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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 /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS; <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> . SITE NO. <br /> <br />PERMIT <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 subsurface or alternative sewage disposal system at the above location. <br /> <br /> TITLE: _~.~ ~..<:;~=:~F ._.g.,~~ / <br /> <br /> <br />