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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION cOUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPEC13ON 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 /> <br /> · ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />~A~-e ~_E~O~_ SITE NO. <br /> <br />NO. GALLONS: <br />MATERIAL: <br />MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS; <br /> <br />PERMIT NO. <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 S!atute 4~;4.665; thls certificate is Issued as evidence of satisfactory <br />completion of a subsist alte,,,~,,e seF2_.g., dm.~esal system at the above location_ <br /> <br /> TITLE: I,,(~% . ,. ,, <br /> <br /> <br />