CERTIFICATE OF SATISFACTORY cOMPLETION
<br />
<br /> MARION COUNTY
<br /> COMMUNITY DEVELOPMENT DEPARTMENT
<br /> BUILDING INSPECTION DIVISION . r) ~/ ~J
<br /> 220 HiGH STREET NE ,, y~.~ ~
<br /> PH~: 56~147
<br />
<br />'~ . ~ ~. ......................... : .......... ;.[ ............... : ~ "~.~
<br /> ~,.~ -. , ..~.e~,~, i'.../ ~
<br />......................................... : ....................... ~;~ ............ : ................... (~'~v" ~ ~ · ~
<br />............... ~ .... , . ~' ~ ,,~
<br /> I.: ..'= ~ .: ...... ~ . .....
<br /> -- ~. ~ , ,~ ~. . : .~ :~ .: . ~ .
<br />
<br /> , ,~,.,=: ~ :.. :..t,,,~.. t :,....... ...................................... ,--'"~ ~ ·
<br /> , ~ ~ ,. . ~. ~ · ~, ~ ~ ~ :
<br />
<br /> ~ : "' :" ': -"'",," z:::,,~""~:E:::..?:..; .......... z .......... ~ .....
<br /> :' ~ ~ ~ ·
<br />
<br /> ~~~ .- , . , . ,, ...
<br /> ..;...:..~.~>..,,~,,,~ .................. ~:_......: .............
<br /> ~ ' , ....... Z,,,,,,,,,,,: ................... ~.....:. ,..,~ ........
<br />
<br />OWNER:
<br />ADDRESS:
<br />INSTALLER: --~'~~,
<br />SEPTIO TANK:~
<br /> NO. GALLONS: /~ ~ ~ ~¢~ ,.
<br /> MATERIAL:~¢~ ~, '
<br /> MANUFACTURER~
<br />
<br />~q~OI~I-~iTE S~EWAG~Y$,TEM INSTALLATION INSPECTION
<br /> ~-~_~,¢ SITE NO.... (~/3- ~77
<br />
<br />PERMIT NO. ~5~-/
<br />DISPOSAL FIELD:
<br /> TOTAL LENGTH: ~-.,~ '
<br /> PIPE MAT'L:
<br /> TRF_NCH BE~TH:
<br /> ROCK DEPTH: /~,
<br />
<br />In ~ccordance with Oregon Revised Statute 454.665; this ~rtiflcate is issued ~ evidence of satisfac{~
<br />completion of a subsudace or stternative sewage disposal SyStem at the above location.
<br />~NSP~CT~D BY: ~ .~~ DATE:
<br />
<br />
<br />
|