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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br /> <br />SALEM, OREGON 97301 <br />PHONE: 588-5147 <br />~ t -~ ~ /. <br />.. ',., ,, ~ , ~ <br />.~ , / / <br />~ ,,~- / <br /> <br /> ~ ON-SITE S~-~/AG.E ~SY~TEMJNSTALLATION INSPECTION <br />OWNER: .,~,~/,~/~,~ c~- ~~~T~ NO. ~-- <br />ADDRESS: ~.~ ~ ~,, <br />iNSTALLER: ~ ¢~5~ PERMIT NO. ~¢3 <br />SEPTIC TANK; , DISPOSAL FIELD: <br /> NO. GALLONS: /~¢¢ TOTAL LENGTH: <br /> MATERIAL: ~~ PIPE MAT'L: ~- <br /> MANUFACTURER: ~ TRENCH DEPTH: <br /> ' . . . · . . ROCK~EPTH:~ <br />BUILDING SEWER MAT ~: ~ ~ ~5~~ DIST. TO ~ELL: <br />EFFLUENT SEW[R MAT,L:, ~-- ~~ ' B,OXES: <br /> <br /> In accordance with Oregon Revised Statute 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 /> TITLE: <br />MC 15-$6 Rev. 12J92 <br /> <br /> <br />