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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 /> <br />ADDRESS: lOqz~, <br />INSTALLER: -rA,i <br />SEPTIC TANK: ,,) <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: H%LH A¢, U <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH BEPTH: <br /> <br /> ROCK DEPTH: <br />BUILDING SEWER MAT'L: z.l-" i'~vdV- ,,~158- ,~C/4'4tO '6--~8 DIST. TO WELL:~A/¢p,L <br />EFFLUENT SEWER MAT'L: 4-* f~w"v'- ¢t,,,~,- ~;c~4 4o-~}z?..~ BOXES: .j~ - <br />COMMENTS: ~l~'A;~ O~.~.o,i,o ;,,~ ¢lo_c~., ,z~'! 1~;%0~,~ <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br /> <br /> completion of a subsurface or alternative sewage disposal system at the above location. <br />INSPECT~:~ ('~...,~'L~-,,.~., DATE: ,,,, ~-~- C~J <br />MC 15-S6 Rev. 12/92 <br /> <br /> <br />