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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-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />OWNER: ~7~D~,,ciC d~,l'l~-'[l~c~u"~ SITE NO. ............l(~(C) ......... <br /> <br />ADDRESS: .... <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER; <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MA~L: <br />COMMENTS: ~'~ ~C <br /> <br />PERMIT NO. ~-;7 <br />DISPOSAL FIELD: <br /> TOTAL LENGTH; I~-O <br /> PIPE MAT'L: <br /> TRENCH DEPTH: ~'~" <br /> ROCK DEPTH: .I ~.? <br /> DIST. TO WELL:~ <br /> BOXES: <br /> <br /> Statute 454.665' thi <br />In accordance with Oregon Revised , s certificate is issued as evidence of satisfactory <br />completion of a subsudace or alternative sewage disposal system at the above location_ <br /> <br />INSPECTED BY: .... <br /> TlTlE:~ <br /> <br />DATE: <br /> <br /> <br />