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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br /> -- ON-SITE SEWAGE SYSTEM INSTALLATION iNSPJECTIO" <br />OWNER: __./~_~.,, //7////'~ SITE NO, <br />ADDRESS: ,, ]~.~ ~2 <br />INSTALLER: ~ ~ ~ PERMIT NO. <br />SEPTIC TANK: ' ' DISPOSAL FIELD: <br /> NO. GALLONS: ~ TOTAL LENGTH: ..... <br /> MATERIAL: PIPE MAT'L: __~,7 <br /> MANUFACTURER: TRENCH DEPTH: <br /> ROCK DEPTH: <br />BUILDING SEWER MAT'L: . ' <br /> BGXES: <br />EFFLUENT SEW~AT'L: , <br /> <br />In accordance with Oregon Revised Statute 454,665; this certificate is issued as evidence of satisfactory <br />completion of a subsurface or alternative sewage disposal system at the above location. <br /> <br />INSPECTED BY: <br /> TITLE: <br /> <br />DATE: <br /> <br /> <br />