15705 70TH AVE W.PDF15705 70TH AVE W
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°v SIDE SE CITY of EDMONDSEWERPERMIT
`- PIT
ft=_NE�P�T C0O AUG 1519$5 �
For Inspection - PERMIT N0. 9 9
PUBLIC WORKS
Address of Construction: S / 19S 7 0—,-K A V,
Property Legal Description (Include all easements):
Owner and/or Builder: -
Contractor & License No:
Single Family Residence
Multi -Family
LYNNWOOD LINE
1FCr�+ 6!"Ry GY�IFFL ti)
(No. of Units )
Commercial (No. of fixture Units )
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No V Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I certify that I have read and shall comply
with the items listed on the back.
Permit Fee: 30. 06 Issued By:
Trunk Charge: 2-s-: DD Date Issued:
Assessment -Fee: Receipt No.:
11 9-9
Partial Inspection:
Comments
Final Inspection Approved: $-22-gs . (aw-
Date I n i tfal
00 Rejected:
C) Reason
r
** PERMIT MUST BE POSTED ON JOB* SITE **
a�
Wh.ite Copy - File Green Copy - Inspector
Date
Date Initial
Date Initial
Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing
EASEMENT NO- --------------------------------------------
MEAD. c4VO4-
NEW CONSTRUCTION❑ REPAIRS E] LID NO. 9,10 ------ ASMT. NO_ ------------------
OWNER -----JP__ M------- G-R-t-FF7-i7-tA -------------------------------------- CONTRACTOR ------------------------------------------- ---- PEILMIT NO.T35(a
JOB ADDRESS --- 15-70,T ------ 770 T" ----- LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. --
L!!NWll0 LiNf
----------------------- --------- I ------------------------------------------------------------------------------------ ----------------------------- -------------
--------------
NAME OF ADDITION ----------
5, 1 b p
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- 44'
r/7 To 4o"C.q
19-5,
PWW-0001-1 1/75 (REV. 11/78)
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V �;G STREROTTIcY F DMONDS
CITY ENGINEER
WWWWWW Mau_
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY .... 15 705 - 70th Ave. W.• ... ..... Lot No ....................... Permit No ...... 37..5..........
..................... .
Owner- .Gary..Griffiths........................... -...... Address. 15705._-...7Gth..AvP.....W........... ........ Phone.743-.014.7-----
Builder_...Steve Terhune Address Phone .... 852-3100.
Designer._..Owner.................... ............ ....... Address -------------.............--.......----------------.....--.. Phone-------------------....
Installer----- NRPr- ------------- --- ----------- -.............. Address . . .....................------ ............................ Phone ........................
I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed
address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of
grades, fills, surface drains, etc.) listed by me on my sewage disposal system permit application dated ................
2/17/.76...............................have been complied with.
..................................................... ----- ---------------------------------------------------------------------
Signature of Designer Date
As —built design submitted by Owner.
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted.. ........... Date.M. .:3t.!.=✓-!..lQ
NotAccepted........................................................ Date-..- ...................................
Signature of Sanitarian—... —.. ................
Remarks:......................................................................................................................................................................................
INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest
detail and still contain the entire site on one page.
ATTENTION HOME OWNER:
Your septic tank has limitations! It was designed and installed to care for an average -size family. Over-
loading the septic. tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to
remember:
1. Have your tank checked periodically to see if pumping is necessary (2%2-3 years).
2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure, driveway or. patio in, on, or over the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities will not harm the action of the septic tank and
disposal field.
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SEWAGE DISPOSAL PERMIT
Septic Tank ... ........... gals. CITY OF E D M O N D S No.
Department of Public Works
Disp. Field------ ft.
Other. --------------------------------------------
- --------------------- is hereby authorized to install/
..............................................
...... .............repair sewage disposal system at
........... �,..jf
Name.
;7 ......................................... 0 . ......... ------- ....................................................
......... .... .........
/" -� -------- /.-7 ----------
Date, issued on.--_:;,..
Permit expires one year from date of issue
DO NOT COVER BEFORE APPROVED By DESIGNER OR SANITARIAN
I hereby certify this system was installed under my supervision a I nd . control and complies with all provisions of the City
EN094MMS fl&qA&T,)WsEN1T
Cityof, Edmonds Signature of Installer ---------------------------------------------------------------------------- Date ----------------------------------
505 Bell Street
Edmonds, 98020 - Date. ----------------------- By ----------------------------------------------------------------------------------
App roved isapproved 0 ->
-- -- --------------------------------------------------------------------------------
Re r s
Date----------------------------------------------------------
SANITARIAN OR DESIGNER________________________ _-- _ _ __- _ _----••----•---•--
until inspection has been completed.
This permit shall be posted in a'reasonably conspicuous place on the job
n E C iV
CITY OF EDMONDS AUG w 1 19717)
ENGINEERING DEPARTMENT
Uplor7ds Engr. Deft.
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to:._0..W*#.� % ...... �..A-,)'.... 6W . ST,�YE T-,Z 1W A16
For installation at: (street address)../.a ..7q.tS� ZP. ..g.-- ---------------------------------------------------------------------------------------------
Addition or Subdivision-- 5-,;?/.--��------------------................. - ----------- -------------------- Lot ---- 13........ Block ................
Type of Building: New..% ...... Existing........ Single family residence X Number of bedrooms .... ....... _.
Other: (specify type or use)---------------------------------------------------------- ------------------------------------------------------------------------------------------
Builder.... ST.4................................... Address --- P.O _50X—..67-.../i' ifs 9.�Q 3f -----
Designer....... ....I ........................ )A----------......------ ...... --------...._Address ------------------...-- ----- --------. -- . ----- -- ........I.. --
Soil Log Hole No. T 3 D�PTizi'
Soil Log Hole No. 2... SA.Nd...... .... 6r/Y/VEl....---�T...... ......................... -------------------------------------
------------------------------------------------------------------------------------------------------------------------------ ------------------ -- ------------ -------------------------------------
Elevation of Water Table, if encountered. (Distance from ground surface) --- AIo.77-- f 0..)d//1/. ...............................
Corrections to control surface water if needed-.........................................................................................................
Specify if any removing or grading of topsoil in field area...W.O.NF...................................................................................
----------------------------------------•-------•---•-----------------------------------------------..............--- •---------.......................................----•------.........................
Percolation:
Test Hole No. 1 —Average Rate .... 3... / I4111A/. (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2 —Average Rate.... . Ali._ ...... (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate .... a..MIN/U... _ _........ 11 - ----..(Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design .. ...L�%//�//�/_... Date Taken..$.:/�-�j...
Septic tank requirements based on present rules and regulations:
Septic Tank Size..... q jq.0.............gallons.
Amount of Square Feet of Disposal Field.... y6l................. ..
Signature — Designer.. ---------------- ----------------- ------- ------- . Date ..... l.'7�
oK — —
�Vx- DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency))
Permit issued date _ Permit Number. s............................
P�'R Remarks:.... 1.7 -f
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