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 />OWNER: <br />ADDRESS: <br />INSTALLER: <br /> <br /> ~'vS~ "~o ~'¢'~ ~ ~'"¢~;~ ~'' .... <br /> <br /> ON-SITE SEWAGE SYSTEM INSTALLATION INSPECTION <br />~.O~O ~ ~ 6~ . SITE NO.~ ~~ <br /> ~ 5~. __ ~ ~ PERMIT NO. __ U71 G ..... <br /> <br />SEPTIC TANK: <br /> NO, GALLONS: ( <br /> MATERIAL: ~ ~_,~ ,',.5 C. ~L-' F ~--- <br /> MANUFACTUR~': <br /> <br />BUILDING SEWER MAT'L: __ <br />EEFLUENT SEWER MAT'L: q" COL. '~O~gg[ _ <br />COMMENTS: <br /> <br /> DISPOSAL FIELD: <br /> TOTAL LENGTH': <br /> PIPE MAT'L: <br /> TRENCH DEPTH: ~$~F/% <br /> ROOK DEPTH: __ <br /> DIST. TO WELL: <br />' BOXES: I-~I S27",,,~ F¢~ 'r'~ O~__ <br /> <br />In accordance wit--~ Orego~Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br />completion of a subsurfac?~r~ema~tlv,,e)~w~.~isposal system at the above location, <br /> <br />iNSPECTED BY:. ~,fr~J-~,~/' f~/ k~l~2'~t~ ~tc/[)~ DATE: ~'- "2- ~ ¢3 <br /> TITLE: ~ __, _ <br /> <br /> <br />