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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPEC¥1ON 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: <br /> MANUFACTURER: <br /> <br /> ON-S!TE 'SEWAGE SYSTEM INSTALLATION INSPECTION <br />'7~AU ID ~ H-/L~ $ T~t5 SITE NO. ~ ~ ~ '~--~ <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />PERMIT NO. ~ I '~3 % <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: '~'~" ~ <br /> PiPE MAT'L; ,~¢E' .~lO <br /> TRENCH DEPTH: --%~, r--%~ <br /> ROCK DEPTH: ~ ~' <br /> DIST. TO WELL: I~' -~ <br /> BOXES: ~ {~fo <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued ~s evidence of sstisf~ctor'y <br />completion of a subs~c~or a~?~i,/~ se .~¢~.sposal system at the above Iocatiom <br />INSPECTED BY: ~'~'~."~ _ DATE: ~-~ '~ <br /> TITLE: ~ ' - <br />MC 15.~6 Rev. I~J92 <br /> <br /> <br />