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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 />~T <br />ON-SITE SEWAGE SYSTEM I~ STALLATION INSPECTION <br /> <br />OWNER: .~J..~?~)- ,,~-/P--~ ~:~, SITE NO. <br /> <br />ADDRESS: /~/,3..% <br />INSTALLER: ¢_.A,~,~)/ <br />SEPTIC TANK: <br /> NO. GALLONS: /g'lbL~ Co¢~,~o~o~.,-~;~ ~,~ <br /> MATERIAL: <br /> MANUFACTURER: b~ A-I'tT~ <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <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 /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsur]~,e~ a~t~r~/a.~e se,.,~_ge disPosal system at thee above location. <br />tNSPECTED BY: ~ ~~ DATE: ~_~ ~-"~¢/~ TITLE: /~_,,~. -- <br /> <br /> <br />