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- ..... - CERT~F;CAT£ OF SATISFACTORY COfviPLETiON <br /> MARION COUNTY <br /> C~MMUNITY DEVELOPMENT DEPARTMEI',~T <br /> (~ ~.J.~[~ BUILDING INSPECTION DIVISION <br /> 2;'0 HiGH STREET NE <br /> SALEM. OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: ,.,..//¢¢'¢--.z¢~ <br /> MATERIAL: ~;~,.,'~_..,,,"-~Z'~ <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />.~,.~. ON-S, IT~S. EWAGE SYSTEM INSTALLATION IN..SPECTION <br /> ,~.*-~. ~..~..' ~ _ SITE NO. ,, ¢~' ~/¢¢ <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: '~ ~..~"~' <br /> PIPE MAT'L: , <br /> TRENCH DEPTH: <br /> ROCK DEPTH: / <br /> DIST. TO WELL: .,/:¢,¢ ~ ,-¢" <br /> BOXES: ~¢_ ~,,¢ ,--¢ /.-O .~,-,,?~ <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 />, N S P E C T E D B '~` _..¢~'t~.-~ .-.~z.-.~ DATE: ~/~'.~ <br /> TITLE:_ ~¢,~ ~E¢',..¢~ .~.~, ~"', " <br /> <br /> <br />