HomeMy WebLinkAboutSEP1975-00471903 E. Caroline
.Port Angeles
Court House
rt
OLYMPIC HEALTH DISTRICT
SEWAGE DISPOSAL PERMIT APPLICATION
Submit in Duplicate
5
7
Permit No.
Builder
Port. Townsend 7 /1 1
PHONE
DIRECTIONS FOR LOCATING S
APPLICATION IS HMEBY MADE TO: INSTALL NEW' SYSTEM EXISTING. SYSTEM
A_1= [0a
VYPE OF BUILDING NO. OF BEDROOMS BASEMENT_ NAME OF TALLER
i ce
DRAINFIETD LENGTH M2 A IIDTHJDEPTH.Jb #LINES 2 SEPTIC TANK SIZE
zl� DRAW A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS.. SOIL TYPE
A�T� CHANGE IN BUILDING OR S_L_'_AGE DISPOSAL PLANS LOCATION OR SITE INVALIDATES THIS
PERMIT UNTF.q.ct PPTr)'D ADD13MAT
DATE OF INSTALLATION SIGNATURE OF APPLICANT,,tj_)e�_
DATE 75INSPECTED BY IZ§.,DATES
SANITARLOS COMMENTS
-
� 'i" `Z3 1Z - 7 �z 3 S
I CERTIFY THAT THIS LED IN THE MANNER APPROVED BY THE
HEALTH DEAPRTMMI tr! v__M&,' 7,_, -14-1 " I - DATE
Parcel Print
Parcel Number: 986401401
Owner Mailing Address:
DARLENE LOLSEN
20 MASON ST
PORT HADLOCK WA 983399584
Site Address:
20 MASON ST
PORT HADLOCK 98339
05/14/2007
Section:
2 School District:
Chimacum (49)
Qtr Section:
NW1/4 Fre Dist:
Chimacum (1)
Township:
29N Tax Status:
Taxable
Range:
1W Tax Code:
211
Fanning area:
Tri -Area (4)
Sub Division:
PHILLIPS TO IRONDALE
Land Use Code:
1101 - MOBILE HOMES (owns mobile & land)
Property Description:
PHILLIPS TO IRONDALE I BLK 14 1 1 & 2
Page 1 of 1
http://www.co jefferson.wa.us/assessors/parcellparcelprint.asp?PARCEL NO=986401401+... 2/3/2009