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MARION COUNTY BUILDING INSPECTION <br /> <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285Chumh.StreetNE · Rum 132 .Sa~m. Oregon 97301-3670 <br /> Office Houm:8:00~t:~0* Ph~ne=(S0~)~l~S147-24~HRtnspection Ltne:(505)SS6~904 <br /> <br /> INEGHPLETE b-'EPTZC ~F'PL~C~TZOH <br /> <br /> TYPE = $~tic Per. J, T0 EXPIRE <br /> CL~S~ = P~GE : l <br /> <br />~:"~he fOIlowiflg'~.rked i~ees of infor~tio~ Oust be <br /> <br /> [~Two (27 test hOles,oust be. dug'bef~e ~:' f~el'd' inspection can be ~ade <br /> 'Test Hole Require~ats=). <br /> <br />rX: <br /> <br />T=o (2> detailed szte p~ans, <br />on the attached~ ' ' <br /> =Instructlon~for Prep <br />a r~e~ (stamped by the'Assessor'uit~ <br />amp of ~prnpe'r~. This aa~..be <br />flap. Eooa~ Fifth Floo~, Fra~klz.n ~i'id.i~ <br /> <br />~ale and including all data as highligh'~ed <br />oration of a Si~e Plan'. <br /> <br />~a' the pa~t six nontks) Harion County <br />~ at'tile ~Larion Countr A~seesor Office~ <br />§? 4?5 State Street~ Salem. <br /> <br /> The existil~ septic t,ani must be. pu~pedl.,ay a ~g licensed pu~ping <br /> verif{cation of pumpi~, ~bei~ed.~o ~s office (~e attached "Pumper Form'). <br /> <br /> E ] Ease~ts oust be pr~ew~ a~ approve.by thzs office przor <br /> . : copy of the rec~g~ easem~ e~st be ~baitted prior to per,it <br /> <br /> [ ] The s~ti~c tank must be a'bandoneg a~-~,attached~ "Septic <br /> <br /> ~ ",TSo (2)'~aaile~ ~plans for tba~'co~truc~;a~'~ 5a~ Filter <br /> <br />[ ) Other: See at~ached "~ ' ' <br /> <br />of the above. At t~t tie~ ~he.epplication ~li, expire a~d fees ~ill be forfeited, <br />Nonday through Friday, a:ea A~ - 4:aB ~. .... :..[ ~' ~/' ."' [.// <br /> <br /> <br />