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HomeMy WebLinkAboutSWG Application / As-Built - 5/5/1965 No. -7 .� l i HURSTON - - . - DIYISION OF.SANITATION t Court-House lAnnex' - - - Court,l-louee Annex $he(toni Washington . . Ivrnpia,Washington ' Pbone 426-8515 Phnnc 352�4851 APPLICATION 'TO CONSTRUCT OR ALTER AN INDIVIDUAL SEWAGE DISPOSAL , YSTEM ) I : (Application Required For Each Installation)' - - Property.Owner G n 7Y P T� r r Telephc :i (Pease Print) - --- Mailing Addresv`lL� '_J. o I Address OF Site f Location of Property, including " Lot # \'/� Block // Oth.cr I Detailed directions tosde: I/ �LLI T:5- r -- - - - N - Property' - ' - t Commerci Size Residence NO. Bedrooms 1 iBasemenf Type 1 2 R A Water Supply: Public x—' Well Spring, OtFer ' Is any water supply or body of water within 50 feet of sewage system? Yes — No I Septic Tank � gallons. Drainage System Length y� Feet. Trench Width I ' Feet. _I (Refer ko Table I of Bulleliri)• I - (Refer to Table 2 of Bulfetin)•T - And/or' system other than above Check forinsiallation OF: I.k < f - -Automatic Laundry Automatic Dishwasher,(/>/Q) Garbage Grander Is Contractor installing.septic tank? .Yes No Drainfi Id? .Yes _ No 1 y j.. `r i- Name of Sewage Contractor - - - - - SEWAGE CONTRACTOR MUST BE LICENSED-BY THUR90N-MASON WEALTH DISTRICT', SKETCH PLOT PLAN AND PLANS OF PROPOSED-SYSTEM-ON SEPARATE'SHEET PAPER,6N� - _1 THE ;UNDERSIGNED hereby applies for a permit totconstruct a new-(, ) and/_or;alte, ( )`a sLw ge system ' on above property, in accordance with the Bulletin.., - I i - 1 --" - - Applicank's;Signature Address - .I •Boll%tir,: .)Washington Slate Deparinrenl of Ho.hR'Bu11a tin S. S. lira. I lided "A Septic T.Nk Systen for )'our I�o»re"for rnrnrmrim requirements. r - (NOT TO BE FILLED IN BY APPLICANT) I Permit Noltl'I1�J!_. Fee 1Q_-._ Date Issued Z�_� �-�- - By• � .� Area anitariao- _............. . . ......................... --Dates Inspected :: -Remarks ....--_--- ---- i t -- Date App' r __�8 / i Approved L, u roved --- __ _..-6-. _ ___ _ ._ . PP Y'- . ........ . . ... ......... ....... .. ......... . .. i - _ ___._• ._ _' (Sanitarian) .... 3.64 t EsoEsmmm. mmENEENEEamEmEEMENE Emw"MEN MEMmMEEMEse .°MemmmssEmmmmmlm=m ■ ■ .EUm■WEEWMEMEEEEOM■t161t117mE1111 ae]CIEOmEIOLII��®Bel�Ji10®©m°..�■.....m■■.e a :mCm:: m•:mmm:im::Cu:•:.i'eaom�C©me'i®a■v:Cv'mCCu:iCu::'u■::::C:ii:::m::m� i: :�:::::::�®E:mmm:::mm:::mE.iCEm:::a:::mm:::'om:::':m� 'mmm::::C{muumuu:Pull, : mmu :::mums:::::::::_.�: a::EC:E: r:E� E'a'.ME:E:MEME:,'.':mimmmmoolownC'■mm:E:::1�iG E■MMeEmEEaEMEOEE �uaEW.EMEEEEEEOs E.0 . 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