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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: .... ~ E~OO <br />MATERIAL: ¢_~.~ ~ c ~ <br />MANUFACTURER: ~OA-v'f~ ~.~¢¢..~--~ <br /> <br />ON-SITE SEWAGE SYSTEM iNSTALLATION INSPECTION <br /> <br />BUILDING SEWER MAT'L: ..._._.~,.~. q-o <br />EFFLUENT SEWER MAT'L: ~v <br />COMMENTS: <br /> <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 />co m pletion of a su bs~c//~ o r a~.~,~,~/t~e s .j_.wa. wa.~gg e disposal system at th e above Iocati0m <br />INSPECTED BY: ~L ~'"~,,b--¢¢%~'~-"0'¢~,'''''~ DATE: . ~__~- <br /> TITLE: <br />MC 15.65 Rev. 1/91 <br /> <br /> <br />