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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 INSPECTION <br /> <br />OWNER: <br />ADDRESS: .~, <br />fNSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS:: <br /> MATERIAL: <br /> MANUFACTU <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: ./']dc' <br />COMMENTS: ,,/w/7;// ~///./// <br /> //-, ~_'.L:,-.~, ~,., .,' <br /> <br />SITE NO. ,,, ~/~,, ~,. <br /> <br />PERMIT NO. <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 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 />[NSPECTEDTiTLE¢~:'~'''*' r' ' '''I,:BY:~~/'' ')/ ~ ~'~/~ ~ ~¢2,. ¢ DATE: ~>"~¥~-¢r ~.:~-~ /,¢ ,, ,/~.x/ <br /> /-, <br /> <br /> <br />