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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 SYSTEM <br /> <br />The septic system must be installed as shown above and muat be inspected prior to cover. <br />Afl disposal trenches shaft be installed so as to fallow the natural contour of the ground. <br />If there are questions concerning the layout of the system, please call our office prior to construction of the system,, <br /> <br />Name:: ,,,~, L., ¢R5'~-I <br />Address, IIL~ ~ ~ c'~_.cc,-'~_~ ,0 <br />Legal Description: T ~ <br /> Tax Lot No, <br />System Will Se~e: <br />Projected Sewage Flow; <br />Water Supply:: <br /> <br />Issuance Date:: ~- f~- ~I <br />Expiration Date: (¢- f 7_ ~_ <br />iMPORTANT: Keep this document with your records,, Show <br />this permit to the septic system installer prior to installation <br />of the system Any deviation from the approved plan must <br />have prior approval from this office,, <br /> <br />THIS PERMIT IS NOT ~,I~f~FERAI~I~_I~ //) <br />Signature:: <br /> <br />SYSTEM SPECIFICATIONS:: <br />Type of System: <br />Septic Tank Capacity:: <br />Lineal Feet Disposal Field:: 'i~,' <br />Distribution: <br />D sposa Trench Depth:: 1 ~,- ~" <br />Filter Material Depth: ~" ' <br />Minimum Soil Backfill:: ~ '= <br />Curtain Drain Required:: <br />Special Requirements:: <br /> <br />( ) Yes; (~¢) No <br /> <br />gal mtn <br /> <br />Site Number:: 1~)~ ~- <br />Permit Number: '~-%~ © <br /> <br />Registered Sanitarian <br /> <br /> <br />