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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />2~-0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO iNSTALL A SEPTIC SYSTEM <br /> <br /> i....... ,,,i ............ =,,,,, ~L~AS~...~S~Oy,,,~ '"'"" ',' "· :' ' ............. ~ ............. ~ ..... <br /> '~ ~v~s.~%~s-..~.~ ~,,,,,: .................. ~,,, ~ <br /> .... ....... ; ............. ................ .................. <br /> <br />L Tho sopt~ ~tom must ~ in~ll~ ~ s~wo ~w and must ~ insp~ed ~ior to ~vor. <br />2. All dis~sal t~nche~ shall ~ installed SO as to ~1~ the na~ral ~ntour of the grou~. <br />3. Y there are quest~ns ~erning the layo~ of t~ system, please cae our office pr~r to ~nst~on of the system. <br /> <br /> N~: ..~ ~~ ....... X~ SY~MSPECiR~S:~ ~ <br /> Address: ~V/ ~:~ ~ ~ ~.~Typeof S~t~: ~~ <br /> Legal ~s~ip~n: ~ ~ ~ ' ~ ~ ~ ~ S~ti~ Tank C~a~: /~ <br /> Tax ~t NO, ~~ ~ J Un~ Feet Disp~ Reid: , .~>~ <br /> Syst~ ~ll Se~e: B ~. ~ ~ ' . JDistrib~n: ~ ~ <br /> Disp~al Trench Depth: <br /> Rlter'Meterlal Dep~: <br /> <br />Projected Sewage Flow; . "' ~5/m'~) gal/day <br />Water Supply: ~'~',,~-,~_ ,, .. <br />I~suance Date' /C~//~/~_~ <br />Exp.ration Date: /~/~/Gf/~ <br />(Request for rene~l of ~is pe~it ~ust be made ~ the <br /> <br />gal. min. <br /> <br />Minimum Soil Backfill: / ~"~ <br /> <br />expiration date,) <br />IMPO RTANT: Keep this document with your records. Show this <br />permit to the septic system installer prior to installation of the <br />system. Any dev!atio~ from~the approved plan must have prior <br />approval fr__orr~s off, e/'/-) ..... ./L. ~.. <br /> <br />MC 15-S7 <br /> <br />Curtain Drain: ( ) Yes; ..~ (.~j NO <br />Special Requirem~ts: ,/'~t.,..~.~'-..~.~ ~ <br /> <br /> ' Site Number: <br /> Permit Number: <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />