Laserfiche WebLink
CERTIFICATE OF SATISFACTORY COMPLETION <br /> MARION COUNTY <br /> <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br />SALEM, OREGON 97301 <br />PHONE: 588-8147 <br />ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br /> <br />OWNER: <br />ADDRESS; <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATER~AL: <br /> MANUFACTURER: <br /> <br />BUILDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L: <br />COMMENTS: <br /> <br />SITE NO. <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br />TOTAL LENGTH: ,,~ ?~- ' <br /> PIPE MAT'L: D- ? 2-¢f <br /> TRENCH DEPTH: /~'-2q ~' <br /> ROCK DEPTH: /2" <br /> DIST. TO WELL: <br /> SOXES: <br /> <br />In accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subs~-~,~r a~/~,,~ve~ disposal system at the above location. <br />INSPECTED BY: _~L~ d~'-~.!~/~"~,~--;~r~ _ DATE: ]~- ..3~q -¢3 <br /> TITLE: ~:~'~ ~' <br /> <br /> <br />