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MARION COUNTY <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUJLDING INSPECTION DIVISION <br /> 220 HIGH STREET NE <br /> SALEM, OREGON g'730t <br /> PHONE: 588-5147 <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> I, The septio system must be instal/ed as shown above and must be inspected prior to cover, <br />2. AII disposa[ trenches shall be £nstalled so as to folicw tt3e natural contour o£ the grOund~ <br />3. If there are questions concerning the layout of the system, please ~all our office prior to construction of the system. <br /> <br />Name: <br />Address: <br />Legal Desc~ption; <br /> <br /> Tax Lot NO. ~ <br /> System W/Il Serve: ,,, <br /> Projected Sewage F~ ,, ,' ,,,,~ ..... <br />~ Water Supply: <br /> ssuance Date .... /~ ~ ¢ ~ ~? f <br /> <br />qa~day <br /> <br />Expiration Date: <br />iMPORTANT: Keep this document with yo~r ~m..o~ds. Show <br />this pern~t to the septic System installer pdor to ins[a~la~on <br />of the system. Any de~ation from <br />have prior approval from this office. <br />THIS PERMIT IS NOT T~SF~AB~ <br /> <br />SYSTEM SI~ECIFICATIONS: <br />Type of System'_ , , -~-~'t'~t,.3 D <br />Septic Tank Capacity: <br />Lineal Feet Disposal Field: ! <br />Distribution: ;.e.e.~'~-'- I~..~ <br />Disposal Trench Depth:_ <br />Rltet Materia, I Depth: ....... <br />Minimum Soil Backfill; I ~. <br />Curtain Drain Requited: { ) Yes: <br />Special ReqtJirements: . <br /> <br />.... gal. <br /> <br />Permit Number: ..~,r~,,.: _ ,,.:-- <br /> Registered Sanitarian <br /> <br /> <br />