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CERTIFICATE OF SATISFACTORY COMPLETION <br /> MARION coUNTy <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING INSPECTION DIVISION <br /> y 220 HIGH STREET NE <br /> SALEM, O=R, EGON 97301 <br /> [ <br /> i./ /~ PHONE.~85-$147 <br /> <br /> ~ ON-SITE ~EWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />OWNER: <br />ADDRESS: <br />iNSTALLER: <br />SEPTIC TANK: <br /> <br />NO. GALLONS: ,,'I ',,~(DO <br />MATERIAL: , ~.O ~_ ,~"~.,.~ ' ' <br />MANUFACTURER; ~A,~ ¢A--~,.~E.~ ,,"' <br /> <br />BUILDING SEWER MA"FL: <br />EFFLUENT SEWER MAT'L: i'~)¢._ ,,~'~'~ ....... <br />COMMENTS: <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL:,, <br /> BOXES: <br /> <br />Jn accordance with Oregon Revised Statu'ie 454,665; this certificate is issued as evidence of satisfa~ctory <br />completion of a subsu1~p.c~f~ alte..mAtiger~ f~ ~' se~ge disposal system at the above location. <br /> <br /> <br />