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Marion County <br /> Certificate of Satisfactory Completion 5155 Silverton Rd NE <br /> _' Salem, OR 97305 <br /> County Repair (Major) - Residential - New 503-588-5147 <br /> Building@co.marion.or.us <br /> G 0.N` 555-22-005329-PRMT-01 Website:co.marion.or.us <br /> Date Certificate(sued 06/13/2023` <br /> Work Description a AFIRE MIN REP I EGALIZE TANK FOR REPLf2 BDRM WITH NSFD 2 BDRM I BATH' <br /> x �a <br /> .S'�` Fair_ n #�. ., 9"i s^ � as� A_.s 3 3 <br /> .�.<.,�a.<.,< .a... _.,, .i _......_._,, is.., .......; .,., ,: �, ,,.. ,.:v'.vr....a.... .. ..,., .P< _ <.<<.. • ._ .._.,. .....,_-.,. ... <.,, _.. .. ... _....., <br /> Applicant: JACOBSEN LT&JACOBSEN, Primary Contractor:SEE PROPERTY OWNER <br /> RANDY N TRE INFORMATION <br /> Address: 151 WILDFLOWER LN Owner(Property): OWNER <br /> SILVERTON OR 97381 <br /> Phone: 503 507-5617 <br /> Owner: JACOBSEN LT&JACOBSEN, Property Address: 24023 Patton Loop SE, Lyons, OR <br /> RANDY N TRE 97358 <br /> Address: 151 WILDFLOWER LN <br /> SILVERTON OR 97381 <br /> Parcel:092E16BC00600-Primary <br /> Lot Size: 0.31 acres Water Supply: N/A <br /> Zoning: N/A City/County/UGB: N/A <br /> Land Use Approval: N/A <br /> Category of Construction: Single Family Dwelling <br /> Number of Bedrooms: 2 2 <br /> System Specifications <br /> Y <br /> Type: _ Standard <br /> Max Peak Design Flow: 300 gpd. Proposed Flow: N/A <br /> Special Tank Requirements: Existing tank, Drainfield put in without permit has been evaluated for depth and length and <br /> levelness, all acceptable,add dbox remove 1 change to equal box add headers and level up <br /> Drain Field Specifications <br /> Drain Field Type: Not Applicable System Distribution Type: N/A <br /> Special Requirements <br /> Other Special Rquirements: Home burned in Beachie Creek fire reasonable repair rule allowed, no increase in flow <br /> • <br /> 6/13/23:4:21:59PM ONS_OnsiteCSCJr <br />