HomeMy WebLinkAboutBLD Sewer Adequacy - 6/16/2023 400486
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Application for Determination of Sewer Adequacy
Instructions:
1.Complete Pad 1 of application. Permit number may be added at later date.
2.Take application,Site plan,and any other associated Information with the proposed development to the Sewer
System Manager or Designated Employee for approval.
3.Submit completed application and information to Permit Center or Mason County Public Heats for review
NOTE:You must supply the System Manager with a site plan for the project,showing all existing or proposed
sewer components and lines In relation to proposed development and property.
Part 1:Applicant Parcel information
Applicant Sam Martin,Agent for Lennar Northwest,Inc Date: 6/16/2023
Maling Address: 33455 6th Ave S,Unit I-B City,Slate,Zip: Federal Way,WA,98003
Site Address: 380 NE Olympic Ridge phone; (Z3)2W322
Par®INumbsr: 1 2328-5 1-00064 Parmit Number. 'gl�l2(12'��Ca(YL�3
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Part 2:Sewer System Information
Name of Se Wad,System: ir Lp She Plan 6 7
Ofachl use only: Sewer System Managaror Designated Empfoyee is to complete.
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Must meet all Mason County design and construction standards,must pay all fees
including:connection fee with permit and inspection fee,and Latecomers cha a BD).
Richard D-Idtinson 612923
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This form may be scanned and available for public view on the Mason County Web Site.
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