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PERMIT TO INSTALL AN ON -SITE <br />SEWAGE DISPOSAL SYSTEM <br />Division of Environmental Health — Snohomish Health District <br />County Administration Building, Courthouse, Everett, Washington r <br />Acct. No. /V/,;.Z eC?`J "7`-CGI r�—Ce 6' Permit No. � �• �'O-s <br />Septic Tank /(J06 gals. 1 i i r •i�� <br />Disp. Field 1-/ 7/ sq. ft.� <br />Trench: Depths ± Width• /—• !�-�. l% i�%t—� <br />Date �• - <br />PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUE <br />Sanitation Office — 259-9472 <br />DO NOT COVER SYSTEM BEFORE FINALLY APPROVED BY SANITARIAN <br />SNOHOMISH HEALTH DISTRICT <br />Sanitation Office — 259.9473 <br />ON -SITE SEWAGE DISPOSAL -INSPECTION CARD <br />Past This Card' <br />ACCT. N0. 082 FOS* V-009-jWOPShort Plat/LTS No. <br />NAM <br />ADDRESS 7 a ;d <br />PERMIT NO. 473o49F3 <br />DATE <br />I hereby certify this system was installed under my supervision and control and complies with all provisions <br />Health District Sewage Waste Disposal Regulations. <br />Signature of Install Date_ <br />Approved Disapproved Date By <br />Engineer or Designer Date <br />DO NOT COVER BEFORE HEALTH DISTRICT APPROVAL <br />Final Approval Disapproved Date___ By <br />Remarks <br />Sanitarian Date <br />32481 Ho-zo <br />