17212 SEA LAWN PL.PDFIIIIIIIIIIIIII
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17212 SEA LAWN PL
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ADDRESS: 262w4g LL2
TAX ACCOUNT/PARCEL NUM13ER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS : DETERMINATION: Ej Conditional Waiver Ej Study Required E] Waiver
DISCRETIONARY PERMIT #'
DRAINAGE PLAN DA
PARKING AGREEMENTS DA:
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED:
SEWER LID FEE $
LID #: '
SHORT PLAT FILE: LOT: BLOCK -
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
SOILS REPORT DK
STREET USE / ENCROACHMENT PEFJvUT
FOR:�
WATER METER TAP CARD DATED:
OTHER:
LATF-MP\DS'rs\Fbnns\St=t Filc Checklistdoc
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PERMIT
BUILDING DEPARTMENT
PERMIT APPIACATION
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NAME
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ADDRESS
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17�PHON, NUMBER
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COMP. PLAN ST. R/W
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REMARKS
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TELEPHONE 'NUMBER
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MET;7-R SIZE I SERVICE SIZE CLEARANCE
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RPUARKS
Attach Your COPICS)
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PERC. TEU,
PERMIT f7NA
EMARKS
NEW
17-71 AD.
RESIDEN'TIAL
NON-R=DE::jfj
CA
.�E
_1 .
L_j SIGN
r-� RETAINTNG
WALL
1771
ALTER
Ej ExCAVATE:
on FILL
L7 FENCE
rt-,
E] REPAIR
PRE- OVE
INSPM
Svji7j
VUNIBER OF STORIES NUMBER (.T
DWSLLIN(�
QA16E I UNITS
NATURE OF WORK TO BF DONE
:1IRVj0bM I TYPE O��RUCTION STRELT IMPROVED
C] YES 13
09P.--i SPECTOR aEQULRj;D OCCUFAN
C] YES NO rRO�P
PLAN CHECKED
RyaLklucs
"A,
Val,,zatlon Fee
Recelpt No.
I,.� ch'i, � N. ............. ...
.... .. . ..
BUILDING
3 /0,
(Indicate Building eetbockn, abutting treets)
PLUMBING
4
HEAT & GAS LINE
ru
SIGN
rFT&IN:NG WALL
SMMMING POOL
DEMOLITION
W_ R1:22
fe—RE-MOVE INSPECTION'
5
EXCAVATION OR F71L-L
0
TOTAL AMOUNT DUE
I hereby ackn"ledgb I h.,. read this application: that the
formation glvw tB correet; nad that I sun the o,,ber. or the duty author,
-zed a g,bt or the I .,cc to comply .1th city and tat. Ift— �19--
ATTYM71ON
APPLICATION APPROVAL
.ti.. construetlon; and in d0lillf the worl: authorized thereby, .0 pems,
In violation of Me Labor Gods of th State of Washing,—
THIS PrIm"T
This application is not a permit Until
I
will be emi>107-d
relating to Workmen's Compensation Inst"alles.
AUTUORIZ S
%E
Signed by the Building Official or his Dep,
NOTE- permit Limit one Year (Except DE31OUTIONS �hlch
NLY r
0.
WORK NOTED
Uty; and fees are paid, and receipt is ac
I
shall be eompletw, In U12etY daY-: MOVED -IN 3UTLDLNGS shall be
knowledged in space provided.
pl,ted I;LU m--Lb--)
INSPECTION
DEPAR TMENT
1)7 R'S SIGrI.AT RE
IONA7 t.WNEII Off'�AGFNT) I —DATE SIGN I)
CITY OF
DATE.
NOTE: APP Kan! Suhiect .0 Pldn Check Fee
PR 6_11017
T,ja —r-;�it carers, —1, 1. be O__
the d..Wn (curb., Jdcw-L%-, drIMW-,
FTLIC
A,W _nstaction — poblic
n1sumuees, etc.) 1,111 reqed" separate P—Assion.
City of Edmonds
City Engineer's Office
COMPLAINT REPORT
STREET FILE
Report No.
Referred to for Action Time Date
Received by.--- Dick Allen Time ..,.-Date, 2-26-71
17
Made by 21
_14rs. Douglas Wegemer Addres SiT —
How Received: Letter Telephone In Person
Nature of Complaint: Tests made by Sno. Co. on water samples.she obtained
from stream behind home indicates water contains high levels of bacteria.
