HomeMy WebLinkAboutSEP1975-00100I ..weyf
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903 E. Garo4ns' OLYMPIC HEALTH DISTRICT Permit o.
Port Angeles SEWAGE DISPOSAL PERMIT APPLICATION
Submit in Duplicate Buildefi
Court Hous®
Port Townsend Date by-
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�s DRESS ���� PHONE
-'DIRECTIONS FOR LOCATING SITE �
APPLICATION .IS HEREBY HADE TO:- INSTALL K24--SYSM AIR U1 TING SYSTEM
� EDy 6 �X l �.:o�
OF BUILDING N0. Q . B ROOMS BASEMENT., SIITTE SiZ NAME OF INSTALLER
DRA .NFIEP LENGTA°` E III
DRAG' A: DETAILED PLOT PLAN
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Eby #I,IN M 3 SEPTIC TANK SIZE
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PERMIT
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PERMIT UNLESS PRIO.L[11YlJI '4./VVtll d Vll W." A�11L• J." V H111L1i1.G67 lA1O
R APPROVAL OBTAINED FROM THE HEALTH DEPARTMENT..
DATE OF INSTALLATION `�. SIGNATURE OF APPLICANRC
"PRS DATE % / 7� INSPECTED BY , L +DATE \\\'�%�' U
SANITARIAN' S COA9MENTS :
I'CERTIFY THAT T SYST JAS AL MANNER APPROVED BY THE
HEALTH DEAPRTT
N ATE
f-ANSTALLERS NAME
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PERMIT
++-.y
PERMIT UNLESS PRIO.L[11YlJI '4./VVtll d Vll W." A�11L• J." V H111L1i1.G67 lA1O
R APPROVAL OBTAINED FROM THE HEALTH DEPARTMENT..
DATE OF INSTALLATION `�. SIGNATURE OF APPLICANRC
"PRS DATE % / 7� INSPECTED BY , L +DATE \\\'�%�' U
SANITARIAN' S COA9MENTS :
I'CERTIFY THAT T SYST JAS AL MANNER APPROVED BY THE
HEALTH DEAPRTT
N ATE
f-ANSTALLERS NAME
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777-1�j
SITE EVALUATION RECORD
TO: V.D. Breiti,reg
Box 22
Hadlock A . 98339
a
OLYMPIC HEALTH DISTRICT
Sec. Twtt. R.
Legal Description
Site Size 10a0M + sg. ft.
Seller IMelyin Kivles
Buyer . Bill Brettwep.
A site eva.luatidn of the above property has been made by this department and your
request for _si2wle.family residence
has been ( ) (conditionally approved) ().
A 2nd site evaluation was made on 1-6-75. Observed were four 4 to 5 ft. deep
Comments: soil for holes._ Soil con'.itions oil the'lower rnri-inn nf4-iw . mut
acceptable for the insta.11ataon of a septic tank and drairfield
12 inches of fill is first ,,)rovided iri thedrrainfiaid nrpa Mn v -An
a minimum of
The upper prnferty line is recommended to divert surface water noted on -'t -he a er
of the lot. Y a. r o a ova f . Pp portion
plot plan roust be- submitted for review and the site t ,tatted.` sie ific
Very truly yours,
Date: 1-7ZZ
OED: 11/73
Sanitarian
iardall N. `urant, R. S.
Parcel # 000972000019
Geo Cd +290101304211
MELWOOD TERRACE
LOT 19
Mode: INQUIRI
Nbad Cd 4208
* Taxpayer Cd BREI 5000 BREITWEG, EVELYN TO Chg Dt
* Title Owner T/P. Chg Usr
Tax Code 0211 Status Tx TAXABLE Land Use 1100 RES -SINGLE
Affidavit Vol/Page / C/U Code S/C Cd B
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