17211 SEA LAWN PL.PDFIIIIIIIIIIIIII
12990
17211 SEA LAWN PL
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW
COVENANTS (RECORDED)
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
DETERAHNATION: F] Conditional Waiver 0 Study Required [:] Waiver
SEWER LID FEE $: - LID
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S)
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER M[ETER TAP CARD DATED:
OTHER:
BLOCK -
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POSTED
BUILDING
PEP -MIT
0178
BUILDING DEPARTMENT ucant oil
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PERMIT APPLICATION
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NUMBER OF STORIES
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ATTENTION
APP LICATION APPROVAL
I hereby mkn"lcdgo
fom tion g1ven 13 Correct; and Uzt I ano the corner. or the duly nu,thOr-
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city
TIUS PERMIT
This application is not a permit until
CC to MMply �ltb
Ized agent of the o—r. I &9r creby, no Per"n
ng constructio ; and in doin?. the work authorized th
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Wa`ddm9t"
ALTHORtZF-q
NLY THE
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signed by the Director of Building Inspec-
deputY; and fees are paid, and
�llj be etoployed in violation of t1u, Labor Code of the State Of
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WORK NOTED
tion, or his
in space provided.
minting to WorknIen's CompemItion
(E�Cept D� -1`1-�htch hall
x -eceipt is acknowledged
NOTE: Pe-mit Urnit one Year be completcde in ninety dy..)
- INSPECTION
DIREC110:1 13 111:11TAY
8IGNATU-tL (OWNER OR AGERT—J" I DkTE SIUNI��
DEPARTMENT
CITY OF
EDITONDS
T
NOTE. Applicant Subjeci e!a,i Check Fee
PR 6-1107
— C property OSLY.
--Ttdl —11--t C.— —1, to be done m P'-
on the p.blk d-rnal- (C.,b., lde-dk, drl�
Any -nit-Ctl-.
rnarquce� etc.) will M�nl- "P�—t' pe-d"'lon.
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The City of Edmonds
APPLICATION
for
SIDDE SEWER PERMT
NEW CONSTRUCTION [:] REPAIRS
OWNER.... ........ �E ........ 'ff r . ..................
�Zae,
ADDRESS .... LZZL? . .......... ....... A . . . .........
Lu
LiJ
Lu
LMO - /_/ u c -
EASEMENT No . ..........................
CONTRACTOR ... ......... T. ............... PERMIT No.
LEGAL DESCRIPTION: LOT No . ........ . . ................................. BLOCK No . ............................................
-NAME
..........................
Approved:
DATE ... 6
............................... By 7____
`�P P ROVED
MAY 6 1970
f )
Ilk,
-s.
DX -:3
-4
-�- ce. -11
NTY`�OVEDMONDS
Call Pljospect 6-1107 wbcnF work
CIVIC CENTER — WATER -SEWER DEPARTMENT 18 ready for inspection. (1�0 insP'CC-
tions Saturday, Sunday or holidays.) N2 3708
SIDE SEWER PERMIT
17212 Sealawn Place
ADDRESS.........................................................................................................................................................................................................
OWNER.- ............................... ----------- CONTRACTOR ............ ..................
Perinission is granted ........ May .. 6 ........................ 197Q .... 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. I�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 regaxding Ordinance 11.16.030 and Regulations governing side se . wers when you get permit.
NO-- 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�_,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.
N�_ '.No. 6—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.
APIR,,4CATION MANi
for
The City of Edmonds SIDE SEWER PERBM EASMENT No . ...............
NEW CONSTRUCTION REPAIRS 0
rt-0
f NER ........ I/
... rA an- ..................................
OV 0 ................ 75� ... 4-144 CONTRACTOR ....
....... A ................ PERbUT - ibyi/
MUSS .... 472.11 ............... ............. 1.0L ........... LEGAL DESCRIPTIOI.4: LOT No . ............
.............................. BLOCK No . ............................................
. ............ ............. ....... C--
NAME OF ADDITION .. ... ..... ..... ...........
uj
!hj
-l!
AVK Z 8 VIU
A"roved:
DA70..'/,7 2S ...............
...... Bye-77 ---------
61
W
KPORWIR
f" IM F'.
