HomeMy WebLinkAboutSEP1973-00049a _ __SSP •�—�6�1� S��
903 E. Caroline OLYMPIC HEALTH DISTRICT Permit No.
Port Angeles DISPOSAL PERMIT -APPLICATION
:Submit in Duplicate Builder
Court House l4 eU.r E
Port ®d c�2e g8/la Datoi
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01 D PH .
DIRECTIONS FOR LOCATING SITE
APPLICATION IS HEREBY MADE TO: INSTALL NL14 SYSTEM 4e REPAIR ISTING SYSL9= tp
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YPE OF BUILDING NO. OF BEDROOMS B RNEWT SITE SIZ NAME,._ F NST�LEER
DRAINFIELD LENGTH I,�IDTHor DEl TH #LIMM
SEPTIC TANK SIZE
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INA
PERMIT.UNLESS PRIOR APPROVAL OBTAINED FROM THE H
1
DATE OF INSTALLATION SIGNATURE OF APPLICANTligl=I
APPROVED DATE `� /4 � INSPECTED BY /ATE
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SANITARIAN 15 COMMENTS:
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I CERTIFY THAT THIS EM !:t IN AIN HE MANNER APPROVED Bir THE O
HEALTH DEAPRT.EN DATE a
INSTAL
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ROUTING SLIP -• MEMO
OLYMPIC HEALTH DISTRICT Pmt Tpirmsend, Wash.
: Bob Sheppard S EJECT:
1104 41st. Ave. E.
Seattle, WA
FROM: Randall M. Durant, R.S. DATE; 9-21-73
MESSAGE:
Now that your septic tank and drainfield is installed and at a shallow depths
the area should be protected from any parking or driving by blocking off the
drainfield"area by logs or landscaping.
Parking or driving on the system will, if not at the time, later cause a failure
of the system. Thank you for your cooperation,
11-67 For: � Infe Action Approval „Comment _ Reply