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HomeMy WebLinkAboutSEP1979-00335 H F/.5.rem e. t , - ` JEFFERSON COUNTY HEALTH DEPARTMENT 802 SHERIDAN AVENUE INSTALLER PORT TOWNSEND, WASHINGTON 98368 RECEIPT NO. �"r (206)385-0722 q • BUILDER 0Q �- � 7� • � � DATE 4� ` SEWAGE DISPOSAL PERMIT �y�` ` Submit in Duplicate 6Et> ` -5`' _i f-1-6~Ge ,' 5 Pr" / r3ox a5 P- T 3SC=/S/J j Owner Address Phone r- C- \S-A C " -- m D t. Directions for locating site o V cn'n n '1/44, . ../1 To y ) INSTALL NEW SYSTEM Q REPLACE SYSTEM K PARTIAL REPAIR❑ TANKJDRAINFIELD❑ -1 TYPE OF -5/00 pr43 NO.GO'F r�� J' SITE ,, O �, BUILDING BEDROOMS 3 BASEMENTP "�`"T'``'"SIZE 7. /OC S` SA- C Cl) DRAW DETAILED PLOT PLAN BELOW. STUB OUT PLUMBING ABOVE FOUNDATION FOOTING W n SOIL LOGS S1� S .' -Z-.>> o -i /6 OO7 //t/6 OAJ ‘Seca,vi. ‘S/7- .. �iv . /9e,e,,t ��ldo 0 z --- c: -. \: .,-, •% sz-, -: N\ r,- \1 < •,\,:.. '6 a,.4 me a- ., , ,.. . .2 -,..\--:,-,, ,. ....,..- 3P.5 ‘ c -ft-i- `.---$?sL v11- I6, Jr. a8o, -Ro ,3�o ,3» ; 3a-. , 33b. <gS-:•o.�` _%.- Se. QT.yiiST (IS 9 0 C .Q•.�zS Qz•�� \� Lw 5ia.NN.4%.,<�a•.•� x� 5-w�°'��t�g��S�.\ S`a.. ��n•• f 4 ©.2L�.r�...„ W,�„C� b'i „,.......s.......,.....,,,, \tet. ,..., �i�\\fit • ,,� _ ,,,, ,...:. .,....„:„,......, t,,,,,.....NVA" . 4\41.1%-k 41':,‘,1, •••:‘, .., ET)t Lii 31 O�vc z Q.N. Sa ,-�S Svz.i*,« ��`t - sc.� ��,,,,w . ,k.,, z z Dig two holes per site. (min.) 03 0 4' deep -2' dia. -50' apart & flag APPLICANT 7? -(7//. O m 4-!1/ / /2o4Ji ' -- - 0 ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS (INCLUDING PLUMBING STUBOUT F LOCATION) AND/OR LOCATION OF HOUSE OR DRAINFIELD INVALIDATES THIS PERMIT UNLESS �, PRIOR APPROVAL IS OBTAINED F'$v . . : . 0 'st U -Q C3 .- Drainfield Length / 5• Width 3 Depth 39.- # Lines D Tank Size\S Gate. Oc COMMENTS: e� o Ca �c\�i�‘•-%+� oa t„.. ,..1_--t„.. ,..1_t„.. ,..1_--1, � - , ,1� w.,,„�` .� WO COMPARTMENTS) Do vQ1�.Q.,c�L•� C'to\ -,tS u4 6 s_. ��,s ' -, .,.,t c..._. ...4&-..4-0..,.....). O-• C � O2 g3 `Z-O-.s-c�.-, C,.>•'S. e�-Q-�.-sC S �"S‘- •t•q•-•C.S. t t�Sc .:ti s ;mac i/i, /ao (� C+?,v.. _caCL ter \ .��a ���,o.. - S-� ..,�\\ .ve -?c S,t2O��r 0.1 APPROVED DATE INSPECTED PARTIAUFINAL DATE lip certi y that this system was installed ier approved by the-M alth Dep ment. f INST� ER'S,SIGN TUpEL i . Q• .,r._j_ DATE INSTAL ED ,� '1 _ _,,_--,t,,,,, , 3 ')Y V,C� e.Y,G ,d Ct��� • • • . u \ -a,1*:-„aJ J c-Gv-c, )o c;J -tc.,,A. 'rw3' 3 b' u'el+� JCHD/1-8 wa.� � V , Z ,I URGENT! ❑ TO , Called You DATE 5-- T/MEQ• Please Call 0 —`-"— Returned Your Call ❑ w ile you wer • out Was Here To See You ❑ Will Call Again ❑ M - Wants to See You ❑ OF TELEPHONE NUMBER MESSAGE: ._,*)/,1Z7--'" 7 I t 5/8/80 — a�.STA r�.G SF 8023 aro-a g Y.......' INITIALS �'k'1889 V Yq lees ao RECEIVED 4-5 .C:/"L""z--')A-y MAY 7'80 ( >dL/ �� JEFF. COUNT Aei." is r -4 Z--el � ��u,� Com' ----2")/PcX 6,-() 4. e . 61-Y) a . . .... . ......_.._ .____---- ..... .. .. .. ..... /e7,(---e -/....r._._...,z__, . __ ..... C2z:„.....,-, ....,.. ,R,N. .--;„ .c .-...-ri.,N. _ czt..,..s.z.....ey!...,,,,.._ ,...c., Z::!,---c-i-N,....---..t .,--....._••,% .1-4--.44,-6... -.1 0 //‘41—i•/"..e.,,, .. . ,,, / . . , 1 i 1 , . ,..- .4s. CZ / / C...7 ,• I ' C&° 0 ./ . \. , / / ' ,..... / ( --- / ..... -- - (\.- 2 / , ...V.: ,A . 4. '.: ..: ''''' /..,._ ___. •-i• ( • .,' " bZ-— ----- *i ... , e; ,Q, & / , ,z-6 17-' . ..0 7 .. A ..---c\ . ,, _. • 4, , +T./ 0/ '.9 , '7•/ . \ . 0/ // , . , :V .// -EX,?7-*L",-' - . . -------- / . . / 2... .., /27- e ..,, • ........- ;L....T.)._ ,.. / //1,,, _ 2 , / ‘....-,'77 ;al- C...../*''. Lj /,f* 7".' e.?,e....e. ./.. ---.., 6%- .... /424-.),/7 ,e),#,-, ., 1 .. /fAr...44/ L_It,- /4:-/-..".•A;;;,—(7.)",•' L, ,..../ , I-- o