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a, <br /> • <br /> CER ORY COMPLETION ' <br /> MARION COUNTY -',,, <br /> COMMUNITY DEVELOPMENT DEPARTMENT 0fi'4#14„...t. <br /> 220 HIGH STREET NE tON <br /> S,ALEM,OREGON 97301 <br /> �d NE:6a83147 <br /> 4'44)(4 Ic........ <br /> 't Lio. by , ___1,_ ". --- .1 . 1,.........,-- <br /> i . _ t. .... —/Y , <br /> F5 ra 4-I> as _ - 4. <br /> ( CUT"EW GE S t INSTALLATION IN�C7TON <br /> RESS: C7�!— � } �G SR'E NO.ADD <br /> l L - !i l ft <br /> INSTALLER: 'ii 40/#41"1" f <br /> INSTALLER: <br /> PESEPTIC RMIT V'3,,4- <br /> NO.GALLONS: ja�pj,� TOTAL DISPOSAL FIELD: <br /> MATERIAL: f'...,[d1 '. E' g. PIPE MATS LENGTH: Z 2 5` �f <br /> MANUFACTURER: N4"I/I TRENCH DEPTH: - 2 • <br /> ROCK DEPTH: / / r, <br /> BUILDING SEWER MAIL: <br /> 4/17-65,iire uc 71.O DIST.TO WELL: / "r"__.!' F.r'7'r..A'_i.£ <br /> EFFLUENT SEWER MArL• 77- 1 i 1 u-P QC... BOXES: <br /> COMMENTS: <br /> In acc0niance with Oregon Revised Statute 454.665;this certificate is issued es <br /> compietIon of a subsurface or site live sewage disposal system at the above location.evidence°#satisfactory <br /> INSPECTED BY:(% t' I..,- f DATE: VS . d/�t r,- <br /> TITLE: ,4 4yr-.... <br /> / <br /> wCWM&V UM <br />