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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br />?/ <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br /> <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br />PHONE: 588-5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: ~_¢~U~.y~ ~ ¢.,~. <br /> MANUFACTURER: <br /> <br />~ON-SITF_.~E~/~AGE SYSTEM INSTALLATION <br /> ~'1,~ 5 /~/12, l "'~ ,.$,ITE NO <br /> ~~ PERMIT NO. <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWED MAT'L: <br />COMMENTS: 2~, ~....~ ,~,¢~,. ,~" <br /> <br />DISPOSAL FIELD: <br /> TOTAL LE,,NGTH: <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 /> <br />completion of a subsurface or ale te/~tive sewage disposal system at the above location. <br />'NSP EOTED BY:~, ~' ~--.~-.~----DATE' ¢/' ~-"/¢' .~ <br /> <br /> <br />