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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~ 47 <br /> ..... <br /> <br />I J <br /> <br /> / ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />OWNER: ,/P~'¢','~e¢ ,/- (?.¢-/--4',4-¢¢ ~#,'/,¢.4¢'/~,,~. S TE NO ¢~. -~g ~E <br />ADDRESS: ~/ ~t~/~,~ ~ ~,, ~t~/~ <br />INSTALLER: ,, ~ ~ ~ ~ ;: ' PERMIT NO. ~I~-¢ ~ <br />SEPTIC TANK: DISPOSAL FIELD: <br /> NO. GALLONS: /~'¢ ~ TOTAL LENGTH: ¢¢~ <br /> MATERIAL: ¢¢~¢ ~' PiPE MAT'L: ~- ~ 7~. <br /> MANUFACTURER:..~c~¢~ ~ TRENCH DEPTH; ..... ~¢ <br /> ROCK DEPTH: f~ <br />BUILDING SEWER MAT'L: ~"¢~¢¢ % ¢~ ~5 ~-~ DIST, TO WELL~ <br />EFFLUENTSEWE~,MAT'L: ~3¢~- ~ 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 />iNSPECTED B Y: ~:'~...'-,.-¢-.?'~--' DATE: <br />TITLE: 'I¢~ ~-['~'~-//', ~ <br /> <br /> <br />