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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> PHONE: ~8~$147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> · <br /> <br /> FI"N' L". :."CO"P:'Y ................................." <br /> ,, PL~E DESTROY <br /> <br /> , ~.. : ~ ." :, <br /> <br />1. The septic s~tem mu~t be in.ailed as s~wn ~ve and must ~ in~e~ p~r to ~ver. <br />2~ All disposal t~oches shall ~ i~tatlod so as to tol~w t3, na~r~l con~our of the grou~. <br />3. If there are question~ co~eming the la.ut of the s~tem, plo~o Call our office prior ~ ~tmction of the s~tem. <br /> <br /> Legal Description: T ~ R ~ S ~; ~ptic Tank Capaci~, ,,,. ,~. ~ gal. rain <br /> T~ Lot No. ~?. ~~, Linoal F~ Di,~l~ / 3 ~ .............. <br /> System ~11 Se~e:~~,',,, Distribution: ~ <br /> Projected Sewage~o~ ~ ~, gaFd~ Disp~ Trench ~pth: <br /> water Supply: ~ ~ ~ ~ PI g ~ <br /> Rlter Material DeD~: ~ .7 ~ v ( 7 ~: <br /> Issua~e Date: ~J '~"' <br /> Expiralion Date: ~ { ~/¢¢g ~ ..... ,,,, Minimm ~Jl Backfill: <br /> <br /> {Request [~ renewal of lhi~ p~it must bo made ~r[or to ~o <br /> expiration dat~,) ~~ <br /> IMPOrTaNT: Ke~p this d~umont ~th your r~r~. S~w thio <br /> permit to the septic syst~ install~ pr~ to installation of the ~ ~/~~~. <br /> system. Any deviat~n fr~ the approved plan must have prior S~oNU~r:~ ~.~,' "' <br /> approval fr~ offic~ ~ .... P~it Number: <br /> Si9~ture ~ ~,, ~, ~IS PERMIT IS NOT T~NSFERAB~ <br /> <br /> <br />