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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 />L <br /> <br /> -- ON-SITE. SEWAGE SYSTEM INSTALLATION INSPECTION <br />OWNER: '~,-,f'"~r~' ~/.//~,~,-¢~.~ SITE NO. ~ ~ - ~ <br />ADDRESS: /,~ ~,~.~/ ~/ ~,~ <br />iNSTALLER: ~ ~ ~ ' PERMIT NO. ¢ ~ ~ <br />SEPTIC TANK: DISPOSAL FIELD: <br /> NO. GALLONS: /¢¢¢ TOTAL LENGTH: <br /> MATERIAL: ~~ PIPE MAT'L:_ ~ ~ <br /> MANUFACTURER:~ ~.~ TRENCH DEPTH: ~¢- <br /> , , ROCK DEPTH' <br />BUILD NG SEWER MATL' ~ ~ ~¢.~¢~ ~ Dio~ ~,~,~-:,~~ <br />EFFLUENTSEWE M , · v ~ <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfacto~ <br /> <br />completion of a subsurface or alt~er,,~ve sewage disposal system at the above location. <br />I N S P E CT E D B Y: ~./...~... ~.--,-~-~-.,.f...,~..~. DATE' ~///.~-//~ ~ <br /> <br /> <br />