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MARION COUNTY <br />COMMUNITY DEVELOPMI=NT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />22O HiGH STREET NE <br /> SALEM, OREGON 97'301 <br /> PHONE: 588-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> t, Tt~O Septic system must be instal/ed aa shown above and must be inspectetl prior to cover. <br />2, Ail dispose/trenches shall be installed so as to fo/iow the natural contour of the ~round. <br />3. If there are questions concerning the layout of the system, P/ease ca//our office prior to construction of tho system. <br /> <br />Address; ~L~.. ~;~' ~.~e,'""'"~O~ ~,-----------------~7 <br />LegaIDescripUon: T ~ R,, (~, S ~ <br /> Tax Lot No, <br />System ~11Sewe; "'~( ~ ~ ~ ,, ' ...... <br />Projected Sewage Fbw~ ~ ~a~day <br />Water Supply; ..... ~.,,,,,, ' " <br />~ssuance Date: ~,,,~ ~ i ' ,, <br />Expiration Date: , ~ f~ ~ <br />iMPORTANT: Keep this ~ment with your re~rds. Show <br />this permit to the septic system installer pdor to in~allation <br />of the system, Any deviation from the approved plan mum <br />have prior approval from this office. <br /> <br />Sionature: ~ ~~ ..... <br /> <br />Permit Number: ,~') ~-/ ,, <br /> ...... Registered Sanitarian <br /> <br />SYSTEM SPECIFICATION$i <br />Type Of System: . ~¢'¢~¢, <br />~.eptic Tank Ca~oity: I~ gal m~n. <br />Uneal Foot Dis~sal Field: <br />Distdb~lon: ~ <br />Dis~sal Trench Depth:. ~ ~ ~ ~" ..... <br />Rlter Matedal De, h: <br />Minimum $oil BacUlll: ~" ' ......... <br />Cudain Drain Required: ( ) Yes; <br />Special Requirements:~ <br /> <br /> <br />