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Marion County <br /> Certificate of Satisfactory Completion 5155 Silverton Rd NE <br /> MarlonSalem,OR 97305 <br /> county;, Repair (Minor) - Residential - New 503-588-5147 <br /> Building@co.marion.or.us <br /> OREGONN 555-21-006906-PRMT-01 Website:co.marion.or.us <br /> a .% c a� s r'�• � <br /> itta. cat�aSSUed #t 14 ,; y <br /> + <br /> Work Des rption Ki N4RE aifo REit AN <br /> Applicant: MELTON HOME REMODELING LLC Contractor:Clean Slate, LLC <br /> Address: PO BOX 918 Installer License:39190 <br /> MILL CITY OR 97360 Address: 5930 Juniper St NE <br /> Phone: 9712399092 Salem OR 97305 <br /> Email: going2ride19@gmail.com Phone: 5033837580 <br /> Email: clsl2@yahoo.com <br /> Owner: BOX,ALTON S Property Address: 10225 North Fork Ln SE,Lyons,OR <br /> Address: 10225 NORTH FORK LN SE 97358 <br /> LYONS OR 97358 <br /> Parcel:093E11AB01000-Primary <br /> Lot Size: 0.67 acres Water Supply: Well <br /> Zoning: N/A City/County/UGB: N/A <br /> Land Use Approval: N/A <br /> Category of Construction: N/A x (� <br /> r ` & ? ,.; a y �3�a#+Po< 35_ <br /> �:' <br /> Use of Structure: N/A single family dwelling <br /> Number of Bedrooms: 3 3 <br /> System Specifications <br /> Type: Tank Only <br /> Max Peak Design Flow: 375 gpd. Proposed Flow: N/A <br /> Min Septic Tank Volume: 1000 gal. Min Dosing Tank Volume: N/A <br /> Special Tank Requirements: infiltrator 1060 single compartment gravity flow <br /> Special Requirements <br /> Other Special Rquirements: replace dbox <br /> 7/17/24:9:49:59AM ONS_OnsiteCSC pr <br />