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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 SYSTEM INSTALLATION INSPECTION <br />OWNER: '~'/'/T'/'t-f~,O ~t~._~,~c,-,,, SITE NO, c~,.~,,~_~[.~ <br /> <br />ADDRESS: <br />JNSTALLER: ~ ~ ' <br />SEPTIC TANK: <br />NO. GALLONS: ~1~(~ ....... <br />MATERIAL: / <br /> MANUFACTURER: / ' ' <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: ... <br /> PIPE MAT'L: <br /> TRENCH DE~'TH: <br /> ROCK DEPTH:. <br /> DIST. TO WELL: <br /> BOXES: <br /> <br /> accordance with Orego,9~n Revised Statute 454.66.5; this certificate is issued as evidence of satisfactory <br />completion of a subsurfaf?r/,a/ter~.!!~ewa~saI system at the above Ioc~.t,on. <br /> <br /> <br />