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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECT[ON DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: ~ ~--.- ..... <br />SEPT(C TANK: <br /> NO. GALLONS: [ {~:2:)(Z~ 4,, <br /> MATERIAL: .,,-~ <br /> MANUFACTURER: _ b,~I~.~ ,'~ <br /> <br />BUILDING SEWER MA'f"L: ,,, ~",~O'T'.,,,,] <br />EFFLUENT SEWER MAT'L: __ <br />COMMENTS: ........ <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION 'INSPECTION <br />~~,.~:~..~.. _,.~,~_ ~.~t~ · S~TE ~o. <br /> PERMIT NO. _ <br /> <br />DISPOSAL FIELD: <br />TOTAL LENGTH; ~ <br />PIPE MAT'L: ~,,, ], ~ <br />,TRENCHDEPTH: .... (' ~ , ._~ ] <br />ROCK DEPTH: ~ .~,~J.(~r-'/L~-~ <br /> DIST. TO WELL: . '"~"[ ,,r~,, ' '"~ -- ~ <br /> BOXES: ..... ~ <br /> <br />In ~c~ordance w'-th Oregon Revised Statui~ 454.6'65; this (~ert/fJcate is issued a~ evidence of satisfactory ' <br />completion of a subsu~/~r al~r,n~ti/)[e.se~p°sal system at the a..bove I°cati°n' <br />INSPECTED BY: ~_,,,..J(~" ~ . DATE: i 0 )(~ -'~.-.~ <br /> <br /> <br />