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;ERTIFICATE,OF SATISFACTORY COMPLETION <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING INSPECTION DIVISION <br /> HiGH STREET NE <br /> OREGON 97301 <br /> <br /> ~ O,~-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />OWNER: ,.,~,,~,¢~,,,. ,~'~),R.&-.,~,.'~-." ~.SITE NO, ~ ¢ ¢ <br />ADDRESS: ~lg~ 5~ ~ ~ ~ <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 />BUILDING SEWER MAT'S: ~ v,¢~¢¢ ~ , DIST. TO WELL: <br />EFFLUENT SEWE~ MA~ L: ~ ~/ ~ ~ __ BQXES:, <br />COMMENTS: ~.~ ~ ~ ~~~ ~ <br /> <br />In accordance with Oregon Row' ~ed Statute 454.665; th's certificaCe is ~ssu~d as evide%ce <br />completion of a subsudace or alternative sewage d~sposal system 8t the above loc~[ion, <br />INSPECTED BY:~ 4~~ DATE: <br /> <br /> <br />