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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUiILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, ()REGION 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER: <br />ADDRESS: <br />IiNSTALLER: <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 /> ~-',-~ ~ ~ SITE NO. <br /> <br />~,, (~.~ s~'Y~, PERMIT NO. <br /> DISPOSAL FIELD: <br /> <br />TOTAL LENGTH: <br />PIPE MAT'L: <br />TRENCH DEPTH: <br />ROCK DEPTH: <br />DIST. TO WELL: <br />BOX ES: <br /> <br />In accordance with Oregon Revised Statut~ 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurf/~e ,,¢¢)alter/~a/t~¢ se'~t~_.~e disposal system at the above location. <br /> <br /> TITLE: ' _,~..~ ....... i '" ~" <br />MC 15.S6 Rev. 12/92 <br /> <br /> <br />