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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: 585-5147 <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 /> SITE NO, <br /> <br />BUILDING SEWER MAT'L: _ <br />EFFLUENT SEWER MAT'L: <br />COMMENTS;, "t-¢~,C~' <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 /> <br />BOXES: <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />comp,etion of a sub ~'~/~ or~a~eB~i~e disposal system at the ,above location. <br />INSPECTED BY: ~~ DATE: ~- ~ '~,,~-- TITLE: .... ,/~'~ , ' ......... <br /> <br /> <br />