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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:: ~:z,/.-~ <br />INSTALLER: .~ 7~ ~2 <br />SEPTIC TANK: <br /> NO. GALLONS: _ <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L:~)mn <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> SITE NO. /. <br /> <br /> PERMIT NO. ,.~,~:~b <br /> DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH:/~-:~ <br /> <br />ROCK DEPTH:_ <br />DIST, TO WELL: ,//? ~-~--¢ <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 /> <br />