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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: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL; <br /> MANUFAOTURER: <br /> <br /> ITE SE. WAGE SYSTEM INSTALLATION INSPECTION <br />? ,~,'~, ~ ~, S~TE NO. <br /> ! 7~ ~-~ ~ ~&. ~,Pr~,;~ .......... ~ ~_ ~ <br /> /~ ~]- ~,~,,¢~.~¢~ ' PERMIT NO. r"/5' -- '~ <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> .PIPE MAT'L: ..Z'-t~...~t~,~.~'/".~%..~ <br /> TRENCH DEPTH: ~ 5 <br /> ROCK DEPTH: ~ '" <br /> DIST. TO WELL: '-- <br /> BOXES: C:/4.'" <br /> <br /> In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br /> completion of a subsurface or alternative sewage disposal system at the above location. <br /> <br /> TITL .E~.~ ~ g.e"~g-.~' ~ .... <br />MC 15-86 Rev 12/92 <br /> <br /> <br />