HomeMy WebLinkAboutSWG Application / As-Built - 5/3/1960 Ccutt 8ouae-Allnex Division of Sanitation Court Ho se AnnexTs
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�';AEPLICATION TO COHSTHOOT OR ALTER AN INDIVIDUAL. SEIIA(iE_DISPOSAL SYST
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Psope�ty,Owner + �� r/ T�/e � `�Te lepho
(P'�oaes 311
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;Nailing i Address
Address of. 6lte
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TAaatiOn of'Props y,;;Inclu¢ings, ;L , +h $
]troperty ;F ; Cad z �•c.wCommercial
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Ifatet'0upplyf PnbI16 � Yell_, Spring_ Misr..
Ie evy;`vater eupp4y ,or:.boQy of"'water, .rithin 50. Yeet` of_ eswage;,eye OO Ys o
SjW0K' IONATED ON:BACK SIDE OF THIS SHEET.
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��pti t'isat oils. Drainage Syetem',Length set. Trench MiBt
And/or'other B.H.A: Yes
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CheFk foi
etalla lon oft='Automatic laundry �Q)., Automatic dishwasher=(d,¢), Oartiege ga' , rwi4�
d ,Ts poatsnotor. inetallipgreeptic taakT:Yee�o DrafnfieldT
�Tamb eaa adQsese of T
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T� D71DS68If�i8D hareby applies for a permit .to construct a new sad/or ties ( } -
a sewage eyatem on above property . The conetsuotion and epeoificationa are o be in
spaosdenoe �tiEh the; VAMmtm .Requirements ;and.'Stendards Reguletlog ,Sanitary . .
piepusal' 1a .Thuretoa-1(aaon.Countiees"'
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NOT@f <<Mease refer to BMW' mum Requiremsnt9" end :'8tandarde Regulating°8anit, . SsreGb'-'
Dispoael" sad the sees
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PesmiS Ao. .7 a �,�De ;Date ieeaed (� �` By ` �� 4U
Aran. Sanitarian
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Approved by � f
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SKETCH I DESIGNATE THE FOLIA4IIPTG:
-1 Property lines and names of streets.
2 -_Locate all buildings; driveway&.. septic tank and/or 6thsr, 'drat s1d,
distribution box.and .trees. ...
3. ..-Dimenai.ans -of. septic tank-ind drainfield.Locati ' ,t
4 bodieson f and distance to,iny m„stream,-lakes, Puget-Sound r.
of water within .100'feet of sewage. system;
5, -.Looetion-and type-bf val.ls.or-btherweter:applies-',withI I06
of sewage system
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Sitmi AND DESIGNATE THE FOLLOMIG:
1 Propeity lines and names of streets.
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2. 1.obat�e all buildings, driveviays, septic 'tank and/or o'bher 'dr
distribution. box and treee
3. Dimerisiana -of septic tank and drainfield
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4. Location of and distance to.:any.stream,-1a a, Puget=Snnnd,
bodies of,water, within 106 feetl of, sewage system a
YPeP4�liae ,
54 Location and t of wells .or at her:water'. +rithin '20Q x C
of sewage system
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