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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNI"i'Y 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:. ~,,,,~,-,¢.... ¢....,~ ¢ <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWE~ MAT'L: <br />COMMENTS: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: ...... ~/$'"~¢)'t <br /> PIPE MAT'L: /~,-- G ? '2. ¢ <br /> TRENCH DEPTH: ¢_.,.z¢"~ _~¢ ".. 7~/---- <br /> ROCK DEPTH: /_;A,,t~, <br /> DIST. TO WELL:__~.~=~%~_ <br />, BOXE : , <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurface or altern,,~e sewage disposal system at the above location. <br /> <br /> TITLE;_ ,...,L~, ,,~ ~¢'~r.~ 5,.~ <br /> <br /> <br />