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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BU1LDtNG 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 /> <br /> ON-SITE, SEWAGE SYSTEM INSTALLATION INSPECTION <br />~t~cc-Le~, ~,c~o .. S~TE NO. ~2--¢2-o?¥ <br /> ~Ot~ ~d~. PERMIT NO, , ~0~ <br /> <br /> NO. GALLONS: /c~o <br /> MATERIAL: d_~ ,~ c P-.acf'e-- <br /> MANUFACTURER: .... <br /> <br />BUILDING SEWER MAT'L: l~' <br />EFFLUENT SEWER MAT'L: ~_,l' PO c._ <br />COMMENTS: <br /> <br />DISPOSAL FIELD: <br />TOTAL LENGTH: ~E~C)¢ <br />PIPE MAT'L: 9 ?,~c~'' <br />TRENCH DEPTH: ~-H - '~,.'~ <br />ROCK DEPTH: 1%" <br />DIST. TO WELL: (~( 'r,/' ~ <br /> BOXES: '~"'¢.~, <br /> <br />In accordance with Oregon Revised Statut. e 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurfac~r~r~i~e~sposal system at the above_location. <br />iNSPECTED BY:. ~ ~[/"~ DATE: '~r t~ ~3 <br /> <br /> <br />