Laserfiche WebLink
CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br /> MARION COUNTY <br />COMMUNI'i-Y DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />OWNER: <br />ADDRESS: <br />INSTALLER: <br />SEPTIC TANK: <br /> NO. GALLONS: <br /> MATERIAL: <br /> MANUFACTURER: <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />~L ~ ~'ocoL.~ SITE NO. ~¢3 -'~IOD_ <br /> <br />BU LDING SEWER MAT'L: <br />EFFLUENT SEWER MAT'L; <br />COMMENTS: <br /> <br />PERMIT NO. <br />DISPOSAL FIELD: <br /> TOTAL LENGTH: <br /> PIPE MAT'L: <br /> <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 /> <br /> TITLe: !~, . .... <br />MC 15,S6 Rev. 12/92 <br /> <br /> <br />