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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:: II~)~ dc <br />INSTALLER: ~-t~ ,, <br />SEPTIC TANK: <br /> NO. GALLONS: --. <br /> MATERIAL; <br /> MANUFACTURER: <br /> <br /> ONlSITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />.... ~A C~ : ~~P~L~9~¢_ SITE NO. I~l <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br />TOTAL LENGTH: -2- <br />PiPE MAT'L: '~7 ~-c~ <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 />c°mpleti°n °' a subsur~,~t'/~r %~F s/<s//~ge disposal system at the above location. <br />INSPECTED BY: __.. I ~L-¢-'~--'~ 16/~ DATE: ~ -IL[ ~ I TITLE: ~ .._%, <br /> <br /> <br />