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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION GOUNTY <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 /> MATEF~IAL; <br /> MANUFACTURER: <br /> <br />ON-SITE SEWAGE SYSTEM INSTALl-AT[ON INSPECTION <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />tn accordance with Oregon Revi~ed Statute 454.665; this certificate is issued aS evidence of satisfactory <br />completion of a subs~'f~e~o~ alt~rr~ti~,e sew~age disposal system at the abo~ location, <br /> <br /> ¢;...% - ; ....... <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE~ MAT'L: ' ~'- <br /> TRENCH DEPTH: <br /> ROCK DEPTH: .. <br /> DIST. TO WELL: <br /> BOXES: <br /> <br /> <br />