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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br /> <br />ON SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br /> (,~A,,I,~[ ~--9~O SITE NO. ? ~ <br /> DtO~ ..... PERMIT NO. [%7q~ <br /> <br />SEPTIC TANK: <br /> NO. GALLONS:.,,;Oo~ <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />E~FLUENT SEWER MAT'L: <br /> <br />DRAINFIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO, WELL: <br /> BOXES: <br /> <br />Rev 8-88 15-65 <br /> <br /> <br />