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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 /> ALEM, OREGON 97301 <br /> E: 588-5147 <br /> <br /> / <br />/ <br /> <br />OWNER: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />._.~,~.~o-ce~,,3 C~t~s~,,.3 SITE NO. '~ <br /> <br />ADDRESS: [~t ~-" <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 />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 /> completion of a subsurface or altern~ive se, wage disposal system at the above location. <br /> INSPECTED BY: ~,~,¢~ DATE: <br /> TITLE: "~~'~ -- -- <br />MC 15-$6 Rev. ~2/92 <br /> <br /> <br />