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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUll. DING INSPECTION DIVISION <br />220 HIGH STREET Nt~ <br /> SALEM, OREGON 97301 <br /> PHONE: 588-$147 <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> . SITE NO. _ <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: ..... <br /> MATERIAL: <br /> MANUFACT~JRER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: ~( t~ P0t- ~q . BOXES: <br /> <br />PERMtT NO. <br />DISPOSAL FIELD: <br />TOTAL LENGTH: <br />PIPE MAT'L: .... ~-72.-~ .............. <br />TRENCH DEPTH: ,_O.~ -:~,, .... <br />ROCK DBPTH; / <br />DIST, TO WELL: <br /> <br />in accordance w~ Oregon Revised Statute 454.665; this certificate iS issued a~ eviden~:e 0~ satisf~t~/' ....... <br />completion of a sub~'"'C:e or al~e/,"~ive~ewage dispossl system at the above location, <br /> <br /> TITLE: ~% ..... <br /> <br /> <br />