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CERTIFICATE OF.., CGNIPLETi(DN
<br /> MARl(
<br />
<br /> COMMUNITY DEVELOPI~ENT DEP_AI~TMENT.
<br /> BUILDING INSPEC_~ION DIVISI~)N
<br /> .... 220 HIGH SYREET NE
<br /> SALEM, OREGON 9~01
<br /> ....
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<br />~ ~N-SITE SEWAGE SY~EM INsTAL~ON INSPE~ION
<br />
<br />OWNER:=
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<br /> INSTALLER; ~,'~' ,~.~'"~ L.,d.,,~ ' PERMIT NO ,~i~//,.~
<br /> SEPTIC TANK: - DISPOSAL FIELD:
<br /> NO. GALLONS: / ~.~~~,~. ~
<br /> MATERIAL: ~~~. TOTAL LENGTH~
<br /> MANUFACTURER;~ ' / ~ ..... .PIPE ~T'L'. ~
<br /> TRENCH DEPTH; ~-~ ~ ., ,
<br /> ROCK DEPTH:
<br />BUILDING SEWER ~L: ~ ~ ~
<br />
<br />~n accordance with Oregon Revised Sta~te 454;'665; this ~ficate is issued ~ evidence of satisfa~o~
<br />comple[ion of a subsudace or alt~rnative sew~e disposal system at ~e a~ve Io~tion.
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