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CERTIFICATE OF SATISFACTORY COMPLETION <br /> MARION COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING INSPECTION DIvrSION <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> ' PHONE: 588-5147 <br /> <br /> oN,sITE sEWAGE sYSTEM INSTALLA'FION INSPECTION <br />OWNER: E~EL.i ~ ~'O~L~-~ SITE NO. ~3' -~lE)3.. <br /> <br />ADDRESS: i~C~ ~4~f.~W ~¢ 13e;., <br />SEPTIC TANK; <br /> <br />BUILDING sEWER MA~L:I: ~ t~'~ <br />EFFLUENT SEWER MA~L: ~ ~'~ P~ '~', <br />COMMENTS: <br /> <br /> PERMIT NO. /'/~' ? ?? ............. <br /> DISPOSAL FIELD: . <br /> ;. 'ITOTAL LENGTH: <br /> l lpipE MAT'L:' <br />I'I <br />' TRENCH DEPTH: /~*,~ <br />· ROCK'DEPTH:· I~"' <br />'D[ST. TO WELL:· /C~ <br /> '" , BOXES: ~E~ ~5 ~--~1 <br /> <br />In accordance with Oregon Revised Statu~e 454.665; this certificate is issued as evidence of satisfactory <br />complefio'n of a subs~ or~lt~.~f~t~e disposal system at the above ,ocafion. <br />INSPECTED BY: I ~dill~l~" DATE: /[-'q' ¢5 .... <br /> TITLE: lf/~i',, , <br /> <br /> <br />