HomeMy WebLinkAboutBLD Sewer Adequacy - 9/17/2024 812972
Its N.aTH STREET,SLOG 6,SHELTON M.564
SHELTOR 9a1-Bes.Exrlau
MASON COUNTY
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Application for Determination of Sewer Adequacy 1
Instruction.: T
1.Complete part 1 of application. Permit number may be added at later data
2.Take application,Site plan,and any other associated animist on with the proposed development to the Sever
System Manager or Designated Employee M approval.
3.Submit completed application and Information to Permit Center or Meson County Public Health for realm..
NOTE:you must supply the System Manager wlth a site plan for the pmjec4 showing all existing or proposed
sewer components and lines In relation to proposed development and prop".
Part 1:Applicant Parcel Information
Applicant MTT CONSTRUCTION Date:Tukwila,
Melling Address: 16000 Christensen Rd Ste 150 City.State.Zip:Tukkwila,WA 98188
Site Address: 81 E COMPASS LN Phone: 253-508-2156
Parcel Number. 12220-50-61003 Permllp Vl6l
Part 2: Sewer System Information t—y/Sile Plan attached?
Nerve of Sewer System: North Bay Casa Inlet
o
fficially: Sewin
er System Manager or Designated Employee ISM complete.
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GoNn : IOwrMredw'Moetlb ippb,lla YNw venllvMry cordl9aMeet all Mason County design and consWction standards,must pay ell fees includingion fee with permit and inspection fae,grinder pump fee(if applicable).chard Dickinsonm d 8y4m Na W wr En Wr��
Part 3:Mason County Public Health Review/Approval
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This form may be scanned and available for public view on the Mason CounH web site. r