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i <br /> . ......._ .. ...._ <br /> ORY COMPLETION -, <br /> ------.........,,,... <br /> MARION COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT 0 iree,tm...s. <br /> ION <br /> .. SALEM.OREGON 97301 <br /> 30 PHONE:588-5147 <br /> 44 <br /> 1 .-......‹....- ..-- ,.... <br /> ...-- _-- <br /> 1 ttel` - ," '-' <br /> I‘r(4L7444441- <br /> III, <br /> %, 4I4 P41I <br /> t..—.,_-- _--,. <br /> fr-1-1- <br /> !SI 1 <br /> 1—---41'kw 7 <br /> ._ _ j. .....„................ <br /> . ..... - <br /> 1 r. • - V ' -- 1-_ _ .. <br /> ----a- <br /> il — <br /> — — ONIITIEW--- E SYTM INSTALLATION INWECT1ON <br /> OWNER: SITE NO. rz - 7..aff <br /> ADDRESS: Ri33 1,4:1#4.0Alhed fal • <br /> INSTALLER: PERMIT NO. ' '1.3/, _ <br /> SEPTIC TANK DISPOSAL FIELD: <br /> NO.GALLONS: J140D TOTAL LENGTH: 2•___ ____..- <br /> MATERIAL: flevie_it_Lr rg. PIPE mArt.:MANUFACTURER: A/4ot<,S TRENCH DEPTH: I122/::_______ <br /> ROCK DEPTH: / 1 . <br /> BUILDING SEWER WTI:A/11-61 or Vico r 70,,P DIST. TO WELL: <br /> EFFLUENT SEWER MATL: 72- I i 3 Ci-Ar/C.. BOXES: <br /> COMMENTS: <br /> In accordance with Oregon Revised Statute 454.6&5;this te is is--'.—s--------certilka Lied as evidence of completion of a subsurface or ado live sewage disposal system at the above location. <br /> INSPECTED BY: e DATE: %- <br /> TITLE: <br /> uc.*44 ri...um <br />