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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPABYMENT <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 Tl~e septic system Illust be installed ss shown above and must be inspected prior 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 concernin~l the tayout of the system, please call our office prior to construction of the syslem. <br /> <br />Address: ~.o~'3.~. O(..~T~trO ~,,.,~(~" <br />Legal0es~iption: T ~ R ~ ~ <br />Tax Lot No. <br />System ~II Sewe: . ~~ "' <br />Proje~ed Sewage F~w: ~ guiltily <br />Water Supply: ~ ~ ~ <br />issuance Date; ~ _ ~ -//-~[ '" <br />Expiration Date: ~://~ ..... ... "' <br />IMPORTANT: Keep this ~cument with yOur re~rds. Show <br />this petit to the septic system installer pdor to instal~a~on <br />ef the system. Any de,Atica from the approved ptA~ ~ <br />have prior approval from this offi~. <br /> <br />SYSTEM SPECtFtCA~IONS: <br />Type of System: <br /> <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field:: <br />Distribution: .... <br />Disposal Trench Depth::. <br />Filter Material Depth: _ <br />Minimum Soil Backfill: <br />Curtain Drain Required; <br />Special Requirements: <br /> <br />/CICE~ gal mtn <br />( ) Yes; (,~) NO <br /> <br />Site Number:. ~:~"'~ 7 . <br />Permit Number: .. ~L[')/~ <br /> Registered Sanitarian <br /> <br /> <br />