HomeMy WebLinkAboutSEP1973-00181SrcQ1i�181
903 E. Caroline OLYMPIC HEALTH DISTRICT Permit. No.j p—.2 -
Port Angeles SEWAGE DISPOSAL PERMIT APPLICATION
Submit in Duplicate Builder
Court House
Port Townsend -t Date
ADDRESS s' P 2-1
DIRECTIONS FOR LOCATING S ITE UUjpe J-�4 c9
APPLICATION IS HEIMY MADE TO: INSTALL Nr -,r SYSTEM )� REPAIR EXISTING SYSTEM
LYEQ�OfUILDING N0. F BEDROOMS I BASEMENT1 HTE SIZIJ NAME OF INSTALLER
DRAINFIELD LENGTH S ' 1IDTH 10 DEPTH -3,"#LINES3 SEPTIC TANK SIZE b
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ANY CHANGE IN BUILDING OR SE' -AGE DISPOSAL PLANS, LOCATION OR SITE, INVALIDATES HTS
PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HEALTH DEPARTMENT.
DAT
OF NSTALLATION V �s`r ` \ SIGNATURE OF,�7 NT
APPROVED DA'L'E '�iINSPECTED BY DATE S?�
SANITARIAN' S COHMT S : ID- i
I CERTIFY THAT THIS TEM ':!AS ? ' IN MANNER APPROVED BY THE
HEALTH DEAPRTI t _ , DATE
INSTALLS MUVIE
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T I D E M A R K
COMPUTER SYSTEMS, INC.
Parcel Summary Report For Parcel # 980100206
SE 21 25 N 02 W Status: A
Census Tract: 950200 Block: 2 Lot: 6 Size:0.23 AC
Zip Code: 98320 Value Land:
Zoning: $Value -improvements:
Land Use: 1100 Sales Price:
Legal Lot: Sales Date:
Subdivision: OLYMPIC CANAL ADDITION 1
Status Address
A 84 CANAL IN
Legal Description:
OLYMPIC CANAL ADDITION 1 BLK 2 LOT 6
Notes:
Site Address
02/10/2005
12:40, OOPM
Role People
Type Last Name M.I. First Name Address 1 Address 2 City State Ziu Phone 1 Ext Phone 2
OWN ANDERSON C DAVID 1265 W LANCASTER BLVD LANCASTER CA 93534
Notes: 2258
Page 1 of 1 ParcelSummary..rpt
Screen: 01
Parcel # 000980100206 Geo Cd 250221411441
OLYMPIC CANAL ADDITION 1
BLK 2 LOT 6
• Taxpayer Cd ANDE 1382 ANDERSON, DAVID C
* Title Owner
Tax Code 0441 Status TX TAXABLE
Affidavit 83144 Vol/Page /
Mode: INQUIRY
Auto Roll: OFF
Nbad Cd 1250
T/P Chg Dt 11/20/1997
TIP Chg Usr JODI
Land Use 1100 RES -SINGLE
C/U Code S/C Cd