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3ERTIFICATE,OF SATISFACTORY COMPLETION
<br /> COMMUNITY DEVELOPMENT DEPARTMENT
<br /> BUILD3N~ INSPECTION DIVISION
<br /> 22~ HIGH STREET NE
<br /> SA~M, O.EGON
<br /> ~ ,,, ~ rHONE:5~g5147
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<br /> ~ O.I~-SITE SEWAGE SYSTEM INSTALLATION INSPECTION
<br />OWNER: /"'~¢' , ~ SITE NO. ' "" ~ ~ '~/
<br />ADDRESS:
<br />INSTALLER: ~ PERMIT NO,
<br />SEPTIC TANK: DISPOSAL F[E~ 'b: ...........
<br /> NO. GALLONS: '/~, ~ ,, ~/~ TOTAL LENGTH: ,~
<br /> ~TERIAL: ~.~ .,,~ .,~ PIPE ~L: _~-~ ~'--~__
<br /> MANUFACTURER:_ ~ ~ ..... TRENCH DEPTH: ~~,
<br /> ROCK DEPTH:
<br />BUILDING SEWER MAT'L: ~ ~ ¢~¢~ ~ OlST, TOWELL: ~ ¢' ...... '
<br />EFFLUENT SEWE~ U~L: ~. ~/ ~ ~' __ B~XES;,~ ~~. ~ "~
<br />COMMENTS: ' ' ' ~ ~~/~
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<br />In aoo~da~o~ with Oregon ~evi~d St~tul~ 454,665; this o~i~a~e ~ issued a~ ~vide~e ~f satisf~oto~
<br />oompl~tion of ~ ~ubsu~oe ~t alternative ~w~g~ ~]~p~g~l ~y$~em ~t ~ abOV~
<br />tNSPECTEDTiTLEBM:~ DATU: ~
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