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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-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />OWNER: '~-~.,/m,,I,-~~Y'-Ji ~-,,~._f' . SITE NO. /' '¢¢t','?~ .......... <br />ADDRESS: ~"-) ~,.I /-/(>/~ ~.,,~ft~,T'" /,d'~,.~..4z.J ¢"'"", <br /> <br />SEPTIC TANK: 'L.'~,,~4,,/-C. Jd7 . . , DISPOSAL FIELD: . <br /> NO GALLONS:/~¢G ¢/~¢~¢~! .f/Cc,' ,¢5.: TOTAL LENGTH: ' ' ' ~ .' " <br /> <br /> MATERIAL: (, ~: ¢ f',r ¢..¢ ,~'¢,,' ..... ' ;j .... PIPE MAY'L:. <br /> MANUFAcTURER~~6 TRENCH DEPTH: <br /> HOCK DEPTH; /~ ' <br /> <br />EFFLUENT SEWE~MAT'L:' ~/~¢/~', / ~ ~ <br />~/~ ,'/¢,~/ .K~ ~,~'~,'", ./&¢...'~.¢/. /_.,"~ ~.,, ~¢~¢,,,~r' ~,.,- <br /> <br />In accordance with Oregon Revised Statute 454.665; this ~difica~e is issued ~ evidence of satisfactory <br />compJetion of a sub$uffaae or alternative sewage disposal system at Ce above location. <br /> <br />INSPECTED BY: ~ v//. / d~ ~ DATE: .~// ~ ~ /' ~ <br /> TITLE ~ / ' ' ' <br /> <br /> <br />