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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />2;~0 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 />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br /> ON-SiTE SEWAGE SYSTEM INSTALLATION INSPECTION <br />.~P~V,, ~i,~l'~u.c~-~o,,J SITE NO. ~Or"~,~,'~ <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 /> BOXES: <br /> <br /> In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br /> c°mpleti°n °f a subs~a%r ~_e/~z~tive,.,~age disposal system at the above location. <br />INSPECTED BY:. I~/_/~/'~A.~ DATE: "'~- ~ '--~ <br /> TITLE: ~_~.,~ ' <br />MC 15-~6 Rev. 12]92 <br /> <br /> <br />