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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:
<br />INSTALLER:
<br />SEPTIC TANK:
<br /> NO. GALLONS:
<br /> MATERIAL: Zfz¢,~'/
<br /> MANUFACTURER:
<br />
<br /> ON-SITE SEWAGE SYSTEM INSTALLATION~II(i~,E, CTION
<br />~/-4/TZ'.'/,..~¢;,,~' ,,, SITE NO.~ "'¢~
<br />
<br /> ¢-~,~,4 A,~ 1~,~ PERMIT NO,'
<br />
<br />BUILDING SEWER MAT'L:
<br />EFFLUENT SEWER MAT'L:
<br />COMMENTS: / ~/~: ~,
<br />
<br /> DISPOSAL FIELD:
<br /> TOTAL LENGTH: ~ ;/¢ /4_
<br /> PIPE MAT'L: D'" ' t' "~ ' ,,
<br /> ,/
<br /> TRENCH DEPTH:
<br /> ROCK DEPTH: /',?
<br />'~>-. ,¢¢ ,,~,' -.,t>~-~ DIST. TOWELL: 'z:: / ¢/
<br />.~,. ~/.. ",/~./-, ~%,'E.. BOXES: (,:-/?(/,,,,,,¢..~. ;0,¢:,'i, .
<br /> ~ ~,,~.~: (;.t~:.,, ./.~ ~ .... .~., . "7:,,, / .,F, >":.' ..'- .'<.
<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 />· ,., '~ ~ ,' ¢:,t~--~ DATE: / /~'/'/ ;~--
<br />INSPECT'ED BY:. '~-.~,X,~ (,t: , . ......
<br /> TITLE: "~,,,.¢', ,/..~ ,../~, ~./ / /
<br />
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