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220 HIGH ST NE <br />SALEM OR 97301 <br /> <br /> ~RION COUNTY <br />DEPARTMENT OE ~NVIRONMENTAL SERVICES <br /> BUILDING INSPECTION DIVISION <br /> <br />PH. 588-5147 <br /> <br />ON-SITE SEWAGE DISPOSAL SYSTEM <br />CONSTRUCTION INSTALLATTON RERMTT: <br /> <br />I I. I <br /> <br />I , I I .........1 .... I I ......... <br /> <br />Legal Description: T ~ R 1~5 S~-~ <br /> Tax Lot No. <br />System Will Serve= <br />Projected Sewage Flow: ~) gal~day <br />Water Supply <br />Issuance Date: <br />Expiration Date: <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System:,~ <br />Septic Tank Capacity: <br />Lineal Fee~ Disposal Field: <br />mistributioo: <br /> <br />Dispoeal Trench Depthx <br />Filter Material Depth: <br />Minimum Soil Backfill: <br />Curtain D~ain Required: <br />Special Requirements: <br /> <br />9al. <br /> <br />IMPORTANT: ~eep this document with !!our <br /> records. Show ~his permit to the <br /> septic system installer prior to <br /> installation of the s~stem. Any <br /> deviation from the approved plan must <br /> have p,rio£ approval from this office. <br /> <br />TEIS PERMIT IS NO~' TR~FERRABLE <br /> <br />Yes; (~) No <br /> <br /> <br />