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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 /> <br />SITE NO. <br /> <br />ADDRESS: ~3%~' ~L=~U-~OOO ~"~, ~,~' <br />tNSTALLER: <br />SEPT]C TANK; <br />NO. GALLONS: <br />MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L; <br />COMMENTS: <br /> <br />PERMIT NO. '~ ~-')- .'.~ ~- <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: ~'~' ' <br /> PIPE MAT'L: <br /> TRENCH DEPTH: ~,-~" -+ <br /> ROCK DEPTH: t <br /> DIST. TO WELL: <br /> BOXES: ~ 1'&5 ¢' /..,~, ~ ~__ <br /> <br />tn accordance with OregoJ~ Revised Statute 454.665; this certificate is issued as evidence <br />completion of a subsurf_ca~j O~lte~e s~sat system at the above location' of satisfactory <br /> NSPECTED BY {j(..r.y.~..~ ~'g,/(~, DATE' <br /> TITLE: <br />MC 15-85 Rev. 1/91 <br /> <br /> <br />