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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING iNSPECTION DIVISION <br />220 HIGH STREET NE <br /> SALEM, OREGON 97801 <br /> PHONE: 58~-5147 <br /> <br />CONSTRUCTION PERMIT TO iNSTALL A SEPTIC SYSTEM <br /> <br /> · ' . '. , ~ ~ , '. ; '~' , : <br /> <br /> ......... 1 ................................................................................... ~'""'"""?'"'"'""~ ................. " ...... r' '" '"I ............... ~ '""'"'~ .............................................. <br /> <br /> ...... ~"'" '"" ':" """'"!"-'"'-'"~'""'"' '"'i ' '"'"~"!'-''' -''''~ ..................................... !'"" '""'!'""" "~ ................ i ......................................... , ....................... ;'"'""'"'"~'"' '""-?'"' <br /> <br />f. Th~ Septic syStem rrlust be installed as showO a~ and mu~t ~ ln~ec~d p~or to <br />E, All disposal trenches ~hall be installed so as to f~I/ow the na~ral ~ntour of the <br /> <br /> N~e: ~iP ~ ~ ~ " SYS~M ~ECIFICATIONS: <br /> Addr~J ....[~.,~ ~.' ~ ~... ~ Type of Systm: ~ ~ ~.~ <br /> L~al D~cdp~on,. T~ R ~.S ~ Septic T~k <br /> T~LotNo. ~7> /. ~J~ Y~ Lin~FeetDispo~Reld; <br /> Syst~ ~11 S~e: ~ / ~ ~ Distributi~: ~r~ <br /> Pr~t~ Sewage Fi~: ~., , gel[day Dispo~l Tre~ O~th: <br /> Water Supply: ~/~ ~ ~t~ R~er Matedal Depth: <br /> <br /> ~plration Date: ~ ~ ~ '/~Z~¢~ , '-~ Cu~ain Drai,: ( ) Yes; <br /> (Requ~t for rene~ of ~s pe~t mint be ~de ~ ~e Sp~isl Requim~: <br /> <br /> IMPORTA~: K~p this document ~th y~r~rds, $~w~is '~ ~.~ ' <br /> permit 1o the septic syst~ installer prior to installation of the <br /> systm, Any donation frm the a~r~ed plan must bar, prior Site N~ber: <br /> <br /> Signalure ~,~-t ~ r~, ~ ~lS PERMIT IS NOT T~NSFE~BLE <br /> <br /> <br />