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CERTIFICATE. OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPEOTtON 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: ~d)~c:~ ~.¢,.b ..... <br /> MATERIAL: _. <br /> MANUPAOTURER:__~~ <br /> <br />ON-SiTE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> SITE'NO. '~'~¥~ ~C:)Z. FI~ <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: .~"~ ~'~o"~ <br /> <br />PERMIT NO. ~'z~O~-°~ <br />DISPOSAL FIELD: <br /> · TOTAL LENGTH <br /> PIPE MAT'L: <br /> TRENCH DEPTH; <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: ~ <br /> <br /> In accordance with Oregon Revised S~tute ~4.665; this ce~ificate is issued as evidence of Satisfactory <br /> compJetioR of a subsudace or alternative sewage ~isposal syste~ at the 8bove location. <br /> <br /> TITLE; ............... <br />MC 15,86 Rev, <br /> <br /> <br />