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17202 SEA LAWN PL.PDFIIIIIIIIIIIIII 12989 17202 SEA LAWN PL a 0 ADDRESS: TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): G Keg "--P COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: []Conditional Waiver []Study Required E] Waive:r DISCRETIONARY PERMIT #'S:- DRAINAGE PLAN DATED: . I PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): 17"(IA�--Oq76 PLANNING DATA CHECKLIST DA SCALED PLOT PLAN DA SEWER LID FEE $: SHORT PLAT FILE: LOT: SIDE SEWER AS BUILT DATED: SIDE SEWER PERmrr(S) #: — SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR:. WATER METER TAP CARD DATED: OTHER: LID SA BLOCK -- L:MMP\DS'rs\Fbnns\Suw File Checklist.doc lit Fry f-rrF ffq`--"V IF W-IT'711 rx 1110; ON "u" MAP NO.: OMMIT I Powto bUUq 16 NUMBER BUILDINIC, DEPARTMENT 0 ApplHICant Fin N eavy Line, JOB ADDRESS PERMIT APPLICATION NAME (Or, NAME OF BUSINESS) o ITBACY. I -FID TREET SETBACK YARD BE f I - ING A�Vl�bb COAJS-r ANT SITE USE ZONE '/G C' C] NO z CITY E1,11,PIIG1111 NUMBER ER Y. 71(3 5- 15'- HEIGHT --A VARIANU14 NUMB I NA31E PLO'� P S; ST - /W F 70,F- 41 P-4, ryIS No STREET R/W -�q.!`T. DEFICIENCY TM8 PROPERTY CITY COMP. PLAN ST. R/W 15: I-r. FTS 3 7(, Z Z- z REMARKS NA-MZ Driveway slopes not to exceed those S AC- -VACANT SITE O'� el" indicated or. standard Drawing #103. ADDRESS z CH ID BY CITY TELEPHONE NUMBER ad 71/ METER SIZE SERVICE, SIZE CLEAP-AUNCE C CITY Li(;�N- NUMBER 99 T -2 3 — of - 2- REMARKS L,egal De�crlp,.jom or pmpeny (Show aeiow or C�les) TYPE CONNECTION ZOT J)'I,j j A LAi 5<= c;. 7, -,RVZ 1511BF-R 2. 7 -rj. REMARKS V If TRUCTION R.FET IMPROVED '2 FIRE ZONE TYPE O�F C CJ YES [3 NO ST D OCCUPANCY GROUP SM-1r, INSPECTOR F04UIRE C] YES 0 y ...D.NT.Al 2gr 1;� I I. ", , - '- I- , S PLAN CHE NSW NON-RESMEN' o SIGN ADD REMAINING El WALL ALTER EXCAVATE FENCE Olt FILL Ej REPAIR PRE-M V- M 0 rOOL INSP. EJ swl NUMBER OF STORIES UNITS NA'-�J%Z t)F WORK TO BE DONE Receipt No* e Fee, Plan ChOck PROPOSED USE BUILDING -FLOT —'LA" PLITIMING REAT& GAS LINE k'g FENCE SIG. L SIGN -SFi .T RE [ TAIMNG WALL 97 1 Z�G I I SWIMMING P OL DEMEOLITION PPX-MOVE INSPECTION 6% EXCAVATION On FILL �Z TOTAL AMOUNT DUE I �y acknowledge that I have read tht, UPPUcat-'On; that the ta- I 62� 410 X tber- xtion gi� is correct; and that I an, the —, or the duly "thor Ize'a agent Of the 0 ar. I agree to =Mply with city and state laws MZU ATTF2MON APPLICATION APPROVAL lau in doing the work authorl-d thervtby', no person ,,Inr con-troe"on; and On THIS rER5= This application is not a permit until be MP.JYed I. VjOIat!= of the Labor Code of the Stitte of WmbIngt relating W Work=cni's Compenatition Inimical,". AUTUGHIZES signed by the Building Official or his Dep- ONLY TEEF NOTE: Permit Limit one Year (Except 1-51ol—o'- which WORK NOTED ut ty; and fees are paid, and receipt is ac- absn be comrliete,d in ninety dAYs: MOVBDjN BUILDJUNGS h.11 be knoW:edged In space provided. plated I. I% , —DATE— INSPECTION - MREEOT(:�:� ��S-G A --6R —AGF-NT) SIGNED SIGNATURE (OW DEPART3LE-� C171- DAFE XDS .7eck Fee NOTE: AWlil-It S-bil't to Pl.in C1 PH, 6-1107 Thl Fernsit work to be done se, Prt�ate ProPerty t) "17- 7, Any emstvej" nis the pubtle donsain (Mlbs, sidevrallia, cu.) require separate PCynnistim- 4 ---------- T. t 4 Tho City of Edmonds APPLICATION for SIDE SEWER PERN[IT NEW CONSTRUCTION 0,--' REPAIRS E] OVirNER'.---/40//40Z ------ --/�7 ....... 8.- joOpf.c/ ..... --------- ADDRESS --- 122,.I�� 0 0 0 a LU -Mi U. LU LLJ cl) r- TO I =- EASEMENT No - --------- ---------- --------------- U:.� / �, � �- f CONTRACTOR --- 1�9-5� .... PERMIT No. t LEGAL DESCRIPTION: LOT No . ..... / ------------- ------------ - ------ 7KNo . .......... NAME OF ADDITION ......... 7&;; RjeeR. -il CITY, OF;�iEDMONDS Call ]PRospect 6-1107 when work CIVIC CENTER — WATER —SEWER DEPARTMENT Is ready. for Inspection. (No Inspec- SIDE SEWER PERMIT tions Saturday, Sunday or holidays.) N2 3831 ADDRESS......... 1-7.2-0.2 ---- Sea ... Lawn ... Place ...................... M; .............................. o .................................................................................... OWNER _--------- PAU-1 ... & ... PJY.r d ................................................ ; CONTRACTORARJU.4 �xlg .............................................. Pern-iission is granted ..aeplemher ... 2.1 . . ........ 19.1Q., for ........................ days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE 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 side sewer In street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 3—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. N(. Io. