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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 /> _ ON-SITE SEW,~GE SYSTEM INSTALLATION INSPECTION <br />OWNER: ~ ,¢¢,r~,~_-~. __ SiTE NO.. , 'CC'- <br />ADDRESS: ~?:2 ~/.~, ~~ ~ ~ . <br />INSTALLER: ~~ ~5 5 ' PERMIT NO. ~¢- <br />SEPTIC TANK: DISPOSAL FIELD: <br /> NO. GALLONS: /~ ,. TOTAL EENGTH; <br /> MATERIAL: ~~¢~ , PIPE MAT'L: ~ <br /> MANUFACTURER: ~~ ~, TRENCH DEPTH: <br /> ~_ ~ ROCK DEPTH: / <br />BUILDING SEWER MAT'L: 7'% / ~ DIST. TO WELL: <br />EFFLUENT SEWE~ ~T'L: ~~/¢~ BOXES; ~¢~, <br />COMMENTS: 4~ ~ ~ ~ ~ ~ ~ ~.p~ <br /> <br />In accordance with Oregon' Revised Statu!e 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurface or alternative sewage disposal system at the above location, <br /> <br /> <br />