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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPEC'TION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 5S8-5'147 <br /> <br /> ON-~ITE SEWAGE SYSTEM INSTALLATION iNSPECTION <br />OWNER: ~/¢,4'Y ./~/¢/.Z~ SITE NO, .... <br />ADDRESS: ', ?,4~-¢ /,.~'~_,d/,~ ,~//~_,¢ <br /> <br />INSTALLER: ./{.~'.4'Y' <br />SEPTIC TANK: <br /> NO, GALLONS: ./~4~ <br /> <br /> MANUFACTURER: <br /> <br />~UILDING SEWER ~T'L: <br />EFFLUENT SEWER MA~L: <br />COMMENTS: <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: ~,~ <br /> TRENCH DEP'~H: ...~.~ <br /> ROCK DEPTH: ,/~/" <br /> DIST, TO WELL: //3~ ./=.7' <br /> BOXES: /" <br /> <br />)n accordsnce with Oregon Revised Statute 454.665; this ce~ficate is issued as evidence of satisfactory <br />c<~rnpletion of a subsurface or alternative sewage disposal system st the sbove lOCation_ <br /> <br /> <br />