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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br />MARION COUNTY ' <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> BU]LDiNG INSPECTION DIVISION <br /> , HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> PHONE: .~88.5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO, GALLONS: ' <br /> MATERIAL: <br /> MANUFACTURER:~" <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />._.~E~' ~.t~,,3 SITE NO. <br /> <br />BUILDING SEWER MAT"L: <br />EFFLUENT SEWER MAT"L: <br />COMMENTS: <br /> <br />PERMIT NO. ~"~'~G, ~ .... <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: 2-? ~,~ <br /> TRENCH DEPTH: , ;;>%, i.,'~, .E,~.~'~ <br /> ROCK DEP. TH: , <br /> DIST, TO WELL? ~.~, ,'r'-/',- <br /> <br /> accordance ~ith Or~on Revised Siatute 454.665; this-certificate is issued as evidence of satisfactory <br />completion of a subsurface or a~[ema~ive se~wage disposal system at the sbove lec~[io~l. <br /> <br />INSPECTED BY ~-~~~ DATE: <br /> TITLE: I~2,,% ,, ..... - , ' .......... <br /> <br /> <br />