HomeMy WebLinkAboutBLD1993-00749 /fibr 1 lieyd CZ:7), (2-:-6-=-D--;-)'
903 E. Caroline OLYMPIC HEALTH DISTRICT Receipt No. / 1 ! p
0 Port Angeles SEWAGE DISPOSAL PERMIT
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452-3838 Submit in Duplicate Builder
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�` 802 Sheridan Date /24/A u�i
I" Port Townsend, Wa.
385-0722 Installer 5\-\ b
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Ii OWNER ADDRESS PHONE
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DIRECTIONS FOR LOCATING SITE W� 3 ��o e��% .. t C y
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'k INSTALL NEW SYSTEM 53 REPLACE SYSTEM In PARTIAL REPAIR 0 TANK/DRAINFIELD
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DRAINFIELD LENGTH /�O WIDTH 04- DEPTH 361 #LINES 02 TANK SIZE \O�c: GAL y
TWO COMPARTMENT 0
LJFAW DETAILED PIOT PLAN BELOW. STUB PLUMBING OUT ABOVE FOUNDATION FOOTING i E
SOIL LOG: Ss�i• f i
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g , TYPE OF 1 ,.. N0. OF ^� SITE
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BUILDING (BEDROOMS EASEMENT SIZEar X°°4
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ANY CHANGE IN BUILDING OR SEWAGE DISPOSAL PLANS, OR LOCATION INVALIDATES THIS PERMIT
UNLESS PRIOR APPROVAL IS OBTAINED FROM THE HEALTH DEPARTMENT.
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APPROVED: DATE INSPECTED PARTIAL/FINAL DATE
COMMENTS:
I CERTIFY THYHIS SYSTEM ,/ ' ED IN A MANNER APPROVED BY THE HEALTH DEPT.
INSTALLERS S GNATURE DATE DATE INSTALLED
OH #54 10/77
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