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to Ifilproper 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 wye. Ali, 7 Tl At -Al *�I,. Au�l -z 41, 9 65��, 3e9'?2— z N V, xl� -T-r. IN. Ile V 7-f AV, STREET FILE CITY OF EDMONDS DEPARTMENt OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ADDRESS OF PROPERTY...17.2-02'-. Sea,"Lami. 21. ace ................................... . Lot No ...... 1C . ............ Permit No ..... . .. .......... 3 _�2_7 Owner-- Unknoirm --------------- ---------------------------- _ _ - Address _ - � ............ ...... ........................ .................. Phone ........................ Builder ........ . ........ ...... Address .... P.0_....B0=.591-.,._. Lynnwood .......... Phone ... PR..6!n8_52Z" Designer. M.�B.- . NO-yrzLng ------------------ ---------- ...... , Address .... P,0,-B0X-'­32:y ------- Lynnwood ---------- Phone --- Installer- - I�ynnwood -.S-epti.c ................... .......... Address.. .6626_�_212tli-S._% ..... Lynn..... Phone ... PR'.-.6-7-137 I hereby certify the accompanying drawing is an aCCUratC 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 ....... ........ . ....... .... ... ................ .......... have been complied with. .................. ....... __ .......... ........ .. ..... ........... .............. ................... ...... Signature of -Designer Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted ................... XXX ­ ........................................... Date ... ��J2./­6.9 ..................... Not Accepted Date. ................. Asst. City Engineer Signature of Sanitarian. .... . ...... ..... ...... ..... ................. ............ Remarks: ...... Approved. .......................................................................................... 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 (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 normal household quantities will not liarni the action of tlie*septic tank and disposal field. A -Al t Des L., nor ';e �., ri n CRF7, CONT."T,"ITICTICI; 32 -uood., �7-2.011. Tr-qct Sea-Laim Tex-racc Div. #C- Uace be- D AH. 19'0 2 2 In ttt 3 3z; 00 ,,Wd in 1'7202 Soa-Lpm Pjc�, Ac ,;.v Lo 'v ll�� 10 ip "Zi V% tb so- P," -57A 77 Z77 Eey-,iw7,0SUr-sreyo;.-s., inc. 8-3401 SEWAGE DISPOSAL PERMIT Septic Tank ....... . r�' ----- gals. CITY OF EDMONDS No. Disp. Field ......... %�'Z-.Csq. ft. Department of Public Works Other. ...... ...... .................................. Name ------- fT!�f­ . ............ ... ... ... - - ---------- --_-_--- ...... is hereby authorized to install/ repair sewage disposal system at ................. L . ..................... ............................................................................ tx? 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 and control and complies with all provisions of the City of Edmonds Resolutions. Signature of Installer ............. .............. ... ........................................ Date .................................. ApprovedDisapproved F1 Date-. ------------------------ - ........... ..... ... ....... ..... 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) Cree Construction Permit to be issued to: ........................................... -------------------- Jim--SQ.Iey — . ............ For installation at: (street address) .......... 1.72-02 ... Sea--Lawn-.Pla.c.e-,-.�E.dmo.nd-s...Wa.s.h ................ .............................. Addition or Subdivision ............ S.eae!!t�wri. lerraca..Divis ion. -C ........... ................... Lot.. ..... 1 ....... Block ............... X .... .. . ... 3 Type of Building: New ...... X� .... Existing ............ Single family residence— Number of bedrooms- .......... ....... Other:' (specify type or use) .............. ................. ---------- ­ ....... ............. .......... ................................................. Builder. ... CrGe ... C-o.ns-tr.uct-ion --- ...... ................................. Address ... ............. .... .... .. . .... .... ...... ....... Designer ... 14.9 ... 13. klleyring .... .............................................. Address.- Wash. .. ............... ...... ..... .... .. .... Soil Log Hole No. 1­0'1­—­48.1�1 ... sa-nqv .10a.m ...... ------------------------------------------------------------------------------- .............. ......... ........ ................................................................... Same as No. I SoilLog Hole No. 2 ............ ............................ ......... ...................... I .................................... ­ ..................... I ...................... .............. I ............... ............................................................................................ ­­ ..................................................................... Elevation of Water Table, if encountered. (Distance from ground surface) ............ Nqpq ........ .................................. None Corrections to control surface water if needed ......... .................................... ­­ ...................... ............................................... ................................................................................................................ ........ ......................... ............................... ........ ............. Specify if any removing or grading of topsoil in field area ... None ........... .......................................................... ..................... .............. ............................................................................................ ................................ **"*'* ... ......... Percolation: Test Hole No. I —Average Rate ... ......... ............... I ........ .. . . (Fal I in inimites/inch-bottom 6" test hole). 4- Test Hole No. 2 —Average Rate ......... ............................................... (Fall in iiiinutes/inch-bottom 6" test hole) Test Hole No. 3—Average Rate.... ...... 5 ......... I ........... ............ I .. ....... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design 51 ----- . Date Taken-914/0 ..... Septic tank requirements based on present rules and regulations: Septic Tank Size..,?00./ ... .......... gallons. Amount of Square Feet of Disposal Field ..... ------ 3.75 . ....... ..... ...... . ....... Signature — Designer .......... �; . I/- . 1-5 .. - n- ------ ..................... Date ...... A ............ DO NOT WRITE BELOW THIS LINE ( 0 complqjWby Imiing Agency) Permit issued (date) ..... ............ Permit Number --- ...................... ........... Remarks: .............. ....... .............. .... I ............ .. ....... ........... // ....................... ------ ------ ....................................... .. .......................................................... ........... . ...................................................... .............................. f C-2:77 /�P4�59 rowd 4 d'al.1 - kW411n EET FILE SEWAGE DISPOSAL PE' Septic TA.k ...... ....... gals. No. ......... CITY OF EDMONDS -2.6-sq. ft. Disp.-S Field ......... -0-- Department of Public Works 'Other. --------------------- ......... N arfic ......... . . ........ .. ------ ---------------------- is hereby authorized to' install/ repair sewage disposal system at ------------ - .................... ............. ----------------------- ......................................................... ..... on. Date issued ................. Y�r r ---- �0 es Permit expir xe ve date of issue DO NOT COVER 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 ------------ ...................... ApprovedDisapproved Date ............................................ .................. By ..................................... ....................................... Remarks: ...... .................. ...................................................................... ....... ........................................................................................................ SANITARIANOR DESIGNER ------------------------------------------------------------------------------------------------ Date ............................................ .............. ..,,This pErmit shall be posted mi ably conspicuous place on the job until inspection �as been completed. oe CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT' _A (Submit 3 Copies) Permit to be issued to: ... C.r.e.q ... Conn_t_r.U'.c_mo.n .... C-9 . . ...... .......... For installation at: (street .... Fl.. ................. .. Addition or Subdivision ... Aj!n-Lr%%m Wrrace Dlv._�C ........... ------- I ........................ ... .............. Lot ....... 3 ...... Block ................ Type of Building: New ...... ... Existing ........... .. Single family residence.