ��(��' �h //�/'� / Uato y� � i��,IJ� <br /> Approved Disapproved Oatc_ BY <br /> � <br /> Remarks " <br /> � �_ Date /D � � h <br /> �, �� . <br /> Engineer or Oesioner r /' ' T <br /> DO NOT COVER BEFORE HEALTH DISTRICT APPROVAL <br /> Final Approval�_�isapproved Date BY � � <br /> y � <br /> H �- <br /> Remarks � F <br /> Sanitarian � ��� ��� � � �� '� � � '�r��� Oate � � <br /> r <br /> i � � c <br /> �2481 Ho�ao �. <br /> , �, . . . . . � . . � � . . � <br /> _ F <br /> .' i�. .�a ' �� . . , ,' ' C F. <br /> ` , : r � . . . ._ y U. <br /> ti� <br /> T 'a `, "_y` _� t ..� . . . . . , ' � . . ' K r- <br /> � <br /> . . . . . , . ' . . . p 4. <br /> . . ' . _ . ' 'T] e: <br /> . . . ; . ' � -.. � .. . � - - • � �i <br /> r� <br /> � . . . �- t,: <br /> r <br /> � r <br /> ' � t� <br /> . � <br /> r- <br /> i. <br /> �: <br /> r <br /> b <br /> ( <br />