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17150 SEA LAWN DR.PDFIIIIIIIIIIIIII 12984 17150 SEA LAWN DR TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: [:]Conditional Waiver E] Study Required E] Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: r1_­kr41,4jUN%j Ljft I ft JL Mtl JL zm; SCALED PLOT PLAN DATED: SEWER LID FEE LID #: SHORT PLAT FILE: LOT: BLOCK--. SIDE SEWER AS BUILT DATED: SIDE SEWER PERNff(S) M. SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER 1�1ETER TAP CARD DATED: OTHER. LATEMMSTsTonnASUret File Cheddistdoc The City of Edmonds OWNER ...hv 01 .Y./ ,,K ................................ ...... a ................. ADDRESS ... �215-.O ............ 5 .1!� ....... ............ ..... Lli LL l-u CIO lit VO APPLICATION for SEDE SEWER PERMT I-Aluzo , L I/ k( - EASEMENTWo . ............... .......................... NEW CONSTRUCTION E] REPAIRS 0 Z, CONTRACTOR ......... Z��J6� .... �5� ...... . ............. PERIMT N . ...................... ............ ................ LEGAL DESCRIPTION: LOT No.' BLOCK No....: ........................................ NAME OF ADDITION ........................................................ ......................... .......................................................... I-J/u Approved: 717 DATE .47� ........ 7!;;� ................ By . .. ... ..... ...... .............. -P/a-7'7,� 777henc----�o 6,�5 4-3 Q I V 0 9 11 ci A OW, �--, .,: :11M -e- - �i- - , - - � v ......... ._CITY OF EDMONDS CIVIC CENTER — WATER -SEWER DEPARTMENT SIDE SEWER PERMIT CaJI PRospect 6-1107 when work Is ready for Inspection. (No insp flong Saturday, Sunday or holidays.) N2 3701 ADDRESS ................. 17150 Sealawn Drive .......................... ; ..................................................... ....................................................................................................... OWNER .................... ��y .R(�ad 0. Halvorson .................................................. L .... CONTRACTOR.JjYa��� ... Perniission lsgranted...�y 5 79 CT .M . .............................. 1 19; ..... 0.1 for ............. ;-; ........ days to REPAIR or CONNE a side sewer with City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. I —The owne'rs of the property may obt-ain a permit to construct sewer inside Property line. A licensed Side sewer Contractor must be employed to construct side sewer In street area. Do not cover any portion of sewer before It has been inspected. NOTE No. 2—Obtain full Information regaxding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 3—Top of side serwer must have at least 30 inches coverage at property line and 12 inches Inside property line; minimum grade of 2%. No bends in grade sharper than 'Is will be permitted; NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. NOTE No. S—It Is unlawful to alter or do any other work than Is provided for In the permit, or to do any work on the main sewer or its appur- tenances except to insert the pipe into the wyei SEWA6E DISPOSAL PE alffET FILE. Septic Tank ......... ----- gals. CITY OF EDMONDS No. ----------- Di sp. Field .......... ft. Department of Public Works Other.. ------------- --------------------------------- ............ 12 ....... 6., -------- ---------- is hereby authorized to install/ Name-- 1 0 repair sewage disposal system at ------------------------------------------------------------------------------------ ....... Z�7 ------- ez ------ - ----------------------------- ---------- Datc.,issued on ................ --------------------------- Permit expires one year from date of issue DO NOT CO . VER BEFORE APPROVED BY DESIGNER:OR SANITARIAN I hereby certify this system was installed under my supervision and control and complies with all provisions of the City of Edmonds Resolutions. Signatureof Installer ---------------------- ---------- ------------------------------------------ Date ........ --------------------- ------------------------------------- 6� Disapproved Date. ----- 71 ----------------------- By.,-.'./',� --,- - --- Remarks: ------------ -- -------------------------------------------------------------------------------- - -------------------------------- ------------------------------------------------------------------------------- SANITARIANOR DESIGNER ------------------------------------------------------- ----------------------------------------- Date ---------------------------------------------------------- This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: ..... ...... ,ess) ...... For installation at: (street addi ........ (21 . .. ......................... Addition or Subdivision...... �_ . C"�' ............... .. Lot ..... .......... Block ................ > Type of Building: New .... �e�xisting ......... ... Single family residence_...,!­��_._ Number of' bedrooms ....... �Y ............... Other: (specify type or use). ....... _ --------_------------ ....... ----- __ ................................................................................................ :, Builder..................... __ ....................... .............. I ----------------------- Address --------- ........................ ................................. ................... Designer.Azv_*-;,-.� ...... r= .... ..... 71 -n�)Address. ... ............ .................. ...... ................................ ........ -7- j_0 Soil Log Hole No. 1 ---------- ...... ....... ...... 4_4_ . ........ ..... ....................................................... ... ........... ........ ....... ............................................. ................................ Soil Log Hole No. 2 ----- ...... !� ------- ------------------------------------------ ------------------------------------------------------------------------------ ............................................................................................. ............................................................................................ Elevation of Water Table, if encountered. (Distance from ground surface) ............................................................... ...... Corrections to control surface water if needed ...... .............. ......................................................................................... Specify if any removing or grading of topsoil in field area— ............................... ­1 ...... ...................... ............................. .................... Percolation: Test Hole No. I —Average Rate ...... ...... ....................... ........ .. . (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 2 —Average Rate ----- ........................... .................. (Fall in iiiinutes/inch-bottom 6" test hole) Test Hole No. 3 — Average Rate ................................. ........ .. ....... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design .. ....... Date Taken ....................... Septic tank requirements based on present rules and regulations: Septic Tank Size ... � _ _./57 .. P_ 0 ..... gallons. Amount of Square Feet of Disposal Field ...... Signature— Designer ........ _ .................................................... ................................ ...... Date ................ ..... . ............ DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) ............ .......... Permit Number ........... ..................... Remarks: ...... ... .. ... ... ... .......................... ... .. ........ .......... ........................... J- A tV A( LAY6uT �-& -TT I UALAWM -Olvm �K P - RAY PAWQS'O� T, CITY OF EDMONDS LOT APPROVAL STREET NAM ADDRESS ADDRF.$S OF PAOPOSED BUILD�NG LEGAL DESCRIPTION: LOT BLOCK ADDITION TYPE OF USE_,f4E!!_NO- OF BEDROCMS SIZE OF LOT SOURCE OF DRINKING WATER; Public Supply Private Well A, SURFACE DRAINAGE Ts disposal field site well drained? 21W Any watCBr eours_,�. (p�rean$ _�raina ZE. et-0.3 UTF—nu _-.(aite? 0 VOG9PHY 1, Any heavy slopes in field area? 4Z9 2. Will present topsoil in field area be:removed or graded before field tiles. are installed? 3.. Will any fill material be used in'the disposal field site?... X1.0 If yes., how rauch? U-_=CONDITIONS Has. a hole at least 4 feet deep been du& ;*Ln' the disposal field area to determine the type of soil present? . )V&__S 20' After hole is dug record the soi-I condi:ti,ons at-t-h-e7ollowing depths. (Record as sand., gravel., clay, packed tand., loan., etc.) 12 inches 1,/ 30 inches ld inches 15,4,tit9 4p,,g&1A-T_ 36 inches 24 inches A042 48 inche's 3*' Any ground water encountered before reaching a depth of 4 re-eT? A,141'2 If so at. what, depth? D. 'WATER TffT A simple water test.will show how well this soi-1 will drain or percolate water.; To pe'rform this test,: .10 Dig hole at least 36 inches.deep. Use a shovel or post hole digger — size of hole makes no difference —only depth. 2.. Fill hole with water. Now let all water run out of hole*' This soaks the ground and will give a more accurate reading. Aaain -our wat-- in hole teN en hnj 1�+ --P -10 0 5 %., 'Zo V11L e U Domo Let water run out until there is just 6 inches from bottom let in hole* 4. Note how many minutes it takes for this last 6 inches to seep away, record this time below, I b. / nlxdber of minute--s. for Inst, 6 inchem to vzep awny, Divide this time by' 6to obtain the rate:per inch 2 aw, 6, Date.water test was perfomed I hereby certify the above information to be Xorrect and the above tests were performed by me as prescribed. Signed CWC, Address-o:o' /00�,<ipec &�*Z Za&=- 1T n NOTE: A septic tank permit is Issued on the basis -of the above information. Tf there are any changes or alterations in the above soil conditions it may result in the installation being rejected at the time of inspection. Percolation Rate and Required Absorption Area.. For single Family Dwellings. Percolation Rate'(Time in Lineal feet of 4 inch tile minutes for water to fall using trench with width of one inch) two feet 3 IL50 minimum 4 ..1-75 5 190 5 3 4 7 10 225 250 L31 29 265 15 2-85 0 30 375 Ove Over 30 Soil Unsuitable �J STREET FILE WASHINGTON NATURAL GASI COMPANY i 815 Alercer Street (P.O. Box 1869) Seattle, Washington Yes I I I Telephone (206) 622-6767 LIEF LARSON CITY ENGINEER 505 BELL STREET EDMONDS WA. 98020 Gentlemen: Washington Natural Gas.QornOiny hereby ?'4pplies, for perrmsion to: Repair A Leak At: 171�O Se'aiawr� bri (Street Opening) Construction is scheduled to begin February 11 1979 and will require approximately 2 days to complete. If thJ. work meets with your approval, please sign and return the original of this form. WASHINGTON NATURAL GAS COMPANY Application Date February 1, 1979 Douglas V. Damm Operations Supervisor WASHINGTON NATURAL GAS COMPANY is hereby authlutlized to perform the work listed ab�ve in ac- cordance with their franchise and subject to all applicable stat e, county, and/or municipal ordinances and specifications. S5 L) Apptoj�al Date —4y — 7 9 WNG 566.1 (7/78)