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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUtLOING INSPECTION DIVISION <br />220 HiGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br /> <br />DONSTRU{ :TION PERMrl- ]O IN~51ALL A ~il=t.' I IV ~'= I = <br /> <br />~ sep~c syStem mu~ b , installed as s~n a~ve and must beJ Wspect~ priortO COver. <br />disposal trenches ~ ~E be instag~d ~ a3 to follow the natural Contour ef the ground. <br /> <br />N~,r~e: .,~_o_~,, -~::~u,,,~: ~r~,",o c. .......... SYSTEM SPECIFICAtIONs: ' --~ <br />Lega~ Descdpt~om T~ R ~ ~ ~S ~ SepticTank Capaclty;/~5~l~ _gal, min. <br /> Tax LOt NO. ~Lt~ -~0 Lineal Feet Dis~sal Fief: . ~ (Q~ <br />System Will Serve: ~ ~ ~ Distfibutbn: ~'~%~.. ,. ......... <br />Projected Sewage ~Ip~: ~ (~S ~4 ) gaFday Dis~salTr~nch Depth: ~--~~ ' ~' <br />Water Supply: ~ ,, , Filter Matenal Depth: ,, ) %' .................. <br />Issuance Date: ........... c¢.(¢ ~ ,, _ Minimum ~il Ba~ffi{: ~ %" <br /> <br />Expiralion Date:__ <br />liCPOt;[l ANT: Keep this document with 'your records. Show <br />Ibis perrnit to the septic system installer prbr to installation <br />of the system, Any deviatbn from the approved plan mu~ <br />have prior approva~ from this office_ <br /> <br />Signature: <br /> <br />Curtain Drain Required: <br />Special Requirements: <br /> <br />( ) Yes; <br /> <br />Site Number: ~'.~ ~- O/y~,~ <br />Permit Number:- ...~=,/~ <br /> <br />Registered Sanitarian <br /> <br /> <br />