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HomeMy WebLinkAboutSEP1974-00288 SEP 7 i - — '.) \ cc) Cancelled Connected to city sewer, side sewer asbuilt located . Status of septic tank is unknown • qlessmn . i 1-6i^O . I4 00ZSA .90 E. Carole OLYMPIC HEALTH DISTRICT Permit No. ,J-7d Port Angeles SEWAGE DISPOSAL PERMIT APPLICATION Submit in Duplicate Builder Court House 1111 ' Port Townsend Date ‘ \a_\. -k OWNER CZ \ a ADDRESS S � y .- 'PHONE DIRECTIONS FOR LOCATTNG SITE ��-gw �\-�F N`� W■ "�, .\ , ( e, jel,'Ititan At,t' APPLICATION IS HIREBY MADE TO: INS ,LL Niel SYSTEM REPAIR EXIST NG SYSTEM L----- -fig:.\ ' -e, ? -NN-720N4 '.--`J,,A-=- S E TYPE OF BUILDING NO. OFr BT)ROOMS BASfl ENT SITE SIZ J NAME OF INSTALLER - `�1c`S c DRAINFIELD LENGTH \ 'IDTH .V DEPTH 3'F3 LINES ASE IC TANK SIZE 7 DRAY A DETAILED PLOT PLAN BELCV:'. SEE INSTRUCTIONS, SOIL TYPE A-T` ' SigAr "s 11k.\5.1\\ L V C � .Z 1.*. ,6-.1;' S•?:-.%ti;^*.,� : 5\' - ° ' y \ . c\a' , Vj • t 5O, \i. '' ' clat4--■.. . , 4 I ANY CHANGE _IN BUILDING OR SE -AGE DISPOSAL PLANS, LOCATION OR SITE, INVALIDATES THIS . .PERMIT UNLESS PRIOR APPROV;L OBTAINED FROM THE HEALTH DEPARTM, i . ■ DATE OF INSTALLATION r ` r SIGNATURE OF APPLICANT 'j �4 APPROVED DATE I d 2,/7 t/INSPECTED BY ' SANITARIAN'S COMP IvTS: �tio�c9s � \ DATE ,�/25�7� UJ • ri O C I CERTIFY THAT THIS SY M "AS INST LLF1D IN THE MANNER APPROVED BY THE 0 HEALTH DEAPRTMENT Y NST LERS v e-e DATE a=a a s , Ell 0 irml MI I 11111111 n I al : , LI MME .. . . m , ---) 0 �_ ;S Imema ma -.1111 Ell ..;.6._ Enallilli I I 11111.11111161111111111111.1 v ■ ■ • . • Map Output Page 1 of 1 ArcIMS HTML Viewer Ma. !Ell ."1614 It : • 1.-:c i 1 ': 01344003 _ fi�2300020. w" 7 ipi I I I an s 2 1 `r b !! 1 1 e yp' �: p r a E w 7 ., , i .�v.�.t,�lk Legend 4 ,€ i t Towns ® Coukfia s a ( V •� u1 i I * 10.41044044 101344003- 4. ' /'�! JC roads t t; S — Pamalsdl ■ PT Photo 3 t1 L I".-- i WWI .. I Cif it ' a • 001031003 'Iwo t" �r t 413200653 t~~+F'^^"",,,,``„4` 043203007 I ile }A k to Maa oambiby Jaitm Carer CmN S....GM-;,;.erfw,:.,:. FOR INFORMATIONAL PURPOSES ONLY- efferson County does not attest to the accuracy of the data contained herein and makes no warranty with respect o its correctness or validity. Data contained in this map is limited by the method and accuracy of its collection. Fri .r27 16:29:14 2012 • http://gisserver/servlet/com.esri.esrimap.Esrimap?ServiceName=... 4/27/2012 Parcel Print Page 1 of 1 Parcel Number: 101353002 06/24/2011 • Owner Mailing Address: GLESSING TRUS i LE LEROY CAROL GLESSING TRUS I LE GLESSING LIVING TRUST 3920 SAN JUAN AVE PORT TOWNSEND WA 983683306 Site Address: 3920 SAN JUAN AVE PORT TOWNSEND 98368 Section: 35 School District: Port Townsend(50) Qtr Section: SW1/4 Fire Dist: Port Townsend(8) Township: 31N Tax Status: Taxable Range: 1W Tax Code: 100 Planning area: Port Townsend(1) Sub Division: Land Use Code: 1100 - HOUSES (single units, non-farm) EASE V555 P239 RESIDUAL ACREAGE#101353005 Property Description: • S35 T31 R1W I TAX 1(S300') LESS R/W#77989 I S/C EX PTN re No Photo Available • http://www.co.jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL N0=101353002... 9/19/2013