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�, <br />r cn�n� �� v i�va � r+�� r� � unrvrcHic T <br />, ` SrWAGE DISPOSAL SYSTEM <br />Di+�isioi of Environmental Health — Snohomish Heaith Disirict <br />�C�` Courthouse�verett, W�shingtin f / <br />Seplic Tank gals � �-_��_,:r.Li��'= ,--�I�. _� C' `�� <br />�� <br />Disp. Field .:� c� q. ft �i ch 1—� � � L_. <br />�fhC� ��Y� in (I � � l �_ ��_f_/• L y l <br />oa��—L.� n �-7.� ��, � . ��, . yJ — <br />PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUE <br />By issuing ihis permit on Ihe above described property, you or any (uture owncrs will assume all liabili- <br />ties for the sonitary function of ihis system. This permit was issued according to the latesl engineering <br />data available on a"temporary sewage disposal system." <br />DO NOT COVER BEFORE APPROVED BY SANITARIAN �R DESIGNER <br />__ ___._ .,_ __,___ _---.. <br />___ --__ _ . <br />Q■ _— I - <br />RED <br />,N <br />SNGHOMISN HEALTH DISTRICT SEWAGE DISPOSAL INSPE ION RECORD <br />ivo.�� ��� �L'i1[K—s:��-QNdI/o/� _ <br />SepticTank�L�O gals. � d r�, _ <br />Di,p. Fie/ld���sq. h. � �n�l10 j� j <br />• 1 y� <br />Trench�7tK �` J Q ��Trench width � �� � '� 7 � <br />Date _��J �� Bedrooms __ a.J __ Existing _Sewer <br />DQ NOT CaVER BEFORE APPROVED BY SANITARIAN <br />I hereby certifi� this sy;tem was instzlled under r y supervision and control and ce^ipties with ali provi<ions of Snohomish ke;iih District <br />Sewage Waste nisF osal Hegulations. <br />Signatute of Instal�er ___ Date _ <br />Appro�:ed ;_^ Disapproved Date _ By _ <br />Remar�cs <br />Enginrar or Design^_r __ __ pate _ � <br />Final Approval_ _�?isapproved Da[e __ By <br />Rem uks _ <br />Saniearian _ ____ ___ Date <br />No .,n,.nt,��q w�u b.� anproved nr�or m m,r.�u;n�un of prnn.mrnt potahlr f�ll �bove inspec[ions must be approved prior to finat. <br />:.,1� r m hudd�ng a5 Se[Iinn 318 UI IH� U P.f. as ainendpd. <br />PLEASE CALL FOR �NSPEC'iION ONE DA" — <br />PRIOR TO THE DP.TE INSPECTION NEEDED 4th Final <br />This Buildi�g NOT to �e Qccupied uratil �INALED <br />\�"'"""" VIOLAfIONISA!✓1$OENEANOR � See$OG�a�::m�ncled �T�}Ti��7 <br />