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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 /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />OWNER: z'¢~-4./~¢~'~ "7~¢,~ ;,..~_/,/~ SITE NO. ~ ~ ~ <br />ADDRESS: %~ 7 ~ ]~ ~/~. <br />INSTALLER: _~ ~,, ~ · PERMIT NO. ~ ~ <br />SEPTIC TANK: / "' DISPOSAL FIELD: /7 <br /> NO. GALLONS; /PO ¢ TOTAL LENGTH: ~ ~' ~2~.~_~ <br /> MATERIAL:..... C~/d ¢ ~ ~ PIPE MAT'L: ~%,.% <br /> MANUFACTURER:~¢~¢ 2~ ~.-~ TRENCH DEPTH: <br /> ROCK DEPTH: <br />BUILDING SEWER MAT'L: "~¢~ ~ ~ - ~ ~¢~ ~ ..... <br /> DIST. TO WELL: ~D~,~z.~.~./.:~/ /i~,~ <br />EFFLUENTSEW~R~AT'L: ~-- ~,2¢-¢¢~ 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/'~t.'-~¢' ~-,~../ ~;J-' :--,--~,__.¢._._._.. DATE' <br /> <br /> <br />