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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: 2;~ ~ ~'/¢ ~'?- <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: ~_~ ~ ~.-- ~ ~?~ r'~, <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: 0 - ~.¢ ~ 4~ _~2¢~_.. <br />COMMENTS: <br /> <br />¢~u.~,..50~-SITE S,E~/.~GE SYSTEM INSTALLATION INSPECTION <br /> PERMIT NO. ¢~/z~ <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: ~- <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 alt~ative sewage disposal system at the above location. <br />INSPECTED BY(Z~ ~./~¢.~.~.~,.~ DATE' ~"/,~ P/CE--- <br /> TITLE:_.. &~ "~ ~,,.~ -- ' / '/ ' ~ <br /> <br /> <br />