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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br />MAR~ON COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUiLDiNG ~NSPECTION DIV~S~ON <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> ....... PI ~O,N ~: 5a3-~147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br /> <br /> , : >~41~ ~ ' <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />SEPTIC TANK: <br /> NO. GALLONS; <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: _,, <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> <br />BUILDING SEWER MAT'.L,: O--,t~' 5~-¢-- ~z.-'," DIST. TO WELL: <br />EFFLUENT SEWER MAT L:. ~~"~ 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 /> <br /> TITLE:~.~¢~ ~4'-¢'~/~'~. ~ ~ " <br /> <br /> <br />