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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 />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> H ~¢'T'fl ~UDCrY* SITE <br /> <br />O¢~- PERMIT NO, <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: <br /> <br />/CC' <br /> <br />In accordance with Orecg?n Revised S~tatute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsu/f/~b~o r ~)te~ve~c.~.~e disposal sy~te m at th e~bo~ location. <br />iNSPECTED BY: YP,,~-~2'~/'t~"~ DATE. 4:~ /9 ¢,..,~--' <br /> TITLE: '- ¢.~,,.~, ' <br />MC 15-$6 Rev. 12/92 <br /> <br /> <br />