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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 />N <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS:~ /~-~-~ <br /> MATERtAL: ~/_.~.:.¢,~ / . <br /> MANUFACTUREF~: /,.z,~./~..t..~;.',~ ,-..~'~/ <br /> <br />BUILDING SEWER MAT'L: ,';',,-/~ ,&/c,f.'.~ <br />EFFLUENT SEWER ~AT'L: <br />COMMENTS: <br /> <br />ON-SITE SE~,~AGE SYSTEM INSTALLATION INSPECTION <br /> <br /> DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: /~ <br /> TRENOH DEPTH: , <br /> ROCK DEPTH: ..J~' <br /> <br />In accordance with Oregon Revised Statute 454,665; this certificate is issued as evidence of satisfactory <br />completion of a subsudace or alternative sewage disposal system at the above location. <br /> <br />INSPECTED BY: .,.~) (¢. .f,, ,,?(.j , ,,!~ ~.~.-,-.,.~.'-/ DATE: .,,, <br />TITLE: ;;,~.,/ ,~',, ii:.../, ~', ,]/*',', / ..... /' / ' <br />MC 15-65 Rev. 1/91 <br /> <br /> <br />