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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> <br />DU'~LD',,%'C ',;.;$,"."CT~ON D;V;$;G;',; <br />220 HIGH STREET NE <br /> SALEM, OI~EGON 97301 <br /> PHONE: 585-5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br /> <br /> · ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> ~..~,z.~t..4~' /~%,~.,¢'~,, , SITE NO. ~-¢'- ~,¢" <br /> <br /> .,,/&~__~.¢¢~ ~ ~ PERMIT NO ~ ~/ <br /> DISPOSAL ~1~ <br /> TOTAL LENGTH: ¢~¢/ <br /> PIPE MAT'L: ~. ¢7~ <br /> TRENCH DEPTH: ~"¢~ <br /> ROCK DEPTH: 7 <br /> DIST. TO WELL: ~-~,,~ <br />EFFLUENT SEWER MAT'L: ~ ~- ~¢-.~C BOXES: ~~ <br />COMMENTS: ~ ,,~j~~~ .~/ ~~-~ <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurface~ or a~native sewage disposal system at the above location. <br />INSPECTED B Y:v ~--_~.."~/.~'~'"'L'~. DATE: , <br /> <br /> <br />