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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 /> NO. GALLONS: <br /> MATER IAL: <br /> MANUFACTURER: <br /> <br />,..~) ON-SrFE SEWA61E SYSTEM INSTALLATION INSPECT, ION <br /> '-(-[4_~ ~ :~k.~_, SITE NO. ~.. ~ ... <br /> <br /> PERMIT NO.. <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />DISPOSAL FIELD: <br />TOTAL LENGTH: ....... <br />PIPE MAT'L; , <br />TRENCH DEPTH: <br />ROCK DEPTH: <br />DIST, TO WELL: C.,~ ~ ~'ta~- '" <br />BOXES: <br /> <br />In accordance with Oregon Revised Statute :.454.665; this certif cate s issued as'eWder~'~e ~f satisfactory ' <br />completion of a subsu ge disposal system at the above location, <br /> <br />iNSPECTED BY: [Y~~..~.~ ' DATE: ?~"~ ~ 4 ff .... <br /> TITLE: ~'- ~ ...... <br /> <br /> <br />