HomeMy WebLinkAboutpitkin.eh.264316200001 (1974)Document Layout
(From Most Recent to Oldest Permit)
Permit
Application
Log Sheet/Notes & Photos
Communications
As -built Design
Engineer Design
Soil Information
Floor Plans
Water Permit & Information
Land Use Approvals
Second System on property
Third System etc
(All relevant older documents in the same order as above)
(A red sticker will be placed on both sides of the file tab when doc. is scanned)
72025'3
Owner's Mailing Address
Addres
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PITKIN COUNTY HEALTH DEPARTMENT
Systems Contractor's Name W/
Legal Description
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RECEIPT NUMBER_1 z.?%
Phone # yZ� —7,2%�
Lot Size�A(i,VC--S Type of Building by Use
Number of Bedrooms 3 Type of Water Supply
Type of Individual Sewage Disposal System
Type of Soil or Soil Classification
Proximal Location of Bedrock '� O /
Proximal Location of,Ground/4ter
Owner's Sianature KA -L-
PIAT PLAN:
7R/
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Percolation Test Data ��— Minutes per inch
Minimum Recommended Absorption System Si
MiniRe )mmmended Tank Size 106/61
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after lower portion is completed and sign
CONSTRUCITON ITE.
Date S
ed by the Sanitarian. RETAIN THIS FORM AT THE
Sanitarian ��FG UZZ,Lli//�n
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COLORADO DEPARTMENT OF HEALTH
C(�vNEY.� S REQUEST FOR SERVICE
PROGRAM /7 _ RECEIVED BY
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REPORTED BY 1A, -;I llkgAla ADDRESS TELEPHONE
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