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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 />t. The Septic system must be installed as shown above and r~ust be inspected pfiorto cover. <br />2. All disposal trenches shall be installed so as to follow the natural ~ontour of the ground. <br />3. If there are questions ~onCerning the layout of the system, please cai/our office prior to construction of the system. <br /> <br />Name <br /> <br /> Address: ~ ~'c~'tm-/~0~,~ '~- <br /> LegaIDescription: T_JO.5__ R~ S [ <br /> Tax Lot No. <br /> System Will Se~e: ~~ <br /> Projem~ sewage F~w: c~,~ gaVday <br /> W~ter Supply: ~ I~ ~ ~f ~ <br /> Issuance Dale; ~ - t ~ <br /> ExpiraUon Date: ~ ~(~ ~ <br /> iMPORTANT: Keep this do~me~ with your re~s, Show <br /> thi~ per~t to the septic ~ystem in~aller prior tO i~tallation <br /> of the system, Any de~a~on from the approved plan mu~ <br /> have pdo~ approval from this ~Ice. <br /> <br />Signature: ,, <br />M~ ~7 ~. ~ ........ <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: ~,.3,~_.~ <br />Septic Tank Capacity: I G;~E:(~... gal. mi~ <br />Uneal Feet Disposal Field: <br /> <br />Distribution: <br />Disposal Trench Depth: <br />Filter Matedai Depth: <br />Minimum Soil Backfill: <br />Curlain Drain Required: <br />Special Requirements: <br /> <br />( ) Yes; (P~) No <br /> <br />Site Number: '~'~ I <br />Permit Number: <br /> Register'ed Sanitarian <br /> <br /> <br />