HomeMy WebLinkAboutSEP1973-00213GP73. OOZ) 3
903 E. Caroline OLYMPIC HEALTH DISTRICT P lmit No. J
Port Angeles SEWAGE DISPOSAL PERMIT APPLICATION
Submit in Duplicate_ B lder
Court House
i
Port Townsend ��a+�\3 Q��S Da
te ��9 -3
011 ER � es � !C r� `�-' ADDRESS PHONE
DIRECTIONS FOR LOCATING SITE
711 -vwq4#z& Q0
APPLICATION IS HEREBY MADE TO: INSTALL NEW SYSTEM L-EPAIR EXISTING SYSTEM
DRAINFIELD LENGTIi_&_41IDTHDEPTH e`e #LINES. SEPTIC TANK SIZE j
DRAY A DETAILED PLOT PLAN-BELOV.:.. �SEE INSTRUCTIONS. SOI*, TYPE
lb b
PERMIT UNLESS PRIOR APPROVAL OBTAINED FROM THE HEALTH DEPARTMENT.
DATE OF INSTALLATION SIGNJ1TURE OF APPLICANT
APPROVED DATE 6, ' cf/ INSPECTED BY
SANITARIAN IS COMMII7S:
ROVED BY l
DATE i,
Parcel Print
05/14/2007
Owner Mailing Address:
JACKLYN M EVANSON
1741 IRONDALE RD
PORT HADLOCK WA 983399581
Site Address:
1741 IRONDALE RD
PORT HADLOCK 98339
Section: 2 School District: Chimacum (49)
Qtr Section: SE1/4 Fre Dist: Chimacum (1)
Township: 29N Tax Status: Taxable
Range: 1W Tax Code: 211
Planning area: Tri -Area (4)
Sub Division: PORT HADLOCK
Land Use Code: 1101 - MOBILE HOMES (owns mobile & land)
Property Description:
PORT HADLOCK I BLK 5 LOTS 12,13 I I I
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