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MARION COUNTY
<br />cOMMUNITY DEVELOPMENT DEPARTMENT
<br />BUILOING INSPECTION DIVISION
<br />220 HIGH STREET NE
<br /> SALEM. OREGON 97301
<br /> PHONE; 585~5147
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<br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM
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<br />~. r~ sept~ s~tem mus~ ~ instafted ~s sho~ ~v~ and must be in~ ~r to cover.
<br />2. Afl disposal trashes shaft ~ instal/ed ~ as tO :follow the na~ral ~ntour of the g~un~
<br />3- If there are quest~ns co~eming the layout of the sy3tem, please ~fl our office pr~r ~ ~nst~ct/on of the system,
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<br />Address: /~.b'"'
<br />L~al Descdpt~n: T
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<br />Proj~t~ S~ge~w: _ ~ g~/day
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<br />issuance Date: ~ 7~'f ,, ,
<br />Expiration Date: ,, -- ~/~ .
<br />(~equest f~ ren~ of this p~it m~t be made ~ the
<br />expiration date.
<br />~MPORTA~: Keep this d~ument ~th your r~rds, S~ this
<br />permit to the septic ~y~t~ i~taller pri~ to installa~n of the
<br />syst~. Any de~ation fr~ t~ approv~ ptan must have pK~r
<br />approval fr~is o~
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<br />REV, 11/92.
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<br />SYSTEM SPECI,FICA~)ONS-'
<br />Type of System. z~ ~.-~ ~.,,~ ~'~'-~ ~,,~
<br />Septic Tank Capacity: .u "~' gal min.
<br />!.Jnea~ Feet Dispo~sal Field;
<br />Distribution: .,C~.~ ~',X/~-4~ ,
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<br />Filter Mate[iai [3epth. _~
<br />Minimum S~i Backfill: /
<br />Cu~ain Dr~n: ( ) Yes;~ ~No ·
<br />Sp~ial R~entS; ~
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<br /> Site N~er: ~
<br /> Pe~it Number: '
<br />THIS P~RMIT IS NOT T~NS~BL~
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