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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 />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> <br /> ON. SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> · ~ d'~ ... H~,~o~J ~ $~TE NO. c~, ~5~.~- ....... <br />.._~DL~''~ "Y~Ct~.V.. t'tO, _ PERMIT NO. ..~tTc;~--~ ....... <br /> DISPOSAL FIELD: <br /> <br /> NO. GALLONS: t.C(:~3 · <br /> MATERIAL; --, -- ~0_~1 ~, "~,, <br /> MANUFACTURER:_ <br /> ROCK DEPTH: ....... <br />BUILDING SEWER MAT'L: . DIST. TO WELL: <br />EFi=LUENT SEWER MAT'L: ~,~ ~ ' ¢' <br />COMMENTS: ~ _. <br /> <br />~ accordance wi~h ~reg~n R~ed 8t~te 454.~6~ this certificate i~ issue~ as <br />completion of a subsudace or alternative sewage disposal system at the above location. <br /> <br />iNSPECTED B~ DATE: ~ <br /> TITLE% ..... <br /> <br />TOTAL LENGTH: _..%. <br /> PIPEMAT'L:.... j~ i ~ ' ~ 7 <br />TRENCH DEPTH: ~'~ ~l~ ./~/~.~ .~ <br /> <br /> <br />