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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUN'rY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 H~GH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> <br /> ~, ON-$1TF:j~SEWAGE SYSTEM INSTALLATiON INSPECT[ON <br /> i . SITE NO. . .¢~'-¢'~"- / ~ <br /> ~f~ ~ ~ ~ PERMIT NO, ~ ~ ~,~ <br /> DISPOSAL FIELD: <br />NO. GALLON~; / ~ TOTAL LENGTH: /~ <br />MATERIAL: ~~ ~ ~- PIPE ~T'L: ~ <br />MANUFACTURER: ~.~ ~ TRENCH DEPTH: <br /> <br /> ROCK DEPTH: <br />BUILDING SEWER MA'PL: ..~ ~'.~¢/'/~ <br />EFFLUENT SEWE~ MAT'L: <br /> <br />In accordanoe with Oregon ~ev'Jsed StatUte 4,54,665; this cer~fioate is issued as evidence of satlsfacto~ <br />completion of a subsud~ce or alte~atlve sewage disposal system at ~e above Ioc8tion. <br /> <br /> TITLE: .~~ ~¢¢¢. - ' ' <br /> <br /> <br />