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• ' PER►�IT TO INSTALI. A TENi�'�?RAE�Y <br />SEWAGE DISPOSAL SYSTEIVI <br />Givision of Environmental Health — Snohomisli Health District <br />.--��7 Courtliouse;•,Everett, Wa hington <br />Septic Tank � C=� �als -.-. ��;-��_�Y7J1 ���=-r l�No. � -�J <br />7 (I `� �� <br />Disp. Field ..� ��'sq. R. Tr�h' _./_L'_�--�----------- <br />� �/ ( <br />O:her J11 [� �i�:-�t� J � �. ,• �/ <br />_� <br />6a�e / — �� O .. �� / <br />PEI2MIT EX�iR�S ONE YEAR FROM DATE OF ISSUF. -- <br />�By issuing this permil on the abo+e described pr�perty, ycu or any future owners will ccsume all lieo li� � <br />fies for the sanitary lunction of this syslem. This permit ���as issued accerding to Ihe Ic`e�.t engineering �"�� -j <br />dota available an a "temporary sewage disposal system; � ; � � . � �. � � <br />.�-- <br />� <br />DO NOT CO'VER BEFORE APPROVED BY SANITARIAN OR DEi1GNER f <br />'r-- <br />■ �v. _ <br />�— SPOSAL iNSi'GCTInN RECOR A/� <br />SNOIi01NISH HEALTH DISTRICT SE4'�lA � <br />� � <br />%r <br />da- �s --�-�--��- <br />No._____---- �,p� �/ ,_,.r,_ <br />Se�tic Tank �O � _gals. �'�-'"" � � � { <br />�-a �.�����_�-��-�- <br />Diip. Field_�--5�' ft. � � . � <br />�j,. �. �, •• ,,� ( 3�.� -�9' • <br />Trco��{7[� � __..Trenchwidth .. � . � <br />. �'� �� Bedrooms _,_� Fxistinp _Sewer__, �__ . <br />Date _ � a _ -- <br />DO NJ7 C0�1ER BEi�ORE APPROV�D BY SANiTARIAN ,-, <br />I her�by certity this system was installed under my supervision znd co�itrc! :ind cnmp�ics wilh alt nrovis�ors �� �•��•��•••�sh Hea!N� D�siriet <br />Ser:age Waste Dispos<.' Re��ulations. Date _----�-- ... --� -. � <br />Signatum oT Installer_.___ _ —. <br />__ �� <br />Date __.--..___... <br />BY �_ —_`_-.� <br />Date ------ --- -"_-- <br />Approved �_- <br />DisaGVroved <br />Remarks _ --------' <br />Fnnineer or Desi9nrr__ -- --- <br />Final A— �a� ----D"a��roved <br />Remarks '— <br />Sanitarian — <br />Date --_,_---� �---- �Y <br />— - Date __---.. <br />P:o P'u��dun9 wdl br a�q,:o.ud Crmr to ��Jalinlmn nd.�tl�rma��_���. , ..,. <br />n bu,id�ng a. _._. �, 3SF, 111 1111 U P C': +•": . '_ <br />_. . . �--__"._— _ <br />��_.��__-- <br />PLEASE CA.LL FOR INSP[CTIOPa ONE DAY <br />PRIOR TO TH8 DATE INSPECI'ION NELDED <br />!.II a6r,��r, -�n:t>�nions must be nPp�oved prior to nna�. <br />�th Final <br />ihis �a�ildi�� N��� to b� �C'acc��:iea c�ey�it FIN6�LED .�., <br />'� VIOLATIONI$AKISULr'E�DiOR � ic� 70f�.r....••.•,l�.�l . . <br />n.�, .�.ti..s . <br />