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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION cOUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION OWISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588- :47 <br /> <br />I <br /> <br />OWNER:: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC. TANK: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> ~eu,~~~., ...... SrrE NO. ~ _o~- .~ L <br />~ "~8~ ~-xeCj~..r~c%.. ~ PERMIT NO.~_ ~4~-.~2 <br /> <br />NO, GALLONS: ._ <br />MATERIAL:_. ~ ~.~ ~. ~------------------~. ..... <br />MANUFACTURER: ..... <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEV~ER MAT'L: <br />COMMENTS: <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH :: <br /> PIPE MA'FL: .~, <br /> TRENCH DEP'~H: <br /> ROCK DEPTH: ~O .r ...... <br /> DIST. TO WELL: .~Z~O ~__~.__ ...... <br /> <br />In accordance with Or~g. On Revi~45~.(~,5~ thi~ c~'~ficate is i.~sued ~s evidence o~ s-atisfactory <br />completion of a subs~e~r 81ter~atiCe sew~e d~sposa] system at the above location. <br /> <br /> TITLE:-'--~'-~' . ~ = --~-~-" ......... <br /> <br /> <br />