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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: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />%~'~.. ¢, I~P,.C, u5 SITE NO. <br /> <br />ADDRESS: I ~',!,,,~o <br />INSTALLER: ,._~l ~. <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: ¢~c>PI~U(..~) '.f~'~ <br /> <br />PERMIT NO. /~ <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: ~'~~ <br /> ROCK DEPTH: /~" <br /> DIST. TO WELL: ~Z~;~ <br /> BOXES: <br /> <br />In accordance with Oregon Revised Sta~tute 454.665; this Certificate is issued as evidence of satisfactory <br />co m pie ti on ora su bSUlCf~a, e/e.~/.,/alt, ~n/8.t~'~es ew.~...~.~ osal~¢_./~¢/~-- dl"'-/ system at the above Iocati on, <br />INSPECTED BY; ~~J~-&~ DATE: f/-,,..~ ~-¢2,~' TITLE: f(-.,-~,~. -- <br /> <br /> <br />