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NOV-03-2009 TUE 11:59 AM snohomish health dial FAX NO. 4253395254 R C2 <br />SNOHOMIS`i <br />j HEALTH <br />DISTRICT <br />Healthy Lrfestylas, Healthy Communities <br />ENVIRONMENTAL HEALTH DIVISION <br />Water 8 Wastewater Sectlon <br />3020 Rucker Avenue. Suite '.04 <br />Everelt, WA 98201-3900 <br />425.339.5250 <br />PERMIT TO INSTALL AN ONSITE SEWAGE DISPOSAL SYSTEM <br />This Snohomish Health District Permit to install an onsite sewage disposal system is valid only when Issued concurrently with the city or <br />county Building Permit for the named Individuals and property and will remain valid for the term of the Building Permit. Explratlor, or 11's <br />permit will require submittal o1 a new application and fees. PLEASE NOTE: repair permits are valid for thirty (30) days. <br />PERMIT# 34758 ISSUE DATE 112012009 _ <br />TYPE/SYSTEM HT <br />004396 000 01003 <br />Tax ACtcum Number u Ivmon of <br />MCCLEAN IRON WORKS <br />777r7M-N1 Building Permit Applicant Narro <br />2000-2200 ROSS RD, EVERETT <br />'8A2 reSS — <br />INSTALLER <br />I heraby certify this system was installed under my supervision and control and complies with all provisions of Snohomish <br />Health District requirements and WAG 246.272, the State On -Site Sewage Disposal Regulation. <br />Installer Company Name <br />To he c an,_ on y wan MINIM Ian , COnCUrrOnCe <br />DESIGNER <br />I hereby certify that tniS system installation complies with the <br />criteria of my approved design and with the requirements of <br />the Snohomish Health District anc WAG 246-272, the State <br />On -Site Sewage Disposal Regulation <br />Company MCCLEAN IRON WORKS <br />Approval By <br />Date <br />Disapproved ette Ely <br />Reinspectlon Approval me By <br />Date <br />HEALTH DISTRICT IBB- / <br />Final Approval 1 I DzIU*\. By <br />Date <br />Disapproved By <br />Date <br />Comments <br />DO NOT COVER BEFORE HEALTH DISTRICT INSPECTION AND FINAL APPROVAL <br />itD-zn r� I t uz :� <br />