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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 />OWNER: ~~y{E SEWAGE SYSTEM INSTALLATION INSPECTION <br /> ~)1}/1~ SITE NO. <br />ADDRESS: ~¢~/ ~¢~&¢~5,Z, <br />INSTALLER: ~y~n ~ ~, PERMITNO <br />SEPTIC TANK: DISPOSAL FIELD: <br /> <br />NO. GALLONS: <br />MAT E R IA L: ~D,,,/~ g,~.,~ . .'~z z.,: <br />MANUFACTURER: <br /> <br />TOTAL LENGTH: <br />PIPE MAT'L: <br />TRENCH DEPTH: <br />ROCK DEPTH: ........ <br /> <br />BUILDING SEWER MAT'L: ~ ~:,¢ ..~/- ~r--,C DIST. TO WELL: <br />EFFLUENTSEW~RMAT'L: ~%~¢¢ ~¢~ BOXES: ~, <br />COMMENTS: ~r~,~ a/~'~ ~ ~ ~~, <br /> ... ~ ,' ~/~~ .....~'~,'~. <br /> <br /> In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br /> completion of a subsurface or alternative sewage disposal system at the above location. <br /> [NSP EOTED BY' ..,~///~ ~ DATE: <br />Mc ,5.¢, R,,. ,,,, TITLE: .... /~ ~ '" / ' <br /> <br /> <br />