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HomeMy WebLinkAbout17160 SEA LAWN DR.PDF11111111 lill 11 14395 17160 SEALAWN DR 0, 0 TAX ACCOUNUPARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: [I Conditional Waiver F1 Study Required F] Waivet DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERM[ITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE LID #: SHORT PLAT FILE: LOT: BLOCK - SIDE SEWER AS BUILT DATED: SIDE SEWER PEkmrr(s) #: SOILS REPORT DATED: STREET USE ENCROACHMENT PERMIT #: FOR:. WATER M[ETER TAP CARD DATED: OTHER: L-\TEMP\DS*rs\Fbnm\Sftvet File Checklistdoc 7-Y 0 F* 4MO A,1,05 RICT FILE_ DIV SOTR�ET 3-0-TI Rut. ke 101101 �=v e ;UZ=,!EEFRZA;z3kN"hm9ton APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permitto be issued to: --------_------- Allen. -Slater .............. ------------------------- ------------- ------- ---- .... ................. ................ For installation at: (street address) .... 1;714�.� ------ _1n, --- 2'awo -------- &­ec� ............ ---------- ....... Sea Iawn Terrice Div. C Additionor Subdivision ............ ----------------------------------- ------------------------------------ .................. Lot..._6 ---- .... Block ---------------- Type -of Building: New --- A ..... Existing..._ ...... Single family residence ----- X ------- Number of bedrooms ........ 4 - ------------ Other: (,s ,pecify type or use) ........................................ ---_------------- ....................... .................................. ---------------------------------- B uilder ---- Al-le-n-.Sla-ter ------------------------ -------- ------------- Address ... 65-02..., ... 185th --SW.. Lynnwaod .... _-____ M._B in --- ----------------------------------- .__Addres� - -_2_34P_3..Hiwy --- 99 Ii�&�,n d-,, _------------------------ Designer --------- ------ Ile - ------ Soil Log Hole No. L.. ... 0?w.10_0"___sandy .. olay.g-r-aval --- --- ----- - - --- -- - -__ - -- - --- --------------- ---------------------------------------------------------------------------------------------- .......... --------------- ­­ ........... ............................. ......... SoilLog Hole No. 2 ----_----- �-AMQ ---------- ------------------------- --------- -----_---_-_--- --------_----_------------ -_--_---_----_-_------ ------------------------------------------------------------------------------------------------------------- ....... ­ ............... 11 ­------------- .................. ­­ ........... -------- &N-i-ation of Water Table, if encountered. (Distance from ground surface) -------- none ------------------- ................................. Correc;tions to control surface water if needed.47441P --- lot --- line.$ ..................... .......................... ............................... -----­--------- .............................................................................................. ---­------------ ......... ............................................. : ........ Specify if any removing or grading of topsoil in field area ----- NO ... grad-ing­allomd --- iix--d:rai,iTi61d area. --------------------------------------------------------------------------------------------- -------------- --------------------------------- ------------------------------------- -----­-­-­-- Per6olation: Test Hole No. I —Average Rate .............. 6-:-: ............... (Fall 'In ininutes/inch-bottom 6" test hole) Test Hole No. 2 —Average Rate .......... 8 ------ --------------------------------- (Fall in ininutes/inch-bottom 6" test hole) Test Hole No. 3 —Average Rate": ------------ 8 -------------­- ------- ----- (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ................ 8 ... ................ Date Taken. 7/7/66 ------- Septic tank requirements based on present rules and regulations: Septic Tank Size ------- ........... gallons. Amount of Square Feet of Disposal Field .... 45Q __-- --- .... ..... . ­.. Signature — Designer .............................. .......... ­­ ------- Date ........ 8/1-1/66- ------------------ ------------- ...... DO NOT WRITE BELOW THIS LINE,�/o be comVeted by ISSUing Agency) Permit issued (date).-.. ............................ .......... ......... Permit Number ---------------- ........... ......... Rema:rks:.. -- - -----------------_---­- -- ------ ------ ------ .......... LIC,-44!