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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 /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />Lbe:~z.~, ~L~ SITE NO, <br /> <br />ADDRESS: I ~-q,~ ~ <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 subscFT~-~e~ alt~rr~ti~,e sew~age disposal system at the above location. <br /> INSPECTED BY: I~.;..,~~ DATE: ,. ~_~,_ ~. c{ <br />MC 15-S6 Rev. 1~g2 <br /> <br /> <br />