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 />ON-SITE SF-~VAGE SYSTE! INSTALLATION INSPECTION <br /> <br /> ~/ ~N-: ITE ~L~,A 'E! I INS <br />OWNER: ~¢~¢.~*-.~z"¢'"~'¢0~-- ;47'~,,~,,~ ~JL/~SITE NO. <br />ADDRESS: /¢¢ ~ ¢~, <br />IN~STALLER: ~ ~ ~,~ PERMIT NO. <br />SEPTIC TANK: ~ DISPOSAL FIELD: <br /> NO. GALLONS: ~¢'¢¢ TOTAL LENGTH: <br /> MATERIAL; ~~ PIPE MAT'L: <br /> MANUFACTURER: ~¢~ ~ TRENCH DEPTH: <br /> ~ ~ ~ ¢ ~ ROCK DEPTH: <br />BUILDING SEWER MAT ~: ~ ~~c¢~ DIST. TO WELL:~ <br />EFFLUENT SEWER MAT L: _ ~ ~ ~-~C ~/~¢¢OXES: <br />COMMENTS: <br /> <br /> In ;accordance with Oregon Revised Statute 454.665; this certificate is issued as evidence of satisfactory <br /> completion of a subsurface or,~te~iv~?~,w~g_}disposal system at the above location. <br /> <br /> TITLE:~ ~,~ ' <br />MC 15-65 Rev. 1/91 <br /> <br /> <br />