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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUtLQING INSPECTION DIVISION <br />:~20 HIGH STREET NE <br /> SALe_M, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIO TANK: <br /> NO. GALLONS: <br /> MATERIAL:__ <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: ~.~ <br />COMMENTS: <br /> <br /> [~Oo~N-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> LCP~T ~!~ SITE NO. <br />.... 1_~¢_~=~,~. o,¢,~,~,~/~, ~.~ <br /> ~~ ' ,., PERMIT NO. ~E27ff ........... <br /> DISPOSAL FIELD: <br /> TOTAL LENGTH: ~ ~C' .... <br /> ~~ PiPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> ~T~ ~ DIST. TO WELL: <br /> BOXES: <br /> <br />In aocordance wiih (~i~cj~n ReVised $[atute 454:665; this certificate is issued aS evJd~nc'~'of sati'~(~ry <br />eompJet, on of a subsu rfa~r~.~pose, ~y,tem at the above location. <br /> <br />INSPECTED eY: .~ ~~ DATE: I~' )L~-ffl ............. <br /> TITLE' ~, %, <br /> <br /> <br />