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CERTIFICATE OF SA"rlSFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BU1LDiNG INSPECTION DiViSION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <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 />SITE NO. ~3-O/"20%-' <br /> <br />PERMIT NO. L/~7 I~ <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: ............. <br /> PIPE MAT'L: ~-~ <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: 'F~I <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurfac~r~ern~i~w~sposal system at the above location, <br />INSPECTED BY: L ¢%?'"-~ ~'-0~ DATE: ~'"-'2- ~ <br /> TITLE: ?,¢~, __ <br /> <br /> <br />