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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 /> ~ ~ O,N~SIT_F. SEW/~GE SYSTEM INSTALLATION INSPECTIO.~ <br /> OWNER: ~//~~,~. -/.,¢...¢_.4~.,4,,~ SITE NO. ~d' / ~ <br /> ADDRESS: /~ ~¢~ ¢/ <br /> INSTALLER: ~//~/~ ~ ~ PERMIT NO. <br /> SEPTIC TANK: DISPOSAL FIELD: <br /> NO. GALLONS: ./~ -- TOTAL LENGTH: <br /> MATERIAL: ~ ~/~ PIPE MAT'L: ~ ~.~ <br /> MANUFACTURER: ~¢~ TRENCH DEPTH: <br /> ROCK DEPTH: <br /> BUILDING SEWER MAT'L: ~, ~¢ ~ ¢-..~¢.C DIST. TO WELL: ~¢ <br /> <br /> COMMENTS: .~¢~- %~-~ ¢¢ ~/¢ ~/~ ~ .~ <br /> <br /> n 8ccoroance wi~ Oregon Re~sed Statu;te 454.665; this certificate is issued as e~dence of satisfactory <br /> completion of a ~e ~lt~ti7 s~e ~isposal system ~t the above 'ocafion. <br /> <br />MC 15-S6 Rev. 1~92 <br /> <br /> <br />