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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 />ON-~iTE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFAC3:UR~:R: ,, <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />In accordance with Orego~ Reyise~ Statute 454.665; this certificate is issued as evidence of satisfactory <br /> <br />INSPECTED BY: {~C<3r'~"~'~/'~~3''t5~ DATE: ~-~ ~[ _ <br /> TITLE: ~, <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: _ <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST, TO WELL: <br /> BOXES: ~P <br /> <br /> <br />