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MARION COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUILDING iNSPECTiON D[Vi,~tON <br /> ~.0 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> Ci)NSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> .,t..s'~,,,, ~,~ ~ ~-.~'~- <br /> <br /> .. ~ ...L......~..,,,,,: ....................... ~ ........................ , .... .; ......... <br /> <br /> ~. Th~ sept~ system must be in~a//~ ~ shown a~ve anE must be inspect~ prior to cowr. <br />2. ~// d/~o~a/ trashes ~ha// ~ in,tailed sO a~ to ~l/ow th~ natural ~n~our of the ground. <br />3. /~ t~ere are question~ concerning tPe layout of the system, please ca~l our olfi~e prior tO contraction of the <br /> <br /> ..... SYSTEM SPECIFICATIO~ -- 11' j .... <br /> <br /> Legal Description: T ~ R :~ ~ ~ S ~ Septic Tank Cepacol: ~,~ ~ g~. rain, <br /> T~ Lot No, ~ ~ U~ Fee[ DisposSl Reid: ~ ~ ~ <br /> System ~11Se~e: ~t D~ Distrib~on; ~ ,, ' "'. <br /> Froject~ Sewage FIo~ .... ~ ~ ., g'~Vday Disp~ Tr?ch Depth: ~ ~, /-~ <br /> <br /> Expira[ion Da[e: ~ ~ (~ -¢~ CurtAin Drain: ( ) Yes; ( ~ ~ <br /> (Request f¢ renewal of this permit m~t be made ~ ~e Special Requirements: ~ .)~/~/~ ~ 0 <br /> expiration date,) ~L~C~ ~E~ ~, , <br /> I MPORTA~: Keep ~is d~ent with your rentals. S~w ~is , , <br /> pe~it to the Sep~ystem installer ~r~r to installation of the ~, <br /> system. Any devi~ti~m the~a~r~ed p~ must have prior Site Number: ~' ~ / <br /> <br /> Signature ~ ~ ~ ~ ~ ~IS PERMIT IS NOT T~NSFE~BLE <br /> <br /> <br />