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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY OEVELOPMENT DEPARTMENT <br />BUiLDiNG INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER; Cdt ~¢.c,~ ¢_e% <br />ADDRESS: _ '~0~5 ") <br />INSTALLER: . ~t~(,,~ <br />SEPTIC TANK: <br /> NO, GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> SITE NO. <br /> <br />PERMIT NO. ~ I C~ut_o. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: ~ ~-~t ~ ., <br /> TRENCH DEPTH: <br /> ROCK DEPTH: .. . <br /> DIST. TO WELL: .... <br /> BOXES: '~ ! ~T[:t ~1¢ v,o~3 ...... <br /> <br />COMMENTS: 'T12-AC.~W~, co~ ¢,~.~ 1~5r1:~',~ ¢,-'~ ~O~ ~p~ ~o~ <br /> <br />In accordance with O~on Revised Statute 454.665; this certifi~te is issued as evidence of satisfactow <br />completion of a sub;~/~ ¢~~isposal ,ystem at ~e~bove location. <br /> <br /> <br />