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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 /> PHON E: 588-5147 <br /> <br /> __._, / ON-SITE SEWAGE Ei;YSTEM INSTALLATION INSPECTION <br />OWNER: //~,,,~,f¢,¢/~/,.~1¢/4/~///~w/,/-C.r $,ITE NO, ~¢- ~ <br />ADDRESS: /~ ~ ~/~~, ~ ~/~ <br />INSTALLER: /~ ~ ' PERMIT NO. ~ % <br />SEPTIC TANK: · D[SPOSAL F~ELD: <br /> NO. GALLONS; _~ ~ /¢¢¢ ~,, ~v~ TOTAL LE,~GTH: ~,~ <br /> MATER(AL: /¢~ . /~,~/ " PPEMATL: ~-~- <br />MANUFACTURER: ~-~ ...... <br /> TRENCH DEPTH: ~ <br /> ROCK DEPTH: ~'";~ ~.~ <br />BUILDING SEWER MAT'L: .. ~~ DIST. TO WELL: ~ ~ ~.~ _ <br />EFFLUENTSEW~MAT'L: ~.~¢¢~¢~ .... BOXE~; ~¢~¢~/ ~%_~ <br />COMMENTS: ~~/~ ~.~ ~/~ ¢ ~/ <br /> <br />In accordance with Oregon Revised Statute 454,665; this certificate is issued as evidence of satisfacto~ <br />comple~on of a subsudace or alternative sewage disposal system at ~e above Ioc~tion. <br /> <br /> <br />