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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 />/I <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK:' <br /> NO. GALLONS: t,~E~> <br /> MATERIAL: ~ ~PJ~=T~ <br /> MANUFACTURER:' <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />\Vr~L/'~,_ '~ ~,.~-~L.~ SITE NO. <br /> <br />PERMIT NO. ~z'Jr'~:, <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: [ <br /> DIST. TO WELL: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: '~'~ <br /> <br />[n accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />complet'on of ~s .~u rfT..~r¢lte~rnative sewag~isposal system at the above Iooat, o,. <br />tNSPEOTED By:~ DATE: (~O' ~O' ~+' TITLE: <br /> <br /> <br />