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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 ° Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 ° Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />CERTTFZCATE OF SATTSFACTORY COHPIETZON <br /> <br />DATE/TTHE = D3/O4/97 ]e=22 STATUS = XSSUED <br />PERHIT NO = 96-~S4';~1, ISSUED = 11/~4/1996 <br />OCCUPAHCY = R-3 PAGE I <br /> <br />SITE P.~DRESS = CITY= Fa~RZON COUNTY <br /> te3i3 HILL CREEK RD SE AH <br /> <br />SU~DTVISION = <br /> <br />PARCEL NUflDER = 54388-~e~ <br /> <br /> PARCEL SIZE = 1.BAG <br /> <br />OIJHER = SHIDI.EY.NICHOLAS <br /> ADDRESS = ]~313 HILL CREEK RD <br /> AIJ~VILLE~ OR <br /> <br /> LOT= BLOCK= <br /> <br />PROPERTY LOCATOR= 881#31A~1BO0 <br /> <br />INSTALLER <br /> ADDRE~S <br /> <br />= SHIBLEY,NICHOLAS <br />= 1~313 HTLL CREEK RD <br /> AUHSVTLLE~ OR <br /> <br />OEO LZCENSE= <br /> <br />IIORK I)F**SC = SS=AUTH/ALTERATION HFG HOSP <br /> <br />PROJECTED DAILY ~E~AGE FI.~RJ= GALLONS <br /> <br />PERHIT SYSTEH TYPE= STAN~RD <br /> <br /> The seDttc system located at the above address has been inspected and found <br />to be ~n compliance ~ith the rules of the Envirormental Quality Co~tsston and <br />the conditions of the permit. This CERTIFICATE OF S~TZSFACTORY CONPLET[ON ts <br />issued as evidence that the system co~plies ~ith the rules. The Certificate is <br />~alid.~o? a_period of. ftv~ ~5) years for connection of the system to the facility <br /> <br /> See attached As-Built dra~tng far details of the constructed system. <br /> <br />BOI,IN.B E. ~OODLEY, HARION COLINTY BUILDZHG OFFICTAL / BY PRYON p.~.-~ <br /> <br /> <br />