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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 />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br />NO. GALLONS: __ <br />MATERIAL: (" ,c~lo e ~'~'~.~ <br />MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />,J }~ ~']'-6'A'ESR /2'~ ,E f1'¢¢~./ SITE NO, <br /> <br />__ PERMIT NO. <br /> DISPOSAL FIELD: <br /> TOTAL LENGTH: ,dr~_O <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL:j~AJ.E,.~ [Q,~ :F"/:::~--2'I- <br /> BOXES: ~j~.~ <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subs,u, rface or alternative sewage disposal system at the above location. <br /> <br /> TiTL .E.T~- ,, <br /> <br />MC 15-86 R0v, 12~2 <br /> <br /> <br />