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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT.CENTER <br /> <br /> 285 Church Street NE * Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br />DATF/T~NF <br />PCCUPANCY <br /> <br /> CERTTFICATE OF ~ATISFACTflRY COHPLETION <br /> <br />: 95-tfi47~ ISSUED : 18/16/1995 <br /> <br />aDDRESS = CITY: DETROIT 21~ LaKECREST OR DT <br /> <br />$11~BIVTSIPN : PATTOH aDP ] LOT= <br /> PROPERTY L~CATOR= <br /> <br />= BURT?CHARLES O &SHIRLEY. O <br />= 395] CROXSAN CREEK RD $ <br /> SALEN~ OR <br /> 77~ <br /> <br />IHSTAU-ER <br /> <br />: ~URT~CHaRI_ES O & SHIRLEY D <br /> 395) CAD,SAN CREEK R~ S <br /> <br /> 97~B2 <br /> <br />DED LICEHSE= <br /> <br />~RK ~ESC : ~SP:SPTR FOR 3 ~R DB <br /> <br />PROJECTE~ ~ATI_Y ~A&E FL0~: 459 GALLONS <br /> <br />PERHTT SYSTEN TYPE: SEEPaCE TRENC~ <br /> <br />The ~pttc system located at the above address has been inspected and found <br />to be ~n coep]~ance w~,th the rule~ of the Env~ronaen'~a! Qual~y Co~eiss~oe and <br />~he conditions of the permit. This CERTIFICATE OF SaTISFaCTORY COHPLETIOH <br /> . a~ ~woence tha~ the syste~ co~plies with the role~. The Certificate is <br />valid for a period of five (5) years for connection of the syste~ to the facilAty <br />for which it <br /> <br />S~e attached as-Ruilt drauing for details of the constructed system. <br /> <br />~NAI, P E. W~ODL,EY~ NatiON COUNTY ~UILD~Ng OFFICIAL / BY DFREILZN~F---' <br /> <br /> <br />