Laserfiche WebLink
CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br /> / <br />/ z <br /> <br />,/ <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <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 /> ~ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />,, ~'~¢--~C~- ~¢-T~ SITE NO. I ~'2') ,~ <br /> <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> TRENCH DEPTH: <br /> ROCK DEPTH: <br /> DIST. TO WELL: <br /> BOXES: <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurfacet'6/~a~-nati~;e/~age(~;;~saI syltem at the above location. <br />iNSPECTED BY: ~¢'"k'~'~/I [~/~ DATE. '~ 1 I'- fl TITLE: l~-&, <br /> <br /> <br />