-. Number of*bedrooms ...... ........... Other: (specify type or use) ...................................... ............................. ................. .............................................................. Builder..C.re.e .... C.on_o_f.rv..c_t.1._on__.Co . .......... 7 ................ Address --- 13qx ... L nwood .. ..... . .. ..... .. .. . . I --- -------- ...... ........ ------- ................. .............. Sno. SetAic Tank Designer .... S ... qo ........................ ------------- ....... �QOAIAM ... Address.--:-.5208--1,9.Oth..��.0 ---- V..,_.Lynnrood --------- Soil Log Hole No. 1 ....... 0 �-.4 Lop /IPIR'70 ....................................................................................................................................................................................................... Soil Log Hole No. 2 ......... 4=10-c --- .................................... I .......................... I ............ ............................................... ...... ....................................................................................................................................................................... .................................. Elevation of Water Table, if encountered. (Distance from ground surface) ....................... ­:1 ...................... I .................... Corrections to control surface water if needed ................................. .......................................... ............................................ Specify if any removing or grading of topsoil in field area— ---- 1prq��d .... e.xeAv.r.t.J,.qn .... cut .... o.v0.r .................... .... ................................ drRi.n.flield ........................... ............................. ...................................... ..................................................... Percolation: Depth Test Hole No. I —Average Rate. ........ S .............. 3 ... 0.". ....... .. (Fall in inintites/inch-bottoin 6" test hole) Test Hole No. 2—Average Rate ------ 1.0 ............ 36 ......................... (Fall in ininutes/inch-bottom 6" test'hole) Test Hole No. 3 —Average Rate ......... 6 ............. 3 ... 0. ........... . ....... -bottom 6" test hole) .(Fall in minutes/inch Average percolation rate on which to base drain field design ..8 Date Taken 1-10--(5.7 Septic tank requirements based on present rules and regulations:, Septic Tank Size� ........ 1000 ....... gallons. HOLD STUD OUrl, HIGH Amount of Square Feet of Disposal Field ... EN96 ......... . ..... Date... 1-18-67 Signature Designer ... ll&zoa ------------- ........................... .............................. ............... DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) ....... -_-----_-----_---- Permit Number ... ............................ Remarks: .............................................. ............................................................... * ............................ ------ ....................................... .......................................................................................................... ............................................................................. Harold Olson 5208-180th S. W. Lynnwood, 1:'ash. ct Dr Bgsement CIO aly AO rz OOY lie 1000 Gal S.-To TW Lin. ft. &raintile 31 vide trench, 5967 Sq. ft. required 0 Per,� H61e HOLD STUB OUT FIGH Soilk Log 4" Tight Line 4". Drain Tile Scale: 1"--201 I January 10, 1967 Mr. karold Olson 5208 - 180th Street Lynuwood, WasLZLn,&ton Dear Mr. 01'qon: Regarding your sewage disposal permit application for Cree Construction coml)any on Lot 3 of 113ea-Lawn Terrace Division C11, we have (lisapproved thiri plan for the following reasons: A. !3uilding peiniit plan indicates that this is a four bodroom ltouse% in lieu of three (3) indicated on your application. B. During visual inspectioll of this site, we could not find holes where tests were taken and do not believe that topography is accurate. Please revise your plan t*o indicate,the following: 1. Lxisting grades (spot elevations are acceptable). 2. Proposed finish grade. 3. Floor elevation of baserient and main floor. 4. Invert elevation of plumbing Stub. P 5. Limits of drainfield area. 6. 'Location and depth'at which porcolation tests were made. 7. I)irectiun of surface drainage. 8. Scale of drawing. Please purform new percolation tests and 60il logs at the depth you propose laterals will be installed. Leave holes open for our.observa- tion and indicate test nui.,Iber with suitable flagi.,,ing. Yours very truly, ixir R. LARSON City Ungineer RON WHALEY RVI:rf Ossistant -City Engineer