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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING iNSPECTiON DtVISff~¢ <br /> 220 HIGH STREET NE <br /> S_A. LEM, OREGON 97301 ,., <br /> PRONE: 588-5147 <br /> <br />, t <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> <br />ON-SITE, SEWAGE S~(STI~M, INSTALLATION INSPECTION <br /> <br /> ' ' DISPOSAL FIELD: <br /> <br />NO. GALLONS: / <br />MATERIAL: <br />MANUFACTURER:_..,~_..~ ,,~u.-~.- .,.,~' ~,~¢D <br /> <br />BUILDING SEWER MAT'L: ~--'~i¢ ~,./- /~/g' <br /> <br />TOTAL LENGTH: <br />PIPE MAT'L: <br />TRENCH DEPTH: <br />ROCK DEPTH: __,. <br />DIST, TO WELL:_, <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurface or alte~rnative sewage disposal system at the above location. <br /> INSPECTED BY: ~-( ,4~/~. DATE:*/~/' &'/4¢ ,~I~ ' <br />MC ~-6d Rev. 1/91 <br /> <br /> <br />