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Marion County <br /> Certificate of Satisfactory Completion 5155 Silverton Rd NE <br /> Salem, OR 97305 <br /> fifedgbf Repair (Minor) - Residential - New 503-588-5147 <br /> Building@co.marion.or.us <br /> o:R E.c o N 555-21-002893-PRMT-01 Website: co.marion.or.us <br /> " � 3�3,•u. jt �+./� .i e �'�a ar �a t 3'f 'a. ':� s t .�a ,; l t vk��,�+ E•rr.� ay,:� <br /> Date Certif)cate Issue `05/05 021 aG n x S�a s n i3• <br /> Wo. D cription FIRE AUTf /,' I EPAIR 3 BORM TO tEPL,3 BORM P <br /> 3 � ����� h�ryr�""a-�"� ,.,Sth .` *. va rosc <br /> {t•a s .�.:<,. .. srx, �C .3. .' � _? a s w sP,;a . ... .�..� .... .:... .ai ._. ........ .: '�.. .. •'hri a•.i. ?.!. ..;.a <br /> 3.�iZ 41kit i <br /> Applicant: CAPEK,SCOTT Primary Contractor:SEE PROPERTY OWNER <br /> Address: 708 NORTH SANTIAM HY INFORMATION <br /> GATES OR 97346 Owner(Property):OWNER <br /> Phone: 831-261-7123 <br /> Owner: CAPEK,SCOTT Property Address: 708 North Santiam Hwy,Gates, OR <br /> Address: 708 NORTH SANTIAM HY 97346 <br /> GATES OR 97346 <br /> Parcel:093E27CA00300-Primary <br /> Lot Size: 0.45 acres Water Supply: N/A <br /> Zoning: N/A City/County/UGB: N/A <br /> Land Use Approval: N/A <br /> Category of Construction: N/A <br /> V _ L.� Dai Q♦ ( b N• �L � S <br /> :.� _a__,�w«1 ..__ _._; .___.� �a`__R .._._; ._Y..�.,.f .::>°_.. �,,.) ..��...�M kS�w�« I�, l i.n...?h,.r,_ n 6aw.k,*�•,�__. ,.,..z _�_.��__. _>.. `_�KK'?�� _._. ..w._ .._.. d <br /> Use of Structure: N/A single family dwelling <br /> Number of Bedrooms: N/A 3 <br /> System Specifications <br /> Type: Tank Only <br /> Special Tank Requirements: Needs a new lid for tank per OAR 340-073(6)The tank must have a cover that can be securely <br /> fastened or weighted to prevent unauthorized access.the current tank lid does not fulfill those <br /> requirements. <br /> • <br /> 5/5/21:9:12:39AM Page 1 of 2 ONS_OnsiteCSCjr <br />