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.CERTIFICATE OF/,~~ACTORY COMPLETION <br /> /~ 7a~g~N COUNTY <br /> COMMI~I'rY DEVJ~LOPMENT DEPARTMENT . <br /> ~IL~ 'I~EC~ON DIVISION ' <br /> / ~o ~GH ~R~ET NE <br /> I ~ALE~RE~O~ g7801 <br /> <br />,' <br /> <br /> j ON-SITE SEWjAGF~;SYSTEM INSTALLATION INSpECTIoN <br />OWNER: /t~.Z..~.~ ~//,.1~ ~. .__ SITE NO.. ~ ~'~2~' <br />ADDRESS: ~ ~ ~ <br />INSTALLER: ~ ~ .. ' ~RMTNO. <br />SEPTIC TANK: ·" DISPOSAL FI'E~D: <br /> NO. GALLONS: /~/ ~ ~, ~/~G TOTAL LENGTH: <br /> MATERIAL:~' PIPE MAT'L- ~" <br /> MANUFACTURER:~~ TRENCH D~pTH; <br /> ROCK DEPTH: <br />BUILDING SEWER MAT'L: .~ - 5~- ~ . DIST. TO WEL~ ~ <br />~LU~NT SEWER UA~'Lf ~~ SOXES= ~ <br />COMMENTS: ~ ~ ~ ' ~ --~ <br /> <br /> accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsudace or alterttative sewage disposal system at the above location. <br />,NSPECTEO B~.~--(.~~ DATE: <br /> 15-~ ~ 12/9~ <br /> <br /> <br />