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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 ~/X~v~ <br /> PHONE: 588-5147 <br /> <br />i <br /> <br /> .~ _ ON-SITE SEW, AGE SYSTEM INSTALLATION INSPECTION <br />OWNER: ~//~F-27././__/~'~/~-¢~, SITE ~O. CZ- ~ <br />ADDRESS: .//~'~" '.J?~/~.~; /¢¢2/~. ~,~., ~ <br />INSTALLER: ///-¢~y ~//~/~ ~'.~Z~/¢'_~,~', PERMITNO. ~/~¢Z~ <br />SEPTIC TANK: DISPOSAL FIELD: <br /> <br />NO. GALLONS: <br />MATERIAL: <br />MANUFACTURER: ~/~ ~.4~ <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER.MAT'L: <br />COMMENTS: <br /> <br />TOTAL LENGTH: <br />PIPE MAT'L: ~_ ~_ 7 z ~/ <br />TRENCH DEPTH: <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 />completion of a subsurface or alternative sewage disposal system at the above location, <br />[NSPECTEDB~ /~ DATE: <br /> <br /> <br />