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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 />)NSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />Cl <br /> <br />1. The septic system must be installed as shown above and must be inspected prier to cover, <br />2. All disposal trenches shall be installed so as to follow the natural contour of the ground. <br />3. if there are questions concerning the layout of the system, please call our office prior to construction of the system, <br /> <br />Address: ~.~-'~-',c/z/ /.77~..?,~y.~/,~-~,~¢'~ ~, ~¢~/, <br />Legal Descri~ti°n: T '~' ~R 2~ S 3/~ <br /> Tax Lot No. / ~¢¢ <br />System Will Se~e: ~ v ~, ~, ~ <br />Projected Sewage Flow: ' ~¢~ gal/day <br />Water Supply: ~// ¢ . <br />Issuance Date: ~//~/~ ~ <br />Expiration Date: ~//~/¢ ¢ <br />(Request for renewal of [his per~mus~ be made odor to the <br />expiration date.) <br />IMPORTANT; Keep this document with your records. Show this <br />permit to the septic system installer prior to installation of the <br />system. Any deviation from t~ approved ptan must have prior <br />approval from~ office/ / ~ ~ *~ <br />Signature ~¢ ~ ¢~ ~¢ <br /> <br />.,SYSTEM SPECIFiCA*'flONS: <br /> <br /> Septic' Tank Capacity': <br /> Lineal Feet Disposal Reid: <br /> Distribution: ~¢¢~ ~¢" <br /> Disposal Trench Depth: <br /> Filter Material Depth: ~ <br /> Minimum Soil Backfill: <br /> Curtain Drain: ( ) Yes;~ <br /> Special Requi~pent~ <br /> <br /> Site Numbe~: Z <br /> Permit Number: <br /> THIS PERMIT IS NOT TRANSFE~BLE <br /> <br /> <br />