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903 E. Caroline OLYMPIC HEALTH DISTRICT
Port Angeles SEWAGE DISPOSAL PERMIT APPLICATION
Submit it Duplicate
Court House
Port Townsend
OWNER
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SCP 14 - Ov
Permit No -14
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Date
APPLICATION IS HEREBY MADE TO• I1�TSTALL N1 SYSTEM �RPAIR EXISTING SYSTEM
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YPE OF BUILDIRTG
NO. OF BEDROOMS BASEMENT SITE NAME OF INSTALLER
44
DRAINFIELD LENGTH / � i,!IDTH DEPTH 3� #LINES I SEPTIC TANK SIZE f0c
DRAW A DETAILED_ PLOT PLAN BELOW. SEE INSTRUCTIONS. SOIL TYPE
PERMIT
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DATE OF INSTALLATION
SIGNATURE OF APPLICANT �
APPROVED S DATE �(� j INSPECTED BY ,Z� DATE�I `Z
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Parcel Print
Parcel Number. 994800508 05/14/2007
Owner Mailing Add
LARRY TAYLOR
LINDA TAYLOR
111 MASONIC HALL RD
PORT HADLOCK WA 983399538
Site :
111 MASONIC HALL RD
PORT HADLOCK 98339
Section:
2 School District:
Chimacum (49)
Qtr Section:
NE1/4 Fre Dist:
Chimacum (1)
Township:
29N Tax Status:
Taxable
Range:
1W Tax Code:
211
Planning area:
Tri -Area (4)
Sub Division:
SHOLD'S ADDITION
Land Use Code:
1100 - HOUSES (single units, non-farm)
*103672
Property Description:
SHOLD'S ADDITION I BLK 5 LOT 8 1 I I
Page 1 of 1
http://www.co jefferson.wa.us/assessors/parcel/parcelprint.asp?PARCEL NO=994800508+... 2/5/2009