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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: 585~5147 <br /> <br /> _...- ON-SITE SEWAGE SYSTEM iNSTALLATION I~SP~E, CTION <br />OWNER: ~ ~-~W~ *~ ~¢*~¢/ ...... ,SITE NO. ~ <br />ADDRESS: .... ~/¢ ~¢~%~; ~ <br />INSTALLER: ~.,~¢~ ~¢~ ' PERMIT NO. ~ <br />SEPTIC TANK: DISPOSAL FIELD: <br /> NO. GALLONS: ~ TOTAL LENGTH: <br /> <br /> MANUFACTURER: <br /> PIPE MAT'L: ..... <br /> TRENCH DEPTH: <br /> ROCK DEPTH: ,.,,,,, ,/~ <br />BUILDING SEWER MAT'S: ~¢~,,.,~ ~7~¢ ~¢~ DIST. TOWELL:, <br />EFFLUENT SEWER~AT L: ~..~ ~_ __BOXES: <br />COMMENTS: <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory ........ <br />completion of a subsurface or alte,rnative sewage disposal system at the above location, <br />INSPECTEDBY~ ~/~~- DATE: ..~/¢¢"-- <br /> TITLE: "~'~,~, ~--g.¢,..,¢~,,,~,~" _ // ......... <br /> <br /> <br />