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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 />OWNER: ~t)~'¢~-~O.~ ~L_~e~ ~ SITE NO. I~t~l <br />ADDRESS; \E)'2~(¢~ ~'HP~oe~ ¢0 <br />INSTALLER: ~'~_-~L.U, ~i~ .~ ~~:~5~ PERMIT NO. '5~-~,~, <br />SEPTIC TANK; DISPOSAL FIELD: <br /> NO. GALLONS: __ \ T',~':,© TOTAL LENGTH: <br /> MATERIAL:: .... * ~'*' ' PIPE MAT"L: O'- <br /> MANUFACTURER:__ ~,t_;¢', ,'- TRENCH DEPTH: <br /> ROCK DEPTH: <br />BUILDING SEWER MAT'L: ~5 ~-~, L~Q DIST. TO WELL: <br />EFFLUENT SEWER MAT'L: ' :~,j¢_ ~0~q BOXES: '", <br />COMMENTS: <br /> <br />In accordaece with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory -- <br />completion of a subs~r~ac~ or~)ite/~,/Cti~age disposal system at the above location. <br />INSPECTED BY: ~ [P"~ DATE: /- I~'Z~2 <br /> TITLE: ~¢_,-~, " <br /> <br /> <br />