HomeMy WebLinkAboutPermit 072 - Reslock Residence - New House
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.SEATTLE -KING COUNT1(, dPARTMENT OF PUBLIC HEALTH - , 1SION OF SANITATION
' - I Room 904, Public Safety Building
APPLICATION FOR BUILDING SITE APPROVAL
' (Submit in Triplicate)
(This accompanies the building permit application and is prerequisite to the issuance of the Septic Tank. ,
Permit.)
Locationof Property- Street A:ddress .....................................................................................-................................................... ..........................:....
Hillman's Seattle Garden Tracts 27 15
Addition Subdivision .. ........................................................_....... ............................... ............................Lot ........................Block ....................
ir
Type of Building: New ...'��� .....................Existing ............................ Single- family residence? ................... .....,...................,.....
Na ApOrtc ;ant f lclg. Sae letter
Basement........... ..........................Other (Specify) ............................................................................ ...........- ................ +..
NOTE: This application may be submitted to the main office at 904 Public Safety Building, or, -for prompter
service, directly.to the branch office having jurisdiction in the area in which the property is located. To
contact District Sanitarians by telephone, place phone c a l l s be fore 9 :30 A.
Seattle Office
904 Public Safety Building MAin 2.6000, Ext. 281 or 376
North End
15272 - 15th Northeast EMerson 3.4765
Eastside
904 Public Safety Building MAin 2.600x, Ext. 281
Southeast
812 "E" Street, Renton ALpine 5.3496
Southwest
707 Southwest 100th WEst 7 -0961
Harald Heriloc 16447 ':ly?.Vister Rd. Ch.2•3t04
Owner....... . .......................... .... ................. .......... I ........................... .. Address ........................ . ...... + ....... + ...... I ........ I............... Phone ....................:.....
�1
Builder .......... .................. I.......................I......
........................Address ..............................,............ ............................... Plione .,,,.., + +....,,...........
Designer ... Ja►tila3 W, l,oDu�`e0o Address ...` At1�i17Y"EIG� .o.a3�•2. Phon • >r•7449
+ Hole
Soil Log No... i ....
9? � b.,.. brow 11 .... a. l:. �y.... 1tfA ..�.a... 0 4113 . y... u. AS` �� .......... ...............................
. .. .............. . ............. . ......... .. ....... ........
Soil Log Hole No. 2........................
......r,: }v....'e+i�si...u. a y.. ,t1.. ... ............,- ..............
.................... ........ .......... •tM .........�.. s ....... . .,."..�� ►1 ..... ............ ..... ........,..........,...........
............................ . ........... ..........
..........lr....�SF....h...A. r �..Y.. .... liiiiaiia
Soil. Log Hole No. 3f� +..... 5 lfl....W f ... UK .... 2 „ 7 ..., G ..... ..... .�,.... . ,�ir�....r..w.1f-V - s .......... ..... .............. ........... .
........... ....... ...................... ........,.
Soil Log Hole No.
... t�"o:r y ...,r, "r'� ;. ................................................................................. ..........:.+................... ... +,... +,.,............
.................. . ........................................ . ...... . ............................ . ................................. ............................... ....
.... ......... ... ................................................
. .................................... . ....... . ........................... . .................................................. . ........ n*r- •*; . I.........................
Elevation of Water Table, if encountered. (Distance from ground surface) ...................
Give estimated difference in elevation between high and low points on lot in feet .............. ... ....... .+
Percolation {1
Test Hol No. 1- Average rate ............. ��$.. ... .(Fall in minutes - per -in. bottom -6" of test hole)
10 to
No. 3- AV*r��i .. U y �(
No . 4- " .. ................ +.............. „ „ „ „ ►, ,► „
No. 5 - ,1 it 11 11 11 of it 11 11
... ...............................
No. 6 - to to it 1, 11 of of it 1, to 1,
(For additional remarks or comments attach letter in triplicate or utilize unus s ac s 5•. .t w u drawing on
rt+verse side of application) Liss atrta0h lettlr•
Sig nature - Designer .r1�cL,1�.` .1:►r>..:?r'.al . .. ............................... Date ...................
DO NOT WRITE BELOW/,•HIS LINE. (To Be filled in by H6fii h Department)
Accepted ....... - ,....... MU ....... ................ +, ..t.. ......,..,... ;;.............
Date Date Health D artment Sanitarian•. ., ..,.
S- AP•118 Rev. 6 /10 /38
OO a l 3.15. 2 '
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