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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: <br />INSTALLER; <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />'[~'~L, ~,o~r-A SITE NO. ~,L~ f~.q <br />~ ~ PERMIT NO. ~% <br /> <br /> DISPOSAL FIELD; <br />[0~© TOTAL LENGTH; 3OO <br />C-o~¢Ee'~-- PIPE MAT'L: ~9~ __ <br />eat ~_ TRENCH DEPTH: ~" ~ <br /> ROCK DEPTH; 1~_~'~ <br /> DIST. TO WELL: I~' ....... <br /> BOXES: 0 It~bt:~ , <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: ,,~ ~/0[:~D,,~ <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br /> <br />completion of a subs,~.~//./ort,,~t:~Zt~e disposal system at the above Iocatior]. <br />iNSPECTED BY: ~)~"~, ]-~/t'~..~--,%_ DATE: /¢~- ~/ <br />TITLE:--" E~ ,_ - _ ., <br /> <br /> <br />