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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 />/ <br />/ <br /> <br /> ? <br /> / <br /> i <br /> ? <br />/ <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 />~J~.'/~,E' ~ ~¢.~10,! fl~ SEC... SITE NO. ~ - ~ <br /> ~c~-&,~ ~.~ PERMIT NO. ~?0 <br /> DISPOSAL FIELD: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <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~f~e or alternative s(~wage disposal system at the above location. <br /> TITLE: <br /> <br /> <br />