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MARION COUNTY <br />COMMUNITY DEVELOP_~"N,~T I~,~RTMENT~]~' <br /> BUILDING INSPE(~TJ~ D'~J~ · '~- <br /> 2£0 HIGH STF~ET NE L .~ <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER: /'~.-..-~ <br />ADDRESS: / .~-~, <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS;/~'"'~ <br /> MATERIAL: <br /> <br /> ~,LLATION <br />s - <br /> <br />PERMIT NO., ....... Z/'¢ <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MA~L: ~--%~'~¢ <br /> <br /> MANUFAOTURER:_~/,~/,'~-...-,¢-,.~ TRENCH DEPTH: ~.- <br /> . ~2~¢¢ [~ ROCK DEPTH: t~ ~ . <br />BUILDING SEWER MAT'L: ~~ ~e5¢~ DIST. TO W~LL: ~~ <br />EFFLUENT SEWER MAT:L: ~~. ,¢~ . BOXES: ~ <br />COMMENTS:. ,~.' ~I ~Z.~~ ¢ ~4~,' <br /> ~ ~ ~,,7~ ~.~. , ........... ¢ _. <br />~n accordance with Oregon Revised S~tute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurface or alternative sewage disposal system at the ~bove location. <br /> <br /> TITLE_ <br /> <br /> <br />