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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />~ ~, PERMIT NO. q~el <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PiPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: <br /> <br />In accordance with Oreg~Revised Statut§ 454,~65; this certificate is issued as evidence <br />comp,etion of a subsurf~lf$/?ol/c/~ter~i'~i,~/~Cw~, system at the abov~iocation.. <br />INSPECTED BY: ~,~~'/0I'~'N~ DATE: /1- %S ¢~ <br /> TITLE: ' [ ~>, <br /> <br />of satisfactory <br /> <br /> <br />