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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMt~NT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br /> .-~ ON~SITF-.~SEWA~IE SYSTEM iNSTALLATION INSPECTION <br />OWNER: __~_/.,~,.~ ,ff.¢¢'~ S~TE NO., , ¢'_~ ' ~ <br /> <br />INSTALLER: ~ ~,~ _~ ~eRMIT NO. ~/~ <br />SEPTIC TANK: DISPOSAL FIELD: <br />NO. GALLONS: /~ TOTAL LENGTH: <br />MATERIAL: ~g ~ PIPE MAT'L: <br />MANUFACTURER: .~ ~~G. TRENCH DEPTH: ~ <br /> ROCK DEPTH: ~/~ <br />BUILDING SEWER MAT'L: _~ ~ 3~ DIST, TO WELL: <br />EFFLUENT SEW~ MAT'L: ~- ~ ~- ~ BOXES: <br /> <br />In accordance with Oregon Revised Statute 454,665; this certificate is issued as evidence of satisfactory <br />con'~pletion of a subsurface or alter.native sewage disposal system at the above location, <br />INSPECTED BY~ ,.~'*"~'"'~""'"'/ DATE: <br /> <br /> <br />