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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <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 S.Y..STEM <br /> <br />1. The septic system must be installed, <br />2. All disposal trenches <br />3. If there are <br /> <br /> shown above and must be inspected prior tO co <br /> ; to follow the natural contour of the <br />layout of the system, please call our office <br /> <br />consfruction of the system, <br /> <br />Name: ' L,.,.~ <br />Address: <br />Legal Description: T R <br />Tax Lot No. <br />System Will Serve: T:)6=~ ¢_~-' <br /> q.%'O gal/day <br />Water Supply: '~'-~ <br /> <br />Issuance Date: :~- :2~ ~ ~ I <br />Expiration Date: ~ ~ ~ - R g-. <br />IMPORTANT: Keep this document with your records. Show <br />this permit to the septic system installer pdor to installation <br />of the system. Any deviation from the approved plan must <br />have pdor approval from this office. <br /> <br />THIS PERMIT IS '~ NS I~,L <br />Signature: , . , <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: <br />Septic Tank capacity: I PO gal, min. <br />Lineal Feet Disposal Field; <br />Distribution: ., .,,.,..~ ¢,-L,~ <br />Disposal Trench Depth: ,=,,~L( - '~(¢" -'--~-- <br />Filter Material Depth: ! ,,.3_." <br />Minimum Soil Backfill: ,/,,.~-" <br />Oudain Drain Required: ( ) Yes; (/~ No <br />Special Requirements: <br /> <br />site Number: <br />Permit Number: <br /> <br />, Registered Sanitarian <br /> <br /> <br />