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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-SiT.SEWAGE SYSTEM INSTALLATION iNSPECTION <br />OWNER: ~,_~..~t.-W.~"~¢-¢¢,. ~¢_.,Z/--~/~-',~V-¢-'~ SiTE NO. ~--~Z7 <br />ADDRESS: ~Z7 ~ f/~ ¢~ ~~ ' <br />INSTALLER: ~ ~; , , PERMIT NO. <br />SEPTIC TANK: DISPOSAL F'~ELD: <br />NO. GALLONS: TOTAL LENGTH: <br />MATERIAL: PIPE MAT'L: <br />MANUFACTURER; TRENCH DEPTH: <br /> ROCK DEPTH: <br />BUILDING SEWER MAT'L: DIST. TO WELL: <br />EFFLUENT <br /> SE~ <br /> MAT'L:- ~ , _ .. % ~ .B~ES: , / <br /> <br /> In accordance with Oregon Revi~ed 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 /> TI T L E; ~,,..4¢ ¢¢,,,¢-,,.4,¢2~ ~-~ · ' <br />MC 15-S6 Rev. 12/92 <br /> <br /> <br />