ITY DMO146S
Civt�*' CENTER — WATER -SEWER DEPARTMENT Can Ippospect 6-1107 when VVorIj
:s ready for inspection. (No inspee,
SIDESEWER PERMIT ions Saturday, Su I nday or-holld-ays.) N? 3685
ADDRESS .......... ; ............. 17211 Sealawn Place
.................................... m ........ .......
........................................ ...... s ...... ; ....... ; ....................................
OWNER.� ................ ........ V!�r.n ... J.ohn.s.on ........ ...........
.......... CONTRACTOR ........... Hyatt &.Son's, Inc.
...............
Perinission
. n. is granted April..28 .................. �, 19 ... 7Q., f Or .... ; ................... days to RE PAIR 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. I —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 are'a. Do not cover any Portion of sewer before It has been inspected.
NOTE No. 2—Obtain full Information regarding Ordinance ii.16.03 -
0 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 .
AO. 4—Trenches In street must be water settled and surface of street restored to original conditionj Contractors shall be responsible for
failure due to Improper work wlUch may develop within one year of completion.
Nr—,,: No. 6—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.
STREET F1''--'
L L
SEWAGE DISPOSAU�?EkMIT
Septic Tank .... -------- gals.
CITY OF EDMONDS
Disp. Field -------- sq. ft. Department of Public Works
Other_ --------------------------------------- ------
Name.... ----------- 61-4,C-1 ----- -------------_-_--- is hereby authorized to install/
repair sewage' disposal system at
........... 47 !�/ ------
Date issued
Permit," expires one y6r 1rom 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 E] Date ----------------------------------------------- ............. _ By ----------------------------------------------------------------------------------
Remarks: --- -----------------
SANITARIANOR DESIGNER ------------------------------------------- m --------_----_-------_ : -------------- .......... 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
0
250 Fifth Aviinue North, Edmon'ds, Wasifiington
APPLICATION FOR A 'SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: ...... :C,�ru3e ... G.Cne u"U 0 t-14M - - 0
7
For installation at: (street address) ... ....... ...... ........ -;7 ......................................
Addition or Subdivision ...... � n Ct !.f& "-p ................ ............ ........ ................ Lot-. ..... S ...... Block... 0
MID
Type of Building: New....X ..... Existing. ........ Single family residence. Number of bedrooms ............. 3.: ......
Other: (specify type or use) ...................................
.................. .............................. ...... ........................................
Builder...... ------------- ............... ............... ......... Address ------
Designer --------- ........
Soil Log Hole No. 1 ..... ......... ------ Go n dy. Clay., ............................... . ... .
............................................................................................................................... .......
.............. .......................... ........
SoilLog Hole No: 2-..... ........... ...................... *I: cz. ra 0 ...... .......................................................... .............................
. . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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 ............. A* witton .... .............
...........................................
........................... Ad ... proa . ...................................................................................
Percolation:
Test Hole No. I — Average Rate ............. . (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 2 —Average Rate ........ : .......... P .......... .................... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 3 —Average Rate .................. 10 ........... ........... .. ------ (Fall in minutes/inch-bottorn 6" test hole)
Average percolation rate on which to base -drain field design ...... ....... 10. ................... Date Taken .........
Septic tank requirements based on present rules and regulations:. -
Septic Tank Size .......... ()OG ........ gallons.
VnLD STUB OUT Hlcrl
Amount of Squ f Field..
i 7/11� vtl�� . ;
Signature — Designer .............. ......... ................ : .................... .................... ................... Date ------- 4-r11-66 .....................
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing �gency)
Permit issued (date) --- ......................... Permit Number .... ... ft-p 4-/,7
Remarks: ........................ ....... ...................
.............................. ......... ............................. 4 ............................. ......... ...........
................................................................................................................... . ....... : .............................................................................
Harold Olson
5208-180th S** I'V..
Ly4nwood,.Tjash
0 0
it,
0
X's
900 Gal. S. T.
Ile
Lin* ft. draint.L
31 wide trenchi,
Non- 4195 Sq. ft. required
basement
HOLD STUB OUT HIGH
v 0
Dr.
RIt
�SecL,-LaWN PIM-0-
0 Per.' Hole
0 Soil Log'
4" Tight Line
411 Drain Tile
Scale 1"--201