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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING INSPECTION DIVISION <br /> 220 HIGH STREET <br /> SALEM, OREGON 97301 <br /> PHONE: 588.5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />t- <br /> <br /> I Tl~e sepEC syStem must be installed as shown above and must be inspected prior tO cover. <br />2 AIl disposal trenches ~hall 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 pnor to construc#on of the system <br /> <br />Address; ~-/ ~A~o~y ~ ~ <br />LegalDescription: T q.s R ~ S ...... 13' ' <br />Tax ~t No. <br />System ~11Sewe: ~( ~ <br />Pmje~ed Sew~e F~w: ~i ~3 gaVday <br />Water Supply: ..... ~ <br />Issua~e Date: ~- ~O- . <br />Expiration Dae: L[. ~,,D '~ <br />IMPORTANT: Keep this d~ment with y~ re~s. Sb~ <br />this per~ to the ~p~c system installer p~or to in~allation <br />of the system. A~ de~on imm ~e ~d pan ~a <br />have p~or approval Imm this office,, <br /> <br /> SYSTEM SPECIFICATIONS: <br />ir Type of System: ......... ~'~o A -c-c-c-c-c-c-c-c-c-~ <br /> Septic T:~nk Capacity: ~ ~ gal. mir: <br /> ~ne~l Feet Dis~sal Field: ~ ~ · <br /> Dst~b~on: , , ~ <br /> Dis~sal Tre~h Depth~ ~ ~ ~ <br /> R~etM~eHal Depth: ~ ~' ~,,~ <br /> Minimum ~il Ba~tfl: ~" <br /> Cu~ain Drain Required: ( ) Yes; ~) No <br /> S~al Requirements: ~U~.~ ~ C~ ~,~- ~ <br /> <br />Site Number: <br />Permit Number; <br /> <br />Registered Sanitarian <br /> <br /> <br />