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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br />OWNER- <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> <br />BUILDING INSPECTION DIVISION <br />22~0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: &~8-5147 <br /> <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br /> ON-SITE~SEWAGE SYSTEM INSTALLATION iNSPECTION <br />, "~'-I ~"¢~t'¥ ~-I'Jo~-¢.~-¥ ...... SITE NO. ~- ~3 <br /> <br />BUILDING SEWER MAT*L: pOT <br />EFFLUENT SEWER MAT'L: ,,, (2d ~_ <br />COMMENTS; <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> <br /> DIST. TO WELL:.~ <br /> BOXES: <br /> <br />in accordance with Oregon Rewsed Statute 4541'665; this certificate's issued as evidenc~e of satisfactory <br />completion of a Subs~c~r a~ve~ disposal system at the above location, <br />INSPECTED BY: ___~~~ DATE: -~'~" ...~O - ¢% ..... <br /> TITLE: ..... ~,,~. ,, ' ........ <br /> <br /> <br />