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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 /> SITE NO. <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L:-~0 ~_ <br />COMMENTS: <br /> <br />PERMIT NO. ~-'~'~LI <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: __. <br /> PIPE MAT'L: '~'),.9.-~ ,, <br /> TRENCH DEPTH: ..... 2-~ ~' ± <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: ~..O ~ <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory -- <br /> <br /> completion of a subsurfF or altel~na~iv,e sej,~cge disposal system at the <br /> ,NSPECTED By: /~,~~ DATE: above location. <br /> T TLE:' <br />MC 15-$6 Rev <br /> <br /> <br />