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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 />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: ~;5-~C> <br /> MATERIAL; <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />it~,"/l, ~ ~ ~· . <br /> ~ ~ . PERMIT NO. ~IIG <br /> DISPOSAL FIELD: <br /> ~. TOTAL LENGTH: <br /> PIPE ~T'L: ~ <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: ~ <br /> <br />In accordance with Oregol;k~evised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurfa,/~e/~r/,a~te.~a/t~j¢ se~disposa, I system at the above location. <br />INSPECTED BY: ~ ~"(~;~ DATE: ~"*~ "-'~'~"-- <br /> TITLE: I/--,,~- " -- <br /> <br /> <br />