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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNI'rY' DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br /> ..~ ON-SITE,SEW.._&GE SYSTEM INSTALLATION INSPECTION <br /> OWNER: ~'~-~/~/- ?~ ¢ SITE NO. ~¢~- ~ <br /> L~sTALLER' ~,~ ~ ~ ~¢~J2~RMIT NO. %¢e~ ,,, <br /> 3EP~I~ tANK: ' Z.'~ . ~' -- ~ DISPOSAL FI'~LD' ' .... <br /> ~. GALLONS: .~/5~¢. ~ ~ , TOTAL LEN~u. ~ f <br /> MATER A.'~ /~ '" ~- . ~"~. g ~ ..... , <br /> MANUFA~, ..... "~ ; . PIPE ~TL:.,,,, ~- D~ ~ ...... <br /> ~ u~_,,,,, ~~ TRENCH DEPTH: ~¢~ ~/~ ' "' <br /> . ROCK DEPTH, / ~ ~ <br /> BUILDING SEWER MAT'L. ~ ~/~ ¢ '- <br /> EFF ............ ,' ~ ~~ DIST. TO WELL: /~ / ~ <br /> <br />n accoraance w,th Oregon Revised ~t~ute 454.665; this ~eNficate i~sued as evidence of sati¢~ot~ ' <br />completion of a subsurface~ or alter~ s~age disposal system at ~e above location. <br /> <br />iNSPECTED <br /> <br /> <br />