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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 /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br /> ,, ,:, ,,'..-..: ': .......... .'"]~.~ ';T ..... : ........... <br /> <br />OWNER: <br />ADDRESS; <br /> <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: ~'D~ <br /> MATERIAL: ~ <br /> MANUFACTURER: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />~._!~ 9~. ~¢~.e¢..~ ,~ ~,=,eF f--, SITE NO. ~ q- q~ ~ <br /> <br /> PERMIT NO .... ~ t <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />DISPOSAL FIELD: <br />TOTAL LENGTH: ;;~20 ~ <br />PIPE MAT'L: ~ 3'~ f~O 4_, .. <br />TRENCH DEPTH: ~.'.'.%~ ~ ~ <br />ROCK DEPTH: I O~~ <br />DIST, TO WELL: ~__.,I '~, t,¢O ¢k '¢"¢~-_- <br /> BOXES: ]') (~.~ P .- <br /> <br /> tn accordance with Or~n Revised Statute 454,66,5; this certificate is issued as evidence of sa'tisfact~"ry <br /> completion of a subsu~fa~,4r~ alte~,atf;~ sewage disposal system at the above location, <br /> INSPECTED BY: ~~ DATE: <br /> TITLE: _. ~L~",.~. " <br />MC 15-.~ Rev. <br /> <br /> <br />