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INSTRUCTIONS <br /> 1. •. saniYa y pertrjt s valid ir:r two (2) years. _ <br /> -; W .f.. rr✓,-.i ane r>w <br /> .ipe: . 'he Woo n, apt ILA c <br /> N. fbaj <br /> w ... .01 -. ,e <br /> To be com}.IfA a Y ,_cc me "us sanitary permit applinalph r! in! include <br /> r,a ,v] r. , WAY ^,-w = the lyyal deccand parref tae mnnber(s) of <br /> where the system, is tc be insta led <br /> A Type of hu,ldirip b nn CPr Vert Chwo .,w nd rqr A,b. .1 ,r .. ( ' _ . .i uli y WWW9 <br /> Ili. Roilo'iny tse. H W01 Cy ';pe F c ie,,k u appropriate ooner, th- t _i p:r <br /> Type of penmt. Chal c Crnnplete Not 3 a pt"n-i is 'u ' rh 10 or art_ r-econnee wAn r.. <br /> repair. <br /> V Type of system. Cher ,rr iso;� dw,14 —1 ysiem type- <br /> . r Mt is MW t .r nC o� % , .. 7 <br /> ic w r a ; ink maMnal :,jx0 e - i1/ <br /> 00. <br /> . x��e itiiU i 74 c <br /> ".., ',yl7iepartment - <br /> �< _.y/Uet,�a tmer,t 7�:Fy <br /> +'�10t6N7W,hTEP StJNCHARf:E <br /> SRD-6398 (R 11/88) <br />