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MARION COUNTY
<br />COMMUNITY DEVELOPMENT DEPARTMENT
<br />BUILDING INSPECTION DIVISION
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
<br /> PHONE; 588-5147
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<br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM
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<br />1. The ,~aptlc ~y~tem must be installed as shown above and must be in,~pected prior to cover.
<br />2. Ali dt~pcaal trenches shall be installed so as to follow the natural contour of the ground.
<br />3. if there are questions con~ernin~l tl3e layout of the system, please call our office prior to const~ction of the system.
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<br />NMe: -iD c.r.. P t. ey-c ..........
<br />Address; 1,31'¢4.. ~tt~Lcw/r4-c-a-~' ~'
<br />Legal Description: T
<br />Tax Lot ~,
<br />System ~ll Serve: ~~ ......
<br />Projected Sewage Row: , ~ gal/day
<br />Water Supply:
<br />Issuance Date;
<br />Expiration Date;
<br />(Request for re~wal of this permit must be made p,rior to the
<br />expiration date,)
<br />iMPORTANT; Keep th~ d~ume~t ~th your r~ords, ~w~is
<br />pe~it to the sept6 s~t~ ins~ller p~r te installati~ of t~
<br />syst~. Any devi~ ~prov~ pl~ must have pd~
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<br />Sig~ture ~ I ~ ~.
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<br />SYSTEM SPEC?CATIONS:
<br />Type of System .........
<br />Septi~ Tank Capacity: (.~]1;2~. gal. rain.
<br />Lineal Feet Disposal Reid: ,~ ?,.~"
<br />Distribution: ..........
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<br />Filter Material Depth '/'~q.~" '
<br />Minimum Sci Backfill: ........
<br />Ourtain Drain: ( ) Yes; (X) No
<br />Special Requirements:
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<br /> Permit Number:
<br />THIS PERMIT 18 NOT TRANSFERABLE
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