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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: 588-5t 47 <br /> <br /> I <br /> <br />I <br /> <br />NO. GALLONS: <br />MATERIAL: <br />MANUFACTURER: <br /> <br /> ON-S~,TE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />ADDRESS: ~6~ ~ ~+, ~, <br />INSTALLER: ~' ~ ~Et&HT6~ ' PERMIT NO, <br />SEPTIC TANK: DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS.: <br /> <br />DIST. TO WELL: <br />BOXES: <br /> <br />[r~ accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completioniNSPECTEB By:Cf a subsur~~~/~~or alt~rr'~ti~e s~.age disposaIDATE:.system at~_ ~'~th~ above location. <br /> TITLE: ?~-~, <br />MC 15-S§ Rev 12/92 <br /> <br /> <br />