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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 /> CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM_ <br /> <br />1. The sept%' &t;m mu;; be *s;al,¢; as shown~bo;e'"a~us, be .spec;ed p.r ,o cover% <br /> <br />2. All disposal trenchea shall be instal/ed aD as to follow the natural contour of the ground. <br />3. If there are questions concerning the layout of the aystem, please call our office prior to construction of the system. <br /> <br />Narne:~,C.d ~' ~ ,'¢'~"~4',~. '""~z-c~--/-~ SYSTEM SPECIF~.ATIONS: / <br />Address: /'~t5 ,~,~.~-'/..z~,~/.~ . ?')~"~'~,/"~:: Type of System: ....~,.~.~.~ :pZ_ <br />Legal Descri'~ption: T /~ ~, R ~ S ¢ 2L Septic Tank Capacity,/ 'r'~_~,¢.¢¢¢0 gal, min. <br /> <br /> Tax Lot No, Distribution: <br /> System Will Serve: .~"~-/~. ~-~ .~//¢~'~/,-~., <br /> Projected Sewag~F~w: / ~ ~ <br /> Water Supply: [~.~ ~ ,, Filter Material Depth: <br /> Issuance Date: ¢~¢/¢, ¢ / ,, Minimum ~il Backfill: <br /> Expiration Date: ,, / ~¢~/¢ ~ ,,, Cudain Drain Required~ <br /> IMPORTANT: Keep this docu~t with your records, Show Special Requirements: <br /> this permit Io the septic system installer prier to installation ~.~ <br /> of the system. Any deviation from the app~ved plan mu,t <br /> h~ve prior approval from this office. <br /> ' Site Number:- ' <br />i THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> I ,,, ~ ~ ~z ~ ,,~, <br /> <br /> <br />