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F'er~,~it type: 8ubsur'F~¢e <br />In,,;pection type:, Pre-cov~r <br /> (Reinspe~'~'~i, on) <br /> <br />Received by: PM Route: LG <br /> Date rec:~ 0~/28/95 In.peet on: ~3/29/95 <br /> <br />Site number: <br /> Type censt: <br /> Occupancy: <br /> <br />Issue Date: <br /> <br />KEUDELL, LARRY <br />~400 8~LVER FALL~ HWY 8B <br />AtJHSVILLE OR ~7525 <br /> <br /> Energy Path: <br />58877 ~e~bmcke <br />RESIDENTIAL La: <br />....... RS: <br />11/14/94 <br /> <br /> Phone: 588-5724 <br /> <br />!:;cope o'f' F'ermit <br />STANDARD ON.-.SZ'f'E SY~'f'EN. <br /> <br /> HAVE B(~EN REPLACED <br />Comqents: AS-~dJlL.T R~C~D ~-28-95 <br />i..a~'L' requemted ipspe:'t-ien~ 8~/22/95 <br /> <br /> Phone~ 5f~9-11~8 <br /> Number <br /> <br /> 3/2/?E:PEI'~ VALLEY SEPTIC-TNE'.Y <br />CONTRACTORS-DELETED BY PM <br /> <br />In~pec'ted By( <br /> <br />INS <br /> <br />ION REF'OR'F <br /> Date,'. ......... <br /> <br /> <br />