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MARION COUNTY COMMUNITY DEVELOPMENT <br />BUILDING INSPECTION DIVISION <br />220 HIGH STREET NE - SALEM, OREGON 97301 <br />PHONE: 588.5147 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> I, The ~eptJc system must be installC~l as shown above a~d ~u~ ~ insp~d pdor to ~ver. <br /> 2~ ~1 disp~al t~ s~l ~ ins~/l~ so as to follow ~e natu~ con.ur of ~e g~nd. <br /> 3. ff ~e~ ~e quesEon~ concerning the la.ut of ~e 8~tem. pl~e ~aE our o~e prior to co~tion of the system. <br /> <br /> ~gaiDes~ipt~on: T ~5 R ~ S ~1 <br /> e T~ LOt No q~. ~ <br /> ~ysmm Will Sewe: ~(~ <br /> Pro~ted ~wage Flow; ~ ~ gal/day <br /> Water Supply; ~ Fiffer Material Depth: <br /> <br /> ~pirat~onOate: ~--~R~ Cu~inDrain: ( }Yes; ~)No <br /> {Request {~ rental of this pe~A mu~ be m~e ~ Speci~ Requireme~:, <br /> th~e~iration date,). , <br /> <br />IMPORTANT~ ~ THIS PERMIT IS NOT TRANSFERABLE <br /> Keep this document with your r~ords. 8how this permit to the septic System in~ller prior to installation <br /> Cthe SyStem. Any deviation from the approved pl~ must h~ve prier approval from thi~ Office, <br /> <br />SYSTEM SPECiFiCaTIONS: <br />Type of System:, .~.~'~. c~,-,~'} <br />SepticTank Capacity: i/ ~ gal mirl. <br /> <br />Dis~o~al Trench De~th: .... <br /> <br />MC 15-$7 <br />R~'z'z'z'z'z'z'z'z'z'V 1/94 <br /> <br /> <br />