HomeMy WebLinkAboutSEP1970-00140 111,erscrn, 27'
903 East Caroline OLYMPIC HEALTH DISTRICT Permit No. �L C -
Port Angeles Fee Paid $'-"sue°' "
SEWAGE DISPOSAL PERMIT APPLICATION
Submit in Dup iicate
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RAMS G )40' DR $ d .T 4. .JZ4af DATE? . / / 70
LEGAL DESCRIPTION ;1 , A - , PHONF �y� 2,a1 I
ores, a14 '- .
DIRECTIONS FOR LOCATING SITE I! ' ..
APPLICATION IS HEREBY MADE T0: INSTALL NEW SYSTEM REPAIR EXISTING SYSTEM
-
frame a e ,`
yes .�G► x .5.2" E �
TYPE OF BUILDING HO. OF BEDROOMS BASEMENT SITE SIZE NA kW NS ALE4_J If �'
ON THE REVERSE SIDE, DRAW A DETAILED PLOT PLAN GIVING THE FOLLOWING INFORMA: IO
1. Property lines 7. Driveways, patios, carport, etc. �"
2. Location of building 8. Streams or bodies of water nearby
3. Location of septic tank 9. Location of percolation test holes
4. Location of drainfield 10. Septic tank size /440 gallo a
5. Slope of land ii. Length of proposed drainfield
6. Water lines & well(if applicable) 12. Depth to water if encountered.
PERCOLATION TEST RESULTS
• --------------15T1713--"Time required to ''Percolation rate j Type of soil
jJ
of hole seep last 6 in. (divide time by 6) ±M-
Perc. No. 1 C` �,,ac ,L,....
Pere. No. 2--
Perc. No. 3.
2KEL6Cq brti ! Oar: anD PLI-O ,
DRAINFIELD LENGTH O WIDTH 2_4 DEPTH �- 'Z NO. OF LINES" � 4J41c
IT IS HEREBY AGREED THAT THE PROPOSED INSTALLATION WILL BE MADE IN THE MAN R
AS DESIGNED AND APPROVED ON THIS APPLICATION.
Signature of Applicant ._r...
APPROX. DATE OF INSTALLATION �7o c a-�, - N.
SANITARIAN'S COMMENTS: ,i,\ `� ,2% 4 c5 oaLS` N
THIS CONSTIT S ! 'ERMIT WHEN HEALTH OFFICER'S SIGNATURE APPEARS AS APPRO.,'
PLAN APPROVED 1 DISAPPROVED DATE__________12s12 ��
�`'.-..... _
DATE INSPECTED SANITA' , 21 (5
REMARKS: d , Lc.-.-cam
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,I A '� 1 pN .F ' A SEWAGE DISPOSAL, PERMIT. ,ry��±�,+ Jr .�{�r
* _ �+ ' : ARC' "PtIOR",110'*THE 'INSTALLATION t"OF 4.4 "SEPTI >-TANK" AND I)1 A'a r ` + -
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Ter$ l; w rt , --SEP )70ont4O
903 East Caroline OLYMPIC HEALTH DISTRICT Permit No. Q-r.--
Port Angeles Fee Paid
SEWAGE DISPOSAL PERMIT APPLICATION
Submit n Dup
4..cate
NAM st. -'` 4 K, ?RE4S ' DATE
LEGAL DESCRIPTION 0 v _ i S ° PHON 5' I
4,0 r l'1 as 11 4, .
DIRECTIONS FOR LOCATING SITE f''` " C
i O! W A ,-�A
1 APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEM REPAIR EXISTING SYSTEM.,
.._.....
z, fra me g yes 36 x 5 , ,. , ,.-
:'YPE OF BUILDING NO. OF BEDROOMS BASEMENT SITE SIZE NA b? NSTA LE.4 J ; 'l
fzj0 ON THE REVERSE SIDE, DRAW A DETAILED PLOT PLAN GIVING THE FOLLOWING INFORMATICS
S1. Property lines 7. Driveways, patios, carport, etc.
J) 2. Location of building 8. Streams or bodies of water nearby
3. Location of septic tank 9. Location of percolation test holes
4. Location of drainfield 10. Septic tank size /400 , gaup'ar"
5. Slope of land 11. Length of proposed drainfield
6. Water lines & well(if applicable) 12. Depth to water if encountered.
PERCOLATION TEST RESULTS
Depth Time required to 'Percolation rate Type of soil�.
of hole seep last 6 in.
a P (divide time by 6) ; .
Pere. No. 2 (.14\---,� ��c ��
Pero. No. 3.
2T ELi;cIF art,! 0 1 wrt I} P1,1'014
DRAINFIELD LENGTH 'YO c WIDTH Z---C>' DEPTH >t NO. OF LINES '~'` ‘` 'N‘.
