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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNi'fY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER: . (:2~ L~, ... <br />:ADDRESS: <br />INSTALLER: -~.~ <br />:SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: _... <br /> MANUFACTURER: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> SITE NO. C~,~ <br /> <br /> BUILDING SEWER MAT'L: <br /> EFFLUENT SEWER MAT'L: <br /> COMMENTS: *~'~/_~,¢- ~ .r?E'c,P T-1'2~i-.V-A ..¢_..~'~.~.. <br /> <br /> In accordance with Oregen Revised Statute 4§4.665; this certificate is issued as evidence of satisfactory <br /> completion of a subsurface or alternative sewage,disposal system at the above location. <br /> <br /> TITLE: <br />MC 15.S6 Rev. <br /> <br />PERMIT NO. ~'z~O~-~ <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: ~E;)::;~' <br /> BOXES: <br /> <br /> <br />