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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 />OWNER: <br />ADDRESS: (..~ ~.,,, ~e"'~ '5' <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />~,¢.~.^e/,~zl 0~6¢, ~o~ SITE NO, C(.~ .... <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />PERMIT NO. ~,'~h_c~ ~ ~'~ <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: _ ~'~ <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: <br /> <br />In accordance with Ore,on Revised Statute/4¢4.665; this certificate is issued as evidence <br />completion of a subsuj¢/~r ~ypt,.~disposal system at th~ abo~e location, of satisfactory <br />INSPECTED BY ~f,..~'~:/'(¢7~ DATE: ~'- ~ ~I <br /> TITLE: /¢_..,~. <br /> <br /> <br />