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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: 131 ~G,,~_ I'~P..F..4V ~J~ .It.)~, <br />INSTALLER: ~ .~..... <br />SEPTIC TANK: <br />NO. GALLONS: <br />MATERIAL; <br /> MANUFACTURER: W~[c~.~. ¢[ ~.~ .... <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />~ ON-~ilTE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> (cf(,. ~¢Er4.K&"r"f- SITE NO. ~L(.~ :~-q3 <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: ..... <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL:. k~- <br /> BOXES: ~ i~ p <br /> <br /> In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br /> completion of a subsur~e~ alter~ ~a~t~e s~ disposal system at the above location. <br />INSPECTED BY: ~:~¢¢J~ _t~'~ DATE: I -'J.~-~'~ <br /> TITLE: l/--.,.,..~. <br />MC 15,S6 Rev. lPJ92 <br /> <br /> <br />