IT IS HEREBY AGREED THAT THE PROPOSED INSTALLATION WILL BE MADE IN THE MAN.NZR
AS DESIGNED AND APPROVED ON THIS APPLICATION.
f) ' /0 40 ,,,,'
Signature of Applicant r
APPROX. DATE OF INSTALLATION D:70'.. `,:),-, \- -
SANITARIAN IS COMMENTS: \\ , %1/4.\\ ` � tZ ''' \ '
THIS CONSTIT S ! 'ERMIT WHEN HEALTH OFFICER'S SIGNATURE APPEARS AS APPROT js
PLAN APPROVED
rti'as - DISAPPROVED DATE `g' , a :.) : i
DATE INSPECTED -°r— SANITARIA1 �- ;- `
REMARKS: \,.....- (,_,-,,,,..4-e,_„:,.-
5-68 N
immulunia 438226
Pay.: , of ,
J.ff.raon County, WA CITY OF PORT TOWNSEN LIENT/8.00 10'08A
THE CITY OF PORT TOWNSEND,
Waterman & Katz Building
181 Quincy St Suite 101
Port Townsend, WA 98368
Claimant, )
vs.
CLAIM OF LIEN
ERNEST PETERSON
C/0 DAVID PETERSON
1718 W 12TH ST
PORT ANGELES WA 98363
Acct# 08 02500000
(:::2)
NOTICE IS HEREBY GIVEN that on the 27TH DAY OF OC o;ER, •00, at the
request of Michael Legarsky, Finance Director, for - - it of •ort Townsend
commenced to perform labor, or to furnish materia , to su
water, sewer service, garbage collection and stor. rai a to to the
located AT 3608 UMATILLA ST P/T, Washington, and de crib d AS premises
CORRIGAN'S ADDITION BLK 3 LOT 2 (W12.5' OF S75' ) LOTS
7 (W12.5' ) PARCEL# 945.300.302 {LS LOTS 5 & 6(ALL) ,
of which property, the owner, or repute. o- ner, i. E•NEST PETERSON
C/O DAVID PETERSON the performance of whic labor, o• the furnishing of which
materials, or the supplying of which equ •m. t an. services ceased on the 27TH
DAY OF OCTOBER, 2000; that said labor, se vice°, a•erial or equipment was of
the value ($340. 31) THREE HUNDRED FORTY DOL ' •S ' ∎ r THIRTY which labor, material, services or equipment, the undersigned Eclaims,aflien
upon the property herein describe. the sum of ($340.31) THREE HUNDRED
FORTY DOLLARS AND THIRTY ONE CENT
THIS IS A CONTINUING LIEN FOR W IC• - SED AMOUNTS WILL
AUTOMATICALLY BE ADDED MONTHLY UN ' L D, + ID A LIEN IS HEREBY CLAIMED
THEREON.
OC ' Ocj.•T TOWNSEND, Claimant
ity Hall Utilities Port Townsend
•
By LIP _. . 1
ch -1 Legarsky, d/ a 7' Director
STATE OF WASHINGTON `
COUNTY OF JEFFERSOS,G
On t• 3J' .. • .f DtfD bt+f- 2000, personally appeared before me
Michael Legarsky .o 1 - no • to be the Finance Director of the City of Port
Townsend, the music p. it wh' h executed the foregoing instrument, and
acknowledged t, - i. str •.ent be the free and voluntary act and deed of said
municipality 'o, • es .-nd purposes therein mentioned, and oath stated that
he is authori-ed t. exe .t- said instrument.
W ' NES y hand and official seal the date last above written.
i (( C) Et'
Not a' Public in and for the State of
♦1��`````,1, 01 U40, 4 Washington, residing at Port Townsend
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Parcel Print Page 1 of 1
Parcel Number.945300302 08/15/2014
Owner Mailing Address:
VERNA A PETERSON
%DAVID PETERSON
1718 W 12TH ST
PORT ANGELES WA 98363-5310
Site Address:
3608 UMATILLA ST
PORT TOWNSEND 98363-5310
Section: 3 School District: Port Townsend(50)
Qtr Section: NW1/4 Fire Dist: Port Townsend
Township: 30N Tax Status: Taxable
Range: 1W Tax Code: 0100
Planning area: 98363-5310
PTSEWER-
Sewer: Connected(No CWF) Drainage:
Bank: View 1:
View 2: Zoning 1:
Zoning 2: Zoning 3:
Sub Division: 9453 - CORRIGANS
Land Use Code: 1100
98363-5310
Property Description:
CORRIGAN'S ADDITION BLK 3 LOT 2(W12.5' OF S75'), 3 & 4(LS N25' EA), 5 & 6(ALL) 7(W12.5')
http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=945300302 3/17/2015
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