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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 />t <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER;___[,~ <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER <br />COMMENTS: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />~¢-~O~,c ~ ~¢,'¢'~-TUc~e'-'~ SITE NO. (~ O <br /> <br /> PERMIT NO. ~?O <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> <br /> t -o <br /> <br />BOXES: <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurface or alternative sewage disposal system at the above location. <br /> <br />INSPECTED BY: <br /> TITLE: <br /> <br />DATE: <br /> <br /> <br />