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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 97;301 <br /> PHONE: 588-5147 <br /> <br />ON-SITE SEWAGE SYSTEM iNSTALLATION INSPECTION <br /> <br />OWNER; <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: ...... <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />PERMIT NO. ,, <br />DISPOSAL FIELD: <br />TOTAL LENGTH: <br />PIPE MAT'L: ..... <br />TRENCH DEPTH: ,,~O -~,(~ <br />ROCK DEPTH: /~' <br />DIST. TO WELL: ~O~ ' <br />BOXES: <br /> <br />~n accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion cfa subsu~~ve se/~age disposal system atthe above location. <br />INSPECTED BY:.~¢~ /~ ~/~/~--<Tu~-~ IL ~7~'/'~ DATE: TITLE: ,,~">~,, ' <br /> <br /> <br />