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MARION COUNTY <br />COMMUNtTY 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 /> I The septic system must be in.ailed as shown above and must be inRoectecl p/for to cover. <br />2. Al~ cl/.~osal trenches shaft be in~talled so as to follow the natural contour of the groullcl, <br />3 If there are questions concerning the layout o! the system, please call our office prior to construction of the system. <br /> <br /> Name~ ,~.q ¥ ~"'4~,, _~~E- ,, SYSTEM SPECIFICATIONS: <br />Address: ~),~ ~J~ ~.~,l~,~.,r-ar ~/9(0 ......... Type of System:. ,,~/~'~/_~/~.~ /~ <br />' LegaJ Description: T~ P~ :Z~J S J '~ Septic Tank Capacity: /~f-z~ gal Tin <br /> Tax Lot No. , ........... Lineal F,eet DispoSal Field:, _~ z~x'~'O <br /> System Will Serve: ~_~/~/~ , _~ ~ ~ Distribution: -O-/~-~ <br /> Proiected Sewage Flow: . /-/'~--~ , ' g~b'day Disposal Trench Depth: ~ '~'/~.~.L~,~ ~,,/ ..... <br /> W~ter Supply: ~//.// , ..... R,Iter Material Depth: <br /> Issuance Date: ~/~'/'~/. . " M,nimum Soil Bacldill: ,/~'""¥ <br /> Expiration Date:'-' / ~ ~/~/'9 ~- <br /> Curtain Drain Require,d: <br /> IMPORTANT: Keep this document with your records. Show Spe~cial IRe.quirements,~~-/~/'* ~ <br /> this per~, tO the septic system i~taller prior ~ i~tallaticn ~ i~ ~ ~ <br /> of the system. Any de~ation from the approved pian mu~ l//,~ ,~,~ ) ~ ~ v..~f.~{A~..~ ,~,~,~.,,.,~,~/~ <br /> have prior ap~oval from this office_ <br /> THIS PE~IT I~ NOT T~ANSFE~BLE Site Number: /~ ~/~:, <br /> <br /> Signature ,~ ~-~- ~'~-~ ~--~'~/, <br /> ....... ~"---,.~- ~, <br /> <br />.c ~-67 ~,~, ~ ........ <br /> <br /> <br />