HomeMy WebLinkAboutSEP1973-00251903 E. Caroline OLYMPIC HEALTH DISTRICT Permit No.53�1
Port Angeles SR-JAGE DISPOSAL PERMIT APPLICATION
Submit in Duplicate Builder
Court House
Port Townsend Date Z 22/73
0VNERCC,cky ADDRESS Q F \`'�, �`���� PHONE2an�f�0�
DIRECTIONS FOR LOCATING SITE ot6 !�
APPLICATION IS H '-REBY MADE TO: INSTALL NEI' SYSTEM REPAIR XISTING SYSTEMki�
YPE OF BUILDING NO. OF'BEDROOMS BASEMENT aITE SIZE NAME OF INSTALLER
� � ,�
DRAINFIELD LENGTH='rIDTHd-3 DEFTH2 ' #LINES ,SEPTIC TANK SIZE ®
DRAW A DETAILED PLOT PLAN BELOW. SEE INSTRUCTIONS. -vt-S�A`\e�
!^� RCiCs n
ANY CHANGE IN BUILDING OR SI;
PERMITUNLESS PRIOR APPROV_^ L
1
SAL PLANS, LOCATION OR SITE,
FROM THE HEALTH DEPARTN11 IT.
DATE OF INSTALLATIONL r2s f'% SIGNATURE OF APPLICA
PLAN APPROVED V--DATE-9-/.2-.)j-731 INSPECTED BY r
SANITARIAN'S COPiM117TS:
I CERTIFY THAT THIS ,.$1" M ' TAS STA I MAN APVRROVED BY THE
DATE
HEALTH DEAPRTMt` f -,�'
P�! 8191, 51 E. N
COUN
60
1 1 l
9 (O�f3oL4' �
3 �� 5
_
t jr '•t •
26 25 24 23 1•' 22• --:2!i7 r �[�T o ��s. t5' c
Y ! , 78.42
-- ---"�" i..t} N 189 s l �...�►N E - - -
1.. t. . !822.60
184.00 �r 60' 1 60'' 87.00
�2 3 'ia
600'
�...-i' �, �-� .• �- -60' 65.25• �'...
5� X94 30 6y U 6O - S „ w. * - IO2.34 S �`
1 { _
W.
fs
�oo�:�-'-� �
IOT
Iry co
CV
• 1 .2 E _ � V•' � r � . � a�— it :.'� -" : �- i` - ..'l ' � ._ � � ••f
Co
9�. 1 ;` �-V it s''�.y• .ayl hf.:: �. -. i. t a. .. *.� _ ..r-
�-
' 1�' 2 {}� r 'p°•� Y' Y- �f( .sus e. �-- � �� .. ,��
Parcel Print
Parcel Number 941700318 06/24/20II
JAME COREY
PO BOX 14
BRINNON WA 983200014
Site Address:
81 MATHEVVSLN
BRINNON 98320
Section:
3 School District:
Bdnnon(46)
Qtr Section:
NVV1/4 Fire Dist:
EkinnoD(4)
Township:
25N Tax Status:
Taxable
Range:
3VV Tax Code:
440
Planning area:
Bhnnon(11)
Sub Division:
COREY SHORT PLAT
Land Use Code:
11O0- HOUSES (single units, non-farm)
WAS LOT 18 CARROLLS H.0 VIEW EST D/C#532982
Property Description:
COREY SHORT PLAT | LOT 2ENUBBY TXSO(LSTX4O&47) | | |
Page I of I
http:Hwww.cojefferson.wa.uslassessorslparcellparcelprint.asp?PARCEL—NO=9417003l8+... 4/3/2013