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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br /> <br />~t.~.~..[/2. PHONE: 588-5147 <br /> <br /> ~ ON-SITE SEWA(~E SYSTEM INSTALLATION INSPECTION <br /> ~[,,' ~"~,~'~/*¢~ ~, SITENO. ~'~ <br /> <br /> ~.~ ~ ~ .~. PERMIT NO. ~..~ 5¢ <br />NO. GALLONSx Z~, ~. P~ <br />MATERIAL:.. ~: ~ ~ ' <br />MANUFACTURER: ~~ <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> <br />BUILDING SEWER MAT'L: .P--'- :~¢;~4/--- ~/¢..(_... DIST. TOWELL: /~'¢ ~' ~-/~ <br />EFFLUENT SEWER ~T'L; ~'~ ~, ¢~ ¢¢~' . BOXES: ~/~/cj ~ ~;' ~'"~ <br />COMMENTS: ~~ ~/~ ¢~ ~~ ~ ~~ <br /> - ... <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 />INSPECTED BY: ._~_~. ~~./ DATE: __~/' <br /> TITLE: <br /> <br /> <br />