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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br />DATE/TZME <br />PERMIT NO <br />OCCUPANCY <br /> <br /> 285 Church Street NE * Room 132 * Salem, Oregon 973016670 <br /> Office Hours: 8:00.4:30 · Phons: (503) 588-5147 · 24-HR Inspection Line: (503) 373.4427 <br /> <br /> CERTIFICATE OF SATISFACTORY COMPLETION <br /> <br />~/26/97 ~8:~ STATUS : COFC <br />96-~8~42 ISSUED : 02/~6/1997 <br />R-3 PAGE 1 <br /> <br />SITE ADDRESS : CITY: MARION COUNTY 12e55 NEAL ST SE AM <br /> <br />SUBDIVISION : <br /> <br />PARCEL NUMDER : 7350e-~98 <br /> <br /> PARCEL SIZE : 2~924.~SF <br /> <br />OWNER <br /> ADDRESS <br /> <br />HOLLINGSWORTH.ALTA & ROBERT <br />4684 BUENA VISTA RD S <br />JEFFERS0N <br />OR 97352 <br /> <br /> BLOCK: <br />PROPERTY LOCATOR: ~91N19BBO3~B~ <br /> <br />INSTALt. ER <br /> ADDRESS <br /> <br />: STAYTON, ML CTY & SILVERTON SEPT <br /> FRANK WILSON <br /> 41155 STAYTON SCIO DR SE <br /> STAYTON OR 97383 <br /> <br />OEO LICENSE: 34916 <br /> <br />WORK DESC : AUTH/HAJOR REPAIR 'NO HISTORY" <br /> <br />PROJECTED DAILY SEWAGE FLOW: 458 GALLONS <br /> <br />PERMIT SYSTEM TYPE: <br /> <br />The septic system located at the above address has been inspected and found <br />to be in compliance with the rules of the Environmental Quality Commission and <br />~he conditions of the per,it. This CERTIFICATE OF SATISFACTORY COMPLETION is <br />issued as evidence that the system co~plies with the rules. The Certificate is <br />valid for a per~od of five (5) years for connection of the syste~ to the facilit~ <br />for which it was constructed. <br /> <br />See attached As-Built drawing for details of the constructed systen. <br /> <br /> <br />