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17201 SEA LAWN PL.PDFIIIIIIIIIIIIII 12988 17201 SEA LAWN PL w- MlM-0-5-9, X f, W � = � � TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): -7a 5 0 COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: f-I Conditional Waiver El Study Required [j Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PLANNING DATA CHECKLIST DA SCALED PLOT PLAN DATED: SEWER LID FEE $- I LID #: SHORT PLAT FILE: LOT: BLOCK. SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: SOILS REPORT DATED: STREET USE ENCROACHMENT PERMIT #: FOR--. WATER M[ETER TAP CARD DATED: OTHER: L:\TEMP\DSTs\Fonns\Sftd Filc CheeldisLdoc POSTED ON KnOLL �Jk? NO.: PER= b/U BUILDUNG DEPARTMENT pplicant Fill C J, N otae Heavy Lines JOB ADD 8 :PERMIT APPLICATIO NAME (OR NAME OF BUSINESS) AR YARD &M�BACK SIDE YARD S SETBACK BE C ru.) r 6 0 - g �UNG AZDDRESS as USE ZONE ACANT, SITE E3 YES E3 NO CITY TEI.EPHON UMB LC`r ow 17LEIGET V. VVPV LU 0 0 NA -ME PLOT PLAN APPROVE' I A K * C,04 ADDRESS STREET R/W —r. 7718 PROPERTY STING STREET R/W I DEFICMNCY .......... —Lzi: NUMBEX R/W . . ....... XT. UITZ :101M. PLAN ST. 9'312- NAME MOE 13Y z Y4 :17AAC, ADDRESS ILET Izz SERVI7. SIZE CLEARANCE C CITY TELEPHONE NUMBER ITE NUMBER TY ONNXCTIO11 —P—y k-- Below or Attach Fo" t i.egsa DescrIp'lon 01 1 Ies� I I Iej PER= PERC. TIT z 00 —RE—MARKS F111LE Z OF 8TRUCrJON STREET IXPROVED (,N'E TYPE r, Tr 'S k�!C7 GRO ECTOR �wu— YES PLAN CHECK.ED B A. RESIDEN-171AL L RE -j SIGN RETAINING DEMOLISH WXLL ATER E] EX AVATE FENCE ORC.1ILL SWIINI POOL El ME;:-2zO- OF NUMBER Oy bi,v— LJX�G C2 A) C-- -N—ITS NATURE OF WORr TO BE DONE 7—!R Fee-- Recelpt NO., V.Jusfti- jz%, Ptan Check Bunm ING 5—eV 6-1- t 31' PLUIEBL 4 tting It NG BA..T & SAS LINE SIGN RETAINM�U WALL SIV.G P.CL DEMOLITION N PRE -MOVE INSPECTIO. 1MCAVATION OR FILL 00 I M,u�iedge thnt 1 h— 11&d this P,�Ilcnt!0": Mlt tL'; It- T-,)TAL A310r.1,T Dur q5 1 fo,n,,,jon gi, . 1. ��.t: —d ttt the o-ner. or the d�IY =thor ch� )—�- I -9� to - APPLICATION APPROVAL i—i agcnt of M;;Iy with city amd state Iftws mgu- I.tj.g W Person tructloo; and in cing th, ork th—by. ,, MIS T—JUUT This application is not a pernlit Until c.ployed in vtcgat!w of the L��or Cods Of the state of Washington, L-MORIZES Signed 1-y the Building official or his Dep- rtj%UnS to Workmel.'S Col-PIrs&U- Iosum— o1MY THE NCTE: Permit larit One Year (Except DEMOLITIONS �hith WORK NO—ED uty; and fees are paid, and receipt is ac- B n e provided. �1,11 b� Co—,,letOd ninety days: MOVZD-IN U -;D1xGS mhal be com- knowledged in spac in ',NSFECTIO.IT D 0 'S IG.NA D ,ntll V1 AGEN 'T 51 FR OP DrIpIkRIMEN All CITY OF E [ONDS D.M Cbeck Fee 2,— y1pplicant Subject !o Plar - NOTE: PR 0-110, ,—,It overs work �s) be jonp on vrl�sta PromrtY O"LY. Any`cZL­tom on the ptbHc dmbln (erb,. Ide..11.. dri —y- FILE o. e Per-ls%lon- mvfts, etc.) wal rwirAn seP"A" 3114 133WZO 4- JL Pz 41! +ON 913L4 *-gelp -r -74=161 4 Vol IV j-27P2 -&O�ghl -5-4 oz APPLICATION for The City of Edmonds SIDDE SEWER PERNaT 43,+f. 67) ;L — 0 154 0 NEW CONSTRUCTION pa-- REPAIRS 0 01?VNER ........ ....................................... I ADDRESS ..... ..... ....... 5.011 ..... ........ pi . ............... -Y FM4NWWD UNE EASEMENT No. , c ................... PERMIT No. CONTRACTOR ...... ....... 7: BLOCK No . ........................... ....... LEGAL DESCRIPTION: LOT No . .............................................. NAME OF ADDITION ...... ...... 124-ww ... Tg.gA.?q��,g ..... e . ................................................. C;�6 .2 7 RECENt SEP 9 1197) 00 CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North,,Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ea —Lawn P1. Edmonds, Wa§h6t N . ...... 9 .............. Permit No.... ADDRESSOF PROPERTY ........ .. . ............................... ......................... . ......... .300 ......... Owner --- Urilmown ­_­­ ---------- Address ............... ------------------_------ ....... ­­. Phone.... ... ­­­ -------- ---------- _----------- Builder --------- -- Cres-Construction ... ......... . Address .- P--O,­.13oX 591--- 137=00.d.t.-Masb1one ........................ Designer.--.. _.M._ B._Mey-rJng - -------- ------------ Address ----- P.O. Box 32, Lynnwoodp_Washfhone ...... TkA7API _ . -­ --------------­--- - ----- ..... _': ........ Installer Lyrawood- -Septie --Tank ---------_--- Address..6696 ........ ZUt1l .. ........................ Phone ...... FR&r.7137 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 .... ........... . ....... .... ............... I-— ............. have been complied with. ------------ ........... -------- .......................... Signature of Designer TO BE FILLED IN BY CITY ENGINEER ONLY Accepted.'. . ........ ---- I—— Date.. 1+ - - Ct 7_ 4� 1� .......... . Not Accepted .. . . ......... Date . ...................................... ---------- - & Signatureof Sanitarian ............................. _ ............... ......................... .............. Remarks:_T0SP6.C�-jF_P ....... ay ...... De - - .S.16.06.p ...... ........... I ........... ........ .................. 11 ................................................ 