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/ <br />CERTIFICATE OF SATISFACTORY COMPLETION <br /> MARION COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING INSPECTION DIVISION <br /> 220 HIGH STREET NE <br /> SALEM, OBEGON 97307 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: ~ ¢_..~ ,,.~,~ ' ,~,,",~..~ · <br /> <br /> ~(~N-SITE SEWAGE sysTEM INSTALLATION INSP~E._~TION ..-- <br /> ~ ~d.,~/~ ~"~-~; ~, ~"_ <br /> ~ ~ PERMIT NO. ~ ~ <br /> DISPOSAL FIELD: <br /> TOTAL LENGTH: .... <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> BUiLDiNG SEWER MAT'L: .~ ~- ~ ~,-~ DIST. TO WELL: <br /> EFFLUENT SEWER MAT'L: ~ ~- ~ BO~S; <br /> <br /> n accordance wi[~ Oregon Revised St~[~ie 454.~65; this cer[ificaje is issued as evidence of sa[isf~ctory <br /> completion of a subsudace or alter~tive sewage disposal system a[ the above IocaJion. <br /> INSPECTED BYe< ~ ~::~ DATE: <br /> TITL~ <br />MC 15-S6 Rev. 12~2 <br /> <br /> <br />