�e� DROWN' . -el-14 D2�ainiloM D AL SLATEk 6,, Div. llu;ii. M LY 1966 9,9 EOV-nidn a 70.00 x 14, G GARAOF- AR L",, OA I 1�o�rxlng .3urvjycg,3, Iric. T_ /V AJIT70 /V T DIVISION ur .. SPUUM�UON 36 1 Rvekeftlitler -91Fe—RM;::j6tcrA4n9ton APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: ...... ----------- Allen--31ater ............... ..................... .............. ....... .................. For installation at: (street address) ------------- __ --------------_------- -------- __ ...... ---------- .................... ..................... Addition or Subdivision ------ -------- sea Lawn Terr&c.6 Div. C ---------------------------------- ------- --­---------- --------------- Lot..-.6. Block-. ........ Type of Building: New ---- k.... Existing... ......... Single'family residence ------ X ------- Number of bedrooms --------- 4 ........... Other: (specify type or use).. -------------_---- ...... ------------------------ -------- ---------------------------- ----------------------- Builder ----- Al 1en- - Slater ------------------------------------------------- _--Address --- 6502- -ow --185th- - ZW. 1_�mmood .......................... Designer.. M.B.. Weyr ----- ----------- ------- ­ . ...... .. ............... ----------------- --------- Address ----- 23423--Riway --- 99 --- Edmonds-_ Soil Log Hole No. 1 ------ Ow.100'...san4dy .. 6-1.ay.-Sr-avel --- ----- - ----------------------------------------------------------- ........... ---------------------------------- -------------------------------- ----------- ----­--------------- ------------------------ I ----------------------------------------------- --------------- ------- SoilLog Hole No. 2. --------- ­Acm ------------ ­­ ------ ­ ------ -------- ------- ------- --------- ------- ---------------------------------------- i .............. ----------------------------------------------------------------------------------------------------------------- ....................... ........... ­ ................................ .............. Elevation of Water Table, if en . countered. (Distance from ground surface) ........ mone ......... ! ............. ---------- Corrections to control surface water if needed -A 0 ... lot --- lines ....... ............... -------- ..................... ....... ......... .......... ----------------------------------------------------------------------------------------------- ----------------------------- ------------ ------- .............. Specify if any removing or grading of topsoil in field area ..... No--hirthor ... grading- wi-lowd-Im --- drainfiO,d area. ------------------------------------------------------------------------------------------------------------------------------------------------------ ........... ........ j ---------- I ---------------- Percolation: Test Hole No. I —Average Rate ..... -------- 6 -------_----- .(Fall in iiiinutes/inch-bottom 6" test hole) Test Hole No. 2—Average Rate ---- .......... 8 ............. ------------------------- (Fall in ininutes/inch-bott�lom 6" test Hole) Test Hole No. 3—Average Rate --------------- 8 ........ -- --- ---------- ------- (Fall in minutes/inch-bottjoni 6" test hole) V Average percolation rate on which to base drain field design ......... --- - --- --- - ----- Date Ta"ken --- 7/7/66-�� Septic tank requirements based on present rules and regulations: Septic Tank Size_ ..... 10 QQ .... gallons. Amount of Square Feet of Disposal Field ----- 450 ... _­'_­ ..... ...... Signature — Designer ----------- -------- _ ------- �__ — ------------------------------ Date ----- 8 X/ A1/66 ------ --------------- DO NOT WRITE BELOW THIS LINE �/o be cornA7eted by ISSUing Agency) Permit issued (date) --- --------------------- _ -----------_- __ -----_----- Permit Number ------ ___ ------------------------- ....... Remarks: --- ------------------------------------ ---------------------------------------------- ------------------------------------------- -------------------------------------------- ------- 7 ------------------------------------------------------------------------------------------------ ---------­-- ...... ............ .............. -------------------------- BROWN It Sortie, Tamit Dgai i" "on Doao AY, SLAM 4t 6, Soaiarm UASH. JULY 19,656 6312 - I 6V277�20';F - . 70,00 CO. X 7- byvk 9, 00 cul-de-sac R-46