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// 61 <br />SEWAGE DISPOSAL PERMIT N? 13654 <br />Septic Tank.._` ay....... pis. SN0110MISH HEALTH DISTRICT ry 11� <br />Division of Soniiation <br />Disp. Field ��?-.0..... sq. rt. -Gb v pj',�.'e_•C <br />Other .. .............. / r0 LyIIp'+) <br />Name _._._4I-.-_ •. ...... ..._.. _...._._.......... ...1..-................ ..Is hereby authorized m ' ata.11/ <br />repair sewage disposal system at <br />Date issued on ............. ...... ..6..../....f...A._.._... <br />Permit expires one year f dote or Issue <br />UU NOT COVER BEFORE APPRON1.0 BY DESIGNER OR SANITARIAN <br />1 hereby certify this system was installed under my supervision and control and complies with all provisions of Snohomish <br />County Resolutions. <br />Signature of Installer ._...__.__ _. ........_ ._ Date .... ....... ............_...... <br />Approved 0 Disapproved (] Date. __.... _. Rc __ _... _.._............ <br />Remarks: _ .. ...... ._... _ _ _. _ <br />SANITARIAN OR DESIGNER_._.._ _...... _ ..._ ...... ....... _ Date _ ..................................... <br />This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. <br />