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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 /> ./7 ON-SIT, SEWaGE SYSTEM INSTALLATION iNSPECTION <br />OWNER: ~ .¢~__.0~ SITE NO.__ ~ <:~, '¢ <br />ADDRESS: ~,/2~/ c~. ,¢-¢-~ ~~~ ~ <br />INSTALLER: ¢~~ ~ ~ ~~ERMI~O. <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'L: DIST. TO WELL: <br />EFFLUENTSE~RMAT'L: ~ ~¢~ , ', BOXES: ~/~, '"'~. <br />COMMENTS: ~ ~.~/ ~ ~~ ~ <br /> <br />In accordance with Oregon Revised Statute 4~4.665; th~ ce~ificate is issued as evidence of satisfacto~ <br />completion of a subsudace or a~nafive sewage disposal system at the above location. <br /> <br /> TITL~~~e~ <br /> <br /> <br />