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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 <br /> <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> ~,,,,,,,,,,, <br /> ~ ~ , ~........: ... ,;,,., ....~ ...... r .....~ .....+... ,,.,,~ <br /> <br />L The ~optlc systam must ~ installed as shown a~ve and~st be/nspe~prior to ~v~r. <br />2. Ali dis~o~al ~e~c~os shall De installed ~ as to follow lhe n~r~l contour of tho ground. <br />3. If there are ~uestions co~em~g tho I~out of tho ~g~tem, pleeso cae our o~ce prior to co~t~ctlon of <br /> <br />Address: ~.,%-"/~ - ~z:..~,..~'~ <br />Legal DeseriPtion: T <br /> Tax LOt No. <br />System ~11 Se~e: .~ ~[D~., <br />Projected S~ege F~: __ ~ ga~day <br />Water Supply: <br />Issuance Date: <br />Expiration Cate: <br />(Request for renewal of this permit must be made ~ the <br />expiration date.) <br />IMPORTANT: K~p this d~ument with y~r re.ids. S~w this <br />permit to the septic s~tem installer pr~r to installaaon of t~e <br />system. Any devi~ fr~m the ~v~d p~ust have pnor <br />approval from thi~i~) <br />Signature <br /> <br />MC 1~S7 <br /> <br />SYSTEM SPECIFICATIONS: ,-. <br />Type of System: ,,, -4.~Jb -ii ~,.,Tt~){_ <br />Septic Tank Capacity: I ~ <br /> <br /> gal min. <br />Lineal Feet Disposal Field: <br />Distribution: <br />Disposal Trench Depth: <br />Filter Material Depth: <br />Minimum Soil Backfill: ce= <br />Curtain Drain: ( )Yes; <br />Special Requirements: <br /> <br /> Site Number: q~ - ~"~2_ ..... <br /> <br />THIS PERMIT IS NOT TRANSFERABLE <br /> <br /> <br />