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- loadinig the septic tank or disturbance of the drain -field inay seriously impair satisfactory operation. Points to remember: 1. Have your tank checked periodically to see if pumping is necessary (2y2-3 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 nornial household quantities wil I not hariii the action of the septic tank and disposal field. Id er: OleC rep'C onstruc tj or AS-711A, t P - C. BOX 591 "0"' �T 'TIC', V, j k C� -TI tC 17 Lymiwood, 1,tlash. Lo t 1?, Sea-Lairn Tarraco C City of -;,d"rOrfj S "lash. Scotember Perm -it i:'o - 300 Address. 1-201. Sea-Lavm -�'lace 30 2/-9-t W go ap SFR //0 Desi rnpr iox 32, Lynrlwooci , .;ash. Tnstallor: LynnwoodSe-otIc ()(-,2(, -712t1h -, 4 Lynnwood, %ley6i. -�5 p Ec / F- / c -f 5-7 S- Ji Z5 -,.7t 'v AILY)FIA;6 S7VPV5'1C)P-'- JAJC Z, Y/ (Nklodl�� , T Septic Tank ....... qQQ ............. gals. SEWAGE DISPOSAL P�U-�IT 'DisP. Field ... ------- 375 ....... CITY OF EDMONDS ......... sq. ft. Department of Other E�ngj.MZ,01%, 9 -------------- Name_ ------- �Cme ............... ........ I ...... .. .......... .. ......... ------- --------------------- is hereby authorized to install/ �A" ........ 27 Q'I repair sewage disposal system at ----------------- ........... ----------------------------------------------------------------------------- 1� - ................ ............ Date issued on ------ NO'Tember 3. - ------------ 1967 Permit expires on --- I ..... --------------------------------------- DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN e year from date of issue I hereby certify this system was installed under of Edmonds Resolutions. my supervision and control and complies with all provisions of the City Signatureof Installer ------------ ............................................................... Date-_ Approved 0 Disapproved El Date ------------- ----------------------------- --------------------------- ------­--­--- ...... By ------- ...................................... Remarks:_ ..................................... SAN'TARIAN OR DESIGNER ------------------------------------------------------------------------------ This Permit shall be Posted in a reasonably co ---------------------------------------- Date .......................................................... nsPIcuous place on the job until inspection has been completed. Subject to C'ty lfiaPe.Ction-t"Call' PR 6� 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: ........ qree Construction ............... ........... ----------- For installation at: (street address) ----------- 172&.5�pa�nLawwn --- Ple ... _ .................................................................................. Addition or Subdivision ............... Sea —Lawn Terrace C 9 --- .... Block ............. ......... 1-1 ------- 11 ---------------- ­ --------- - ----------­----------­ ­ ........ I--- Lot ........ Type of Building: New ... x ------ Existing ------------ Single family residence. -------- Number of bedrooms-.--. ..... 3 .. ..... Other: (specify type or use).-... ----- ------------------ -----------------_------ ................... ----------- .......... ---------- ............. ...... ................ Builder. . ........ Cr.ee --- Constxuation ........................ ...... ..... Address ...... P.O-. --Box --- 591,_LynnW.0_Qa,..XaShA ............... Designer ..... M..___B._ Meyring ----------------------------------------- -------- Address --- _P_,_0_,t --- Box � 32-.., Irmwood,. _.WAsh ik ........... Soil Log Hole No. 1 ----- - ­ ... 011, — 48ft_sandy.. loam ........... .... ..... ............ .... . ................. ........ .......... . ..................... --­------------------ ----------------------------------- ................ ------------------------------------------- ...................................... ­� ........ Soil Log Hole No. 2 ---------- Same ............. ................. .............. .......... .......... .................................................... .................................... I ----------------------------------------------------------------- -­---------­--- ............................... .................................. Elevation of Water Table, if encountered. (Distance from ground surface) ...... ...... None A ............................................ Corrections to control surface water if needed.. ....... ........ None. ..................................... ........................................... .......... Specify if any removing or grading of topsoil in field area— .... None .................................................................................................................. ...................... .............................................................. Percolation: Test Hole No. I —Average Rate ........... 4 ............. .......... ...... (Fall in inintites/inch-bottom 6" test hole) 4 Test Hole No. 2—Average Rate ........................................................ (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 3—Average Rate ----------- 5 ................... .... ...... (Fall in minutes/inch-bottoni 6" test hole) Average percolation rate on which to base drain field desi9p ...... .... ........... . Date Taken.. 10/30/67. Septic tank requirements based on present rules and regulations: Septic Tank Size.. ......... 9QQ ----- ... gallons. 375 .Amount of Square Feet of Disposal Field ...................... ..... ... ...... ------------- Date ----- 1_111167._� ............... Signature — Designer ..... ---------­-- ............ �f_' ------ DO NOT WRITE BELOW THIS LINE ((/e complet/ by Issuing Agency) Permit issued (date ....... A Permit Number.. %4 ............................. - ---------------------------------- Remarks:.... ..... ...... X__­'��f ..... .. .. ........ .......... -------------------------------------------- ....................... ................................................................................................................... ............. ...... .......................................................... .'Sanitation 01 'Cree Construct -Lon CIRET CONSTRUCTION .0 - 9ox 591 Lynnwood, ',-..'ash. Lot 9, Sea -Lawn Terrace C Designer: City of Edmonds JWash. M. B. Meyrinp .,November 1967 P.O. Box 32, Lynnwood, Wash.. NOTE': Any deviation from this design without consultation with the desia-ner will make acceDtance of the installation subject to the discretion of the designer. All �.11 joints to be cerented in accordance to the 5eptic Tank Manniia 1 - 1". eyrinw �S'urvcyors, Inc. Lynnwoo�?, ',-,ash. PR- 8-3101 INSTALL AS SHOWNI HEREON Address of Installa'tion 17201 Sea' -Lawn Pl. Job 67-505 pp p 9oo gal, S. 77 -Vb Aw 1�6-lwe -True,- hwa zp. 9kv 9VI S. 17 36 CITY OF EDMONDS SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT 1��O Call 7.76-1107 for side sewer inspections BEFORE covering any Portion of the constru,tion.1 Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections.) ADDRESS LOCATION' OF CONSTRUCTION ........................................ .. ............ ......................................... . ....................................................... PROPERTY LEGAL DESCRIPTION ........ ..c ... .... �Crz. .......................... .................................................. . ....................................................................................................................................................................................................... ................................................................ OWNER AND/OR BUILDER ............... 21.­-,,.T�i-- �AJrlf; ................. ........ J., ... ............................... . ....................................................... CONTRACTOR'S NAME & ADDRESS.—."A-15.,1Z� ...... L.5r- I I t . .......... ........ ........ .......... t2lp . ........................................................ I -mission is granted ------- 19A-!:., for repair and/or connection of a side sewer to the city sanitary sewer tem in accord ance with City of Edmonds ordinances. ATTENTION IS CALLED TO THE FOLLOWING: _E No. 1—The owners of the Property may obtain a Permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct .1 side sewer in street area. Do not cover any Portion of sewer before it has been inspected. NIJTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3--Obtain full information regaxding Ordinance 11.16.030 and Regulations governing side sewers when You get permit. NOTE No. 4—Top, of side sewer 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 % will be permitted. NOTE No. 5--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. 6—It is unlawful to alter or do &ny other work -- sert the pipe into the wye. is provided for in the permit, or to do any work on the main sewer or its appurtenances 'except to in. DISAPPROVED Date..J��--- .. ........ B31 ..... ......... Dat*� ........ ..................... y .... ........ (- D te .................................... By ................ APPROVED Date .... ........................ By .. : . ......... .......... . .................. .... z� ............................................................. z;t wt,73 S, -7'� Remarks: —u t hu .... ............................................................. �t� ........... e ........... :: ........................................................................................................................ ......................................... : ........................... . ............ ............. .......................................................... I ................................................................................................ BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construc UOR To Request For Inspection I .......... .U� ... . ...... ...... .... hereby certify that the side sewer installation constructed under this permit A (qw-ner of Contracting Firm Performing construction) was installed in accordance with all governing ordinances of the City of Edmonds. Dated this ----------- I ............. day of ....... . ........... .............. V Check BEFORE you dig for: Water E], Gas [], Telephone [3, Power F Sewer E], Other