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SNORWISH HEALTH DISTRICT <br /> Division of Sanitation <br /> 3011 Rockefeller Ave. , AIpine 9_2061Ima <br /> S� <br /> Permit No. Everett, Washington <br /> - Date <br /> APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIESr <br /> Name a � �.l' //Z J �+zv Address_/� ! <br /> Address of Proposed site �1,ZZtC���, <br /> Legal Description: _ "�1ockT, _ tion/y <br /> f Type of use No. of bedrooms <br /> fLot Size <br /> j Septic tank Capacity 7S _gallons. Disposal field length ` <br /> Sanitarian's Sketch: <br /> i <br /> I <br /> I <br /> Remarks: <br /> —I <br /> Date I C• Inspected by <br /> Installer � <br /> Approval Mailed to <br /> Date <br /> Rec . <br /> I <br />