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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 />ADDRESS: <br />INSTALLER: ~-~'~ ¢.~O *...1 <br />SEPTIC TANK: <br />NO. GALLONS: <br />MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />,.,~'~¢ ~-=O/~¢rL.. SITE NO. ~',~-,..~,.~,.~"~ <br /> <br />PERMIT <br /> <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 /> completion of a subsu~r ~/~_i~ge disposat system at the above location. <br /> INSPECTED BY: f',-_cc¢~'-~l/,./~. DATE: ,/O - ::2_"~ .-~.'~ <br /> TITLE: ~ -(.,(.,~ -- <br />MC 15-S6 Rev. 12J92 <br /> <br /> <br />