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MARION COUNTY
<br />COMMUNITY DEVELOPMENT DEPARTMENT
<br />BUILDING INSPECTION DIVISION
<br />220 HIGH STR~.ET NE
<br /> SALEM, OREGON 97301
<br /> PHONE: 588-5147
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<br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM
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<br />1. The ~eptic system must be installed as ~wn ~ve and must be inspected pr~r to ~ver.
<br />Z. All die.sol trenches 8hall be in,tailed ~ ~ to follow ~e natural ~n~uz of the
<br />3, If there are questions concerning the layout of the system, plsase ~11 our off~ pnor to construct~n of the ~ystem.
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<br />Addres~'-~
<br />L~I D~cript~: T~
<br /> T~x Lot NO,
<br />System Will Se~e:
<br />Projected ~wage Flow: ..... ~O~ gaFday
<br />Water Supply:
<br />Issuance Date:
<br />Exp~rat,on Date: .... ~/~/~ ~ ,
<br />(R~ueS~ f~ rene~l of this perm~ m~ be made Drier tp
<br />expiration date.)
<br />IMPORTA~: K~p this d~ument with your r~ord¢. 8~w this
<br />permit to t~ septic syst~ i~tAIler prior to inst~lla~on of the
<br />system. Any devletion fr~ approv~ plan m~t ~ave pri~
<br />approval fr~,t~ offlc~./
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<br />~epe~oM SPECIFIC~T)ONS~ /, z~. '
<br /> Sapac Tank Capa~: ~ ¢ ,, gal m~n,
<br /> Mneal F~t Dispel Reid; ...
<br /> O?ributi~: ~ ~ , t ...........
<br /> D~sp~al T?~h ~Dth: ~ ~P
<br /> Rlter Mat~,~ Dep~: / ~ '1
<br /> Minl~m Soil Backfill: ~ ~
<br /> CuKainDrain: ( )Y~; . (~)No
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<br /> Site N~er: ~
<br /> Pe~it Numbe~ ' ~7~
<br /> ~IS PERMIT IS NOT T~NSFE~LE
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