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SEP1974-00144
(-. O, _r...� �, 903 E. C alike OLYMPIC HEA DISTRICT Permit No. Port, Angeles SEWAGE DISPOSAL P�ERMiT APPLICATION Submit in Duplicate BuilderGi Court House Part Touansend Dates ©WNE - ADDRESS .: PHONE /-) 75— DIRECTIONS FOR LOCATING SITE L c F APPLICATION IS HEREBY MADE TO: INSTALS, N J SYSTEM 4i�—Y REPAIR EXISTING SYSTEM DRAINFIEw— L-EENGTH j3 DRAW A DETATTFn PT,Om PT.en LINES, SEE INSTRUCTIONS. SOIL TYPE C4) T , `! Ca ANY CHANGE TN BUILDING OR SE?:AGE DISPOSAL PLANS, LOCATION OR SITE, _NVALIDATES'THIS PERMIT UNLESS PRIOR APPROVA ALOBTAINED FRONT_-THE_HUALTH DEPARTMENT. DATE OF INSTALLATION_ _ SIGNATURE OF APPLICANT � APPROVED DATE �' ' _> INSPECTEDBY ,� ire. c� DATE SANITARIAN'S COr4MI�TTS: I CERTIFY THAT THIS'S '.F -I—,% ?S ,, j,Ej) THE MANNER APPROVED BY THE HEALTH DEAPRTMIAN DATE t 1 YPE OF Bui bING I NO OF° BFd3RO0P .- -; A ENrENT :-=SITE=SIS -BLAME OF INS -TALLER ::,..... DRAINFIEw— L-EENGTH j3 DRAW A DETATTFn PT,Om PT.en LINES, SEE INSTRUCTIONS. SOIL TYPE C4) T , `! Ca ANY CHANGE TN BUILDING OR SE?:AGE DISPOSAL PLANS, LOCATION OR SITE, _NVALIDATES'THIS PERMIT UNLESS PRIOR APPROVA ALOBTAINED FRONT_-THE_HUALTH DEPARTMENT. DATE OF INSTALLATION_ _ SIGNATURE OF APPLICANT � APPROVED DATE �' ' _> INSPECTEDBY ,� ire. c� DATE SANITARIAN'S COr4MI�TTS: I CERTIFY THAT THIS'S '.F -I—,% ?S ,, j,Ej) THE MANNER APPROVED BY THE HEALTH DEAPRTMIAN DATE t 1 X- X � D! -- -- 93) _0 cn - Q C-3 x cv 0 c]! C7 — Z7 -s -5 i < CZ- CD 0) 0 CD -- CD CD CD ri- O co — =3 E - _. O - U r\3 CD C7 — k -3 C:L O O _, p t- C3O O., O C —% F- w C,:► w -P Cil o C= -C cn o -� CD r -I- - 0) C3 r+ C= co m 0c c MO CA:) CD a) Cn r ::IC cA31 o CM --1 CD —I 1-n CAa --I C3 x -P CO CL w --� z �D o �• v -� o �► C-) CA31 ca —C CA:) • r -P m r CM • 46 r%a 0 s c7 r- 93) C= � Q ■ C3 - Q C- CZ CA CD CD C::3 C::3 --I —1 0-0 =[7 z I -n C3 C3 Cr n'? CO 1 CCC CM C3- ZCn cn Q H C- C7 C3 z CO) rl- CL m 'S C3 C� r -P — Q cn n-1 cn -� — CD cn C-3 o 0 —• C� H C7 -n z CL T jQ CQ C. to H r -n �7 1