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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />;~20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br /> / <br /> / <br /> <br /> / <br /> <br /> / <br /> / <br />/ <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br /> ........ .... <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: <br /> <br /> In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br /> c0mpleti°n °f a subs'u~ce~,)°r ta;,~[-~itive~_~.ge disp°sal system at the ab°ye I°cati°n' <br /> INSPECTED BY: ~L- (~,9~-,'/~ DATE: <br /> TITLE: <br />MC 15-S6 Rev. 1~2 <br /> <br /> <br />