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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENi' <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' " ~ . i ': ' ' L:[ <br />1. The septic SyStem must be i~all~ ~ s~w~ ~ve and mu~ ~ in~ted ~ior to ~OVer. <br />2. All d~sal t~nches sha8 ~ installed so as to fol~w the na~l ~ntour of the g~nE. <br />3. If there are que~t~n~ concerning th~ la. ut of the system, please call our office ~r to const~ion of the system. <br /> <br /> Name: <br />AddreSS: <br />Legal De~crlptio,: T <br /> Tax Lot <br /> <br />Water Supply: <br />Issua~ Date: <br />Expiration Date: ~ ~" ~ _ <br />(Request f~ m~wal of t~is pe~it must be ~de orbr to the <br />expiration date.) <br />IMPO~A~: K~p this d~en[ with your rads. Show this <br />permit to the septic syst~ installer pri~ <br />system. Any devlatb~r~ the aparoved plan ~ust have pri~ <br /> <br />Signature _ (k~ ~ .. . <br />R~. 1 <br /> <br />sYSTEM SPECIFICATION.S: <br />Type of System: .... ~-~T~.~-/) <br />Septic Tank Capacity: <br /> <br /> gal. min. <br />Lineal Fee! Disposal Reld,~.., ~ .~' ' <br />Distribution: -~-A~iJ l~-f,-- ' -- <br />Dispo&31 Trench Depth'. <br />Filter Mata'ial Depth: <br />Minimum Soil Backfill: <br />Curtain Drain: ( ) Yes; (~) No <br />SpeciaJ Requirements: <br /> <br /> site Number: :~ ~ l,~- ~-O <br /> Permit Number: ~ I. <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />