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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 /> <br />SALEM. OREGON 97301 <br />PHONE: 588-5147 <br />ON-UlTE SEWAGE SY6TEM INSTALmTiON INSPECTION <br /> <br />OWNER: <br /> <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO, <br /> GALLONS: <br /> MATERIAL: ..... <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: '~(,L '"~3~t~ ' ' ..... <br />GOMMENT~; <br /> <br />PERMIT NO. <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 Statute 454.665; this ceri'ificate is issue"d as evidence of satisfactory <br />completion of a subsurf~'~ or alte~a~v~e sej,~,C, ge disposal system at the above location. <br /> <br /> <br />