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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNT'Y <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: ...?'?, :!.2 . z/; ~4'~ ..¢.,].~~ ~z~- <br />I N STALL E R: ~/~ <br />SEPTIC TANK: <br /> G, ONS: <br /> MATERIAL; <br /> MANUFACTU~E~: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> SITE NO. /~ ~..2-~ <br /> <br />BUILDING SEWER MAT'L: ~T' ¢-~'~-' <br />EFFLUENT SEWER MAT"L' ~ <br />COMMENTS: ' :; " <br /> <br />PERMIT NO.. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: /~?" <br /> PIPE MAT"L: _,,,,~!/~ <br /> TRENCH DEPTH: ,,?~ <br /> ROCK DEPTH: /,2 <br /> DIST. TO WELL: ,6-~ ./,--:~ <br /> BOXES: ' <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br /> <br />completion of a subsurface or alternative sewage disposal system at the above location. <br /> <br />iNSPECTED BY:* :~~..~..~.~.// <br /> <br />DATE: ~ <br /> / <br /> <br /> <br />