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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />290 HIGH STREET NE <br /> SALEM. OREGON 97301 <br /> PHONE: $88-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SY.c EM <br /> <br />'stem. <br /> <br />1, The septic system must be instal/ed as shown above and must be inspected pr[or to cover_ <br />2, Ail dispo~al trenches shall be instal/ed so as to follow the natural contour of the ground_ <br />3, If there are questions concerning the layout of the system, please call our office prior to construction of th <br /> <br />Name: ~ ~-..~-CK)~ ..~ <br />Address: =_,=~,~=~.5~Z:)~" ~ ~ <br />LegaIDescription: T ~ . R~ S~ <br />~ Tax L~t No. ~~ ~]~ . -- <br />~ystem Will Se~e: ~~ <br />Pr0ject~d Sewage Flow: ~ ga~/day <br />Water Supply: .... ~¢,~ ~ <br />issuance Date: ~ ~ ~ <br />Expiration Date: ~q -~ <br />IMPORTANT: Keep this document with you¢ rotc[ds, Show <br />this permit to the septic system installer prier to installation <br />of the Syslem. Any deviation from the approved plan mU~ <br />have prior approval from this office, <br />THIS PERMIT IS NOT ~A~/~ <br />Signature; ..... [~~ ~ <br /> <br />anitArisn <br /> <br />Site Number: <br />Permit Number: <br /> <br /> ..... <br /> <br />SYSTEM SPECIFICATIONS: <br />Type of System: .-~F,,,-,=~P~ ' <br />SepticTank Capacity: -,- ~.~"~/0~ .gal, rain, <br />Lineal Peet Disposal Fi~i~i (.~ ~ ....... <br />Distdbution: <br />Disposal Trench Depth: .~.~4 <br /> <br />Minimum Soil Backfill: I <br />Cudain Drain Required: ( ) Yes; <br />Special Requirements: <br /> <br /> <br />