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MARION COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />BUILDING INSPECTION DIVISION <br />22.0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 555-5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br />1. The septic system must be/n~ta/lecl as shown above ancl r/lust be inspected prior to cover, <br />2. A# d/$posa! trenches shall be instal/ad so as to foffow the na~ral gofltour of the ground. <br /> <br />3. If there are questions concerning the layout of the systern, please call our office p/for to construction of the systam. <br /> <br />Legal Des~iption: T , T~LotNo. _ <br /> <br />Pr~ected ~wage ~ ~ .... gel/day <br />Water Supply: ~t~ ~. ~ . . <br />Issuance Date: <br />Expiraton Date: .,, ~ ~,~ ? ¢ ~ ., . <br />(Reques~ for renewal of this permit must be ~ade rdor~ <br />expiration date.) <br />~MPORTANT: K~p this docu~nt with your r~ords. S~w ~is <br />permit to the septic Syst~ l~taller prior ~ ins~lation of the <br />system. Any de~at~e a~p~ p~ust have pr~r <br />approval from this 0~,~ <br />Signature ~ ~ ~ ¢~ ........ <br /> <br />MC 1~-$7 <br />'q~V, lt~J2 <br /> <br />SYSTEM SPECIFICATIO,~ <br />Type of System: - ; . <br />Septic Tank Capacity. <br />IJr'~e.a,I Feet Disposal Reid:,_ ~ J,, gal..., min._ <br />Distnbution: -~'Y--~ <br />DiSposal Trench Depth: <br />Filter Material Depth: /;;;L,/' .,, <br />Minimum Soil Backfift: / <br />Curtain Drain: ( ) Yes; CC) NO <br />Special Requirements: <br /> <br /> Sit~ Nurnb er~',' <br /> Permit Numbe~; = % ~ q, q ¢...) <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />