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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> <br />~._.~.- 220 HIGH STREET NE <br />/ SALEM, OREGON 97301 <br />[ f ,/'" PHONE:588-5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> SITE NO. ~' L~ ~ ,(¢~_'~ <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 /> <br />completion of a subsu~ac~ ~ alt~-nAtiCe se,,~-~., ge disposal system at the above location. <br />,NSPECTED BY: Y~~-/~.~ DATE: <br /> TITLE: ~/~..,~ _ <br /> <br /> <br />