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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 /> ,~ iON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> OWNER: ~ /(_~¢. ~/~.. . SITE NO. ~'/'~ <br /> ADDRESS: /~ ~ ¢/~ ,¢~ ~'~ <br /> INSTALLER: ~~ ~~~PERMIT NO. '~ o / <br /> SEPTIC TANK: ¢ ¢ ~' ' DISPOSAL FIELD: <br /> NO. GALLONS: ~5~: ¢ ¢ TOTAL LENGTH: ~ ~ 3 <br /> MATERIAL: ¢~ ~ ' PIPE MAT'L: ~ <br /> MANUFACTURER: ~~ TRENCH DEPTH: 2~ <br /> ROCK DEPTH: ..... /~ <br />BUILDING SEWER MAT'L: ~/~ ~ ¢ DIST. TO WELL: ///¢ ~ <br />EFFLUENT SEW~ MAT:L: ~'~% ~/~~ , ~OX~S: ~'~ <br />COMMENTS: [~; ./~ ~~ ~ ~/~ ~ ~_~ <br /> ............... ~ ~ ~ ~ ~ ~-~ <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurface or alternative sewage disposal system at the above location. <br />,NSPECTEDBY~ ~ ~ DATE: <br /> TITLE: <br />MC ]b-65 Rev. 1/9] <br /> <br /> <br />