Engineering Department Recommendation or Comments
Time Date Engineer
Describe Action Completed:
Time Date Completed by
Location Sketch:
0
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
STREET FILE
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY ......... ..... Lot No ... Z ................. Permit N,..30 .............
Owner --- Unknown
. ..... ............ ............................ . ------ Address ................................................................. ... Phone ........................
Builder_ .... ............ Address. Wash?hone ... PR ... 6-.85.2.2
........... ..... .... .... . .
Designer....M.. B.-11eyr.ing ............. ................. Address- - P.0- *...Box ... Phone ...
Lynnwood, Septic 6626-212th S. W. Lynnwood,W4§h. PR 6-7137
Installer------_------- ------------------- _----------------------- I .... Address --- ................................................................ Phone ........................
I hereby certify the accompanying drawing is an aMlratC 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 scA,age disposal system permit application dated.. ..............
...... ------------------------------- have been complied with.
_10�7 Z5
............................. .................. i ......... . . .............. . .................
Signature of Designer Date
TO BE FILLED IN BY CITY ENGINEER ONLY
-
Accepted ...... C.: ..................... Date .... 40e�r-4--
NotAccepted ---_-------------------- ........ _ ........... ..- Date . ....... .......... ..............
Signatureof Sanitarian ................................ ........... -__ -------------------------------- _
Rernarks:.JA.i!5P_e7.--7jk�D ....... 16y ...... Da;5.-16kW.X ................................. _ ................................... ...............................................
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 (2V2-3 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 harin the action of the'septic tank and
disposal field.
As- uilt
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,011,0C lonotract-ion
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r-t nwooc), wa-,h.
Lyn
c1c,4 r e S S
Lot 2,
�,`.ty of �dmond.n I r"a 31�.
1� (61
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ry
130
D (-, s i r i c r -
1.1!. :.cyr� ng
I- - 0 - -'lox 32
Lynnvyooti, Wa,.;h,,
j_n:3taller:
Lynnwood d�-ut_'c
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UU11", za, J.:100
Cree Construction
P.O. Box 591
Lynnwood, Washington
Subject: Sewage Disposal System Permit No. 314
17212 Sea Lawn Place, Edmonds
Gentlemen:
The installation of the septic tank sewage system under subject
permit has been accomplished by a septic tank installer not licensed with
the City of Edmonds. Under Ordinance No. 999, a septic tank installer,
in order to.do business in the City of Edmonds, is required to pay a fee
of $50.00 per year for a sewage disposal installerls'certificate of
competency,.and in addition, to provide a surety bond in the amount of
.$1,000.00 to the City of Edmonds.
Since the septic tank system has been installed by a firm not
licensed to do business in the City of Edmonds, approval of this system
cannot be granted. Accordingly, it is requested that you advise the
installer.that he is required-in-accordance.with--the-city otdinance-to
pay a- fee of $50.-00 pet year and popt a -bond-, of 019600.'001
is: 6, los.
A copy of Ordinance No. 9A ne etf r: yo
o y ur information.
Yours very'truly
CITY,OF EDMONDS
LEIF R-. LARSON
City Engineer
4nRL/rf
Miiyf
ib
SEWAGE DISPOSAL PERMIT
Septic Tank ............... ............ gals.
No;
C 1 0 F EDMONDS
'Disp. Field ..... ........ sq. Department of Public Works
Other_ -----------------
Name. .... -------------- - ----------------_------ s hereby authorized to install/
repair sewage disposal system,at
..........
------------------------------------------------------------------------- .. .........
_7�
Date ssued on .....
--- .....................
Permit expires one year from date of issue
DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN
Lliereby certify this system was installed under my supervision and control and complies with all provisions of the cit"
'4'iMmonds Resolutions.
y
Signature of Installer ............................................................................
Date ..................................
ApprovedE) Disapproved Date ---------------------------------------- -------------------_- By ----------------------------------
----------------------------------------
..Remarks:.-.
..............................................
SANITARIAN OR DESIGNER ---------------------------------------- Date
........................................................ ................... .......
....................... ......
Xhis permit shall* be posted in a reasonably conspicuous place on the job until inspection has been completed.
C 00
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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: ---- Cree Construction
----------------------------------------- 7 -------------- ......... . .......
For installation at: (street address) ..... ...................................... ................... ...................
Addition or Subdivision ............ 3.ea-1am_.T.errac.e .. C ............ ............................... .. Lot.. ........ 2.... Block ................ .
Type of Building: New ----- N__ Existing ------------ Single family residence ....... X ...... Number of bedrooms.-. ----- 3 ..............
