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CERTIFICATE OF SATISFACTORY COMPLETIO <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 />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />ON-SiTE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />SITE NO. <br /> <br />PERMIT NO. ~-~ O~ / <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: p¢~__ <br /> TRENCH DEPTH: ~,~ <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: '~ ¢-~P ,, <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of sari: <br />completion of a subsufdjac.~ or,Iterative s~wage disposa, system at the above location. <br /> INSPECTED BY: (~/~/~'/'_¢'J'~ DATE: <br /> TITLE:__ ~. <br />MC 15.S6 Rev. 1N92 <br /> <br />:tory <br /> <br /> <br />