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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />;~20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> ' ! I~e septic sygtem must be Instafled as showI1 above and must be inspected prier to cover. <br />2 A fl disposal trenches shall be installed so as to follow the natural contour ef the ground. <br />3. f~ there are questions concerning the layout of the system, please carl our office prier to construction of the syste~. <br /> <br />Address: <br />Legal Description: T <br /> Tax Lot No. ' <br />System Will Serve: <br /> <br />Projected Sewage Flow: <br />Water Supply. <br /> <br />SYSTEM SPECIFICATIONS: <br /> <br />Expiration Date:_ ~- / ~..--~.?._ <br />iMPORTANT: Keep this document with your r~ords; Show <br />~h~$ permit to the Septic system instaIIer prier to installation <br />of tt~e system.. Any deviation from the approved plan must <br />h~ve prior approval from ~his office. <br />TH~S PERMIT IS NOT~FER~EJ /~ <br /> <br />Type of System: <br />Septic Tank Capacity: <br />Lineal Feet Disposat Field: <br />Distribution: <br />Disposal Trench Depth; __ <br />Filter Matedal Depth: <br />Minimum Soil Backfill: <br />Curtain Drain Required: <br />SpecJal Requirements: <br /> <br />Site Number:: __ / ~ I O~ <br />Permit Number: ~ ~-~-~'"- <br /> Registered Sanitarian <br /> <br /> <br />