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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: <br /> INSTALLER: <br />SEPTIC TAN K: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br /> ON"SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />~¢4m'- ~ C.~i¢~'/~ ~-~O~&-~: SITE NO. ~Gg- <br /> <br /> (J=~e ¢f~ ~&~ PERMIT NO. %~ <br /> <br />BUILDING SEWER <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: ~.%'~ I) <br /> f/j r'n~ <br /> <br />DISPOSAL FIELD: <br />TOTAL LENGTH: <br />PIPE MAT'L: <br />TRENCH DEPTH: <br />ROCK DEPTH: I ~-" <br />DIST. TO WELL: <br />BOXES: <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence <br />completion of a subs~n'n~c~r a,l~r~ti~e s~e disposal system atthe above location, of satisfactory <br /> INSPECTED BY: l~l_]¢/ ~ . DATE: .~.- ~.~ -~ TITLE: <br />MC 15-S6 Rev. 12J92 <br /> <br /> <br />