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Home My WebLink AboutSWG2024-00132 HOMEOWNER INSTALL - SWG Application - 6/20/2024 q15 N 6 " STREET. SHELTON WN 995800 �i -ram/ $HELTON. 36C-42?-96?C % MASON COU \ 1 t BELFA 360-2?5-446] FXT 400 IR COMMUNITY SERVICES ELVA 380-4825269 Ex� 400 ,A, 36C-4Z,7798 HOMEOWNER OSS INSTALLATION REQUEST Dale: _612tf/24 ,same of Applicam/0"ner: _Alark Carter Mailing Address of Applicant: _4623 770 Ice Ct N� _ State: _Ak?— Zip: _98466 C it,: k uircrsih Place__ Ismail: markandbncket a;gmail.com Phone Somber: _2i4-SN2-933� — 1't-dfgii i'arcel ]umber. _22007-51-011060 / ee, m,ee I nl dr.i�m )Drml approsed Septic Permit Somber: SN'f'G _2024-00132 ! e / of design Ibnnl Septic Design Expiration Date: _04ilh/2027 of dr�ien inrrn, cvee page Septic Designer or Engineer. _Paulo Johnson____ Designer"Eagineer nwst smntp their approval for hnme(jwner installation. Ow ncr A To cement: 1 , 111, cst L ICp1t DG "IONEn /e . . r \PPhconi M\!llr H l:A1.11f DEPAR"1 NETT CSF. OSLA' �. :4ppnn ed Denied Rec ics+ INSPECTION DATES' 2 st : � _7 Pre-'n4ai M2KOR �— ,sammee of EH Spveialist: 1)'=t V' D/F Depth Inspection. SiPtiature: �— ____ ` Finolln,Pe�l°n `�-5 _z_ This farm .;pdaved z;it/mu may be scanned and available fior Publ¢view°^the Mason County web:ice.