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CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY OEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />'"' '"~ .......,' ,~ ~E~J~ <br /> <br /> ................. ,,o-q.;~ .... :" '" "7' '''''~ .......... <br /> 1 <br /> <br /> P,, ~-¢~, . i <br /> <br /> · . ......... ' "~ .... .~r~2' ,' ................ 7'"'" · ' ' ' .... <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER; <br /> <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />SEPTIC TANK: <br /> NO, GALLONS: __ <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: ~':~/~ <br />COMMENTS: <br /> <br />PERMIT NO. ~'Z)r'~ iq ................. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: ~r~ ~C. <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TOWELL: ~U~P~ t~t~ ~'#~-T" <br /> OXES: <br /> <br />In accordance with Oregon Revised Statute 454.665; this ~rtificate iS issued as evidence of satisfactory -- <br />completion of a subsurface or .sewage <br /> alternative disposal system at the above location. <br /> <br /> <br />