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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 /> <br />~--.__~ SALEM, OREGON 97301 <br />~ PHONE: 588-5147 <br />10 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> SITE NO. ~:%-/'¢ ~ ~° <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />PERMIT NO. C/~79 <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 />c~mp~et~n~asubsu~f~/.~te~`a~v~sew~,,~sp~saIsystematt~e~b~eI~atI~n~iNSPECTED BY: I~[//~/r~ DATE: ~ / ~'~ <br />MC ~.~,~ ~1o,,. 1~ TITLE: ~..~, '~ .... <br /> <br /> <br />