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. MARION COUNTY <br /> COMMUNI']~/DEVELOPMENT DEPARTMENT <br /> BUILDING INSPECTION DIVISION <br /> ~..20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE: 588-5147 <br />CONSTRUCTION PERMIT TO INSTALL A SEPTIC SYSTEM <br /> <br /> · , · ' ~' : ............... i~" i'''~'''~ ........ i""'l : : ! ~ <br /> <br /> : , I [ ' : ~ ~ , '~ . , . <br /> .................. ~ .................. :'"'""i ................... ?'i~ i'""'-'!""~'~'"':'"'+'"~'"'?''''.. '"'"i~ ................ ., '~":"'"":~ ................. <br /> <br />1. Th, septic system must be installed as show~l a~ove a~ ~ be ~t~ ~rto ~ver. <br />2. A# dis~sal tren~es ~hafl ~ ln~alleE ~ as ~o ~l~w the neural ~our of the <br />3. If th~e are quest~ns ~egning_ _ the. ~yOUf. of t~e: Syst~, please ~fl our office ....... ~r to constrain of tho sysfom, <br /> <br /> . ' ToxLotNo. ~7~ ~~ LineelF~tDispos~lR~d~: ~ ..... <br /> $~t~lIge~e:.'~ ~ ~ Distribu~; ~ ~~. . - ~ ~ . <br /> Froj~t~ Sewage F~w: ~ ~ "' ~'_ g~d~y D~p~al Tt~h ~p~: ..~ ~/~ <br /> Water Supply: ~ · ~ .... ' ..... ~ter Mat~i~ ~pth: '/~ ~ / ~.~ ~, ' -- <br /> Issua~e Date: ~_~/~¢ ~ ~ M ~m~ ~il BaSil: /~ ¢ ,, <br /> Expiration Date: ~ ,7 _~/~ ~/¢~' '.. .. - ' ' <br /> (Request f¢ rental o¢ ~is ~e~t m~ b~ m~d~ ~ior to~ Cumin ~rain: ( )Y~;~ ~)No <br /> <br /> I~PORTA~: K~p this d~en/m~ yOur r~ords, S~w ~is ~~ <br /> pe,mit to ~e septic s~tem insmtler ~d~ ~ Insta~lati~ of ~e <br /> syst~, Any dem,t~ fr~ t~ appr~ plan must hav~ ~ Sit ~b . <br /> approval k~ ~fflce~ /~, ~ ~ Pe~t N~: ~ .~ 5~ .... <br /> Signa~re ~e,~/ ~~-~ ~IS PE"MIT IS NOT ~NSFE~BLE <br /> <br />PEV, ~1/92 <br /> <br /> <br />