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.JAN.23.19% 2 :40PM CITY OF ASPEN <br />PITKIN COUNTY HEALTH DEPARDWT <br />NO. 805 [ P. a 1r <br />PERMIT NMMER 720198 RECEIPT NUMBS . <br />Owner M /D- �'OIUT /!V RNA%' COB AF-- -c t1'1 p _ Phone # - 29591 <br />Address d <br />Contractor l� Q/y �I�iuG % —CQ/1I ► Phone # <br />Addressi�/Q/Irdi.Al�� +�.i�_ - -- <br />Location of system SF19IR / IAI LC Lot S£ze -- _ <br />Legal description <br />Dumber of bedrooms <br />Signatvxce of owner <br />Date b ' /9 19 73 <br />Percolation test date.• ' 3• M IN ' minutes per inch <br />Minimum rec=nended absorption system' size ,. nn F 7- Z <br />Minimum recommended tank size <br />Permit application valid one year from date. Application to become permit and final <br />only after lover portion is completed and signed. Retain this form at the construction <br />site. <br />DRAWING OF SYSTEM <br />G � <br />• �`' ova —Tip► -Wore <br />pRE�EN i <br />5EWE' lq - 1..114E <br />Q'E R Cl3r.. FCC- cCNy, /,,�►""�,,,,,...� --.-� <br />M%T <br />Date it Nam it <br />'07 � x 1pft pa s m d <br />wxdot <br />:1 (20, w � �r orn <br />x <br />Sanitarian <br />