Other: (specify type or use) ..................................... ....... ......... .............................. ..............................................................
Builder ...... Cree Construction
.......... ............... I., ............... ----------- ..... Address ......... P..... -0 -------- 13.0_x .... 591.,_Lynn.w
............
--------------
Designer --- Ni --- j�-_Kpyring_
.... ................................................. Address. ---- P.O.—Box.32.,]��ood-,. .-Wash - --------
'404, t A a- - 4 .4a F- S7.D.- d, r, q,-ad & 1,
(f , o to5V n 7 OsZnay loam 4 to 48'in. sand and gravel
Soil Log Hole No. I -------- __ ......... ....... ............ ...............
...........................................................
----------------------------- ......................................................
same as soil hole-.# 1
Soil Log Hole No. 2 ............ ............................ .................. : ........... ........ ...........................
.................................
................................................................................................................................................. ............
................
none
Elevation of Water Table, if encountered. (Distance from und surface) .................................... .................................
A101-111 19;10
Corrections to control surface water if needed ........ ..none .............. ................................................... ..................................
..........................................................................................................................................................................................................
D?NO GRADING IN DRAINFIELD ARFAI
Specify if any removing or grading of topsoil in field area ... ...... ................................................................... .............. .......
................................................................................................................ 7 .......................................... ..............................................
Percolation: ;7
Test Hole No. I — Average Rate 7 ............ ..............
...... 8. (Fall in ininutes/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 ...... 6
.. ......................... .. ----------- ------- (Fall in minutes/inch-bottom 6,' test hole)
44e/16/68
Average percolation rate on which to base drain field design ............... ....................... Date Taken .......................
Septic tank requirements based on present rules and regulations:
Septic Tank Size ...... ... I ................. gallons.
4 23 3 0,;;:Ce-Y 3�6ng each
Amount of Square Feet of Disposal Field ......... .......... . 3 ft - wide
Signature — Dese 2,;7 /�5 ... .......
igner......... ..............
DO NOT WRITE BELOW THI� Ll . NE �To b�/nmplcted 1�/Issuing Agency)
Permit issued (date)---- ..........
...... ..... ................ Permit Number ........... & // .....
Remarks:A?��7<� . ................................
.. . .... ...
............................................................................................................ ...... . ....... : .......................................................... ..........
I
Rui 1C1 or
'Cree Construction
F-0. 0ox 591
T,Ynm-Too,i, Wash.
Des imer:
1% 13. !,leyrinty
P.O. '�ox 32,
L,ynrn,rood, 'dash.
Sanitation Design
CR�Z- CONSTRUCTION
Lot 2, Sea -Lawn Terrace C
City of Edmonds Uash.
�!ovember 1967
Any deviation from this desin-
t-rithout consultation with the,
dosi-ner ieill make accet)tance
of the installation subject to
the 'discretion of the desi,-ner.
All Z11 joints to be cemented,
in accordance to the Septic Tank
i,'A n-nua 1 -
Tx 1
J
4-7
OF
eV4�4? 7V/s
INSTALL AS S)iG,-X T-M E014
Address of Installation
17212 Sea -Lawn Pl.
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TiLs-r
'leyring Surveyors, Inc.
Lynmrood, Wash. Fa 5-3101
42
anitation Desi
Cre,e Construction
p
—C. -3ox 591 CREE COSTRUCTION
J.Zrnnvooti, 'Jash-
Dosimer:
3. !'eyrinp:
P.O. '�ox 31,
L-5rnmrood, "!'Is"a
Lot 2, 3ea-Lai-m Terrace C
City of F4monO.s �Jash.
November 1967
'ICT-;:
Any deviatinn from this desi M,
i-Tithout conoultation uith the
dor,imor v�ill make accautance
of the installation subject to
the 'discretion of the desi-,ner.
All �21 Joints to be canented
in accordanco to the Septic Tank
'�'- -a nnua 1 -
cgcx:)! C3,11,
4 -e. S
1; 47 rvi � �Cr, e- -r
P
DISTALL AS SHaJF TEREON
Address of Installation
17212 3ea-lawn Pl.
A 0 w
Vol
:0 Z�-
NO
J
J/O
N
I eyring Surveyors, Inc.
Lym.iood. Wash. PH 5-3101
T
FILE
June 25, 19G@
Cree Construction
P.O. Bcx 591
Lynnwood, Washington
Subject: Sewage Disposal System Permit No. 314
'r-11212 - Sea L—awn Plac�',, Edoonds
Gentlemen:
The installation of the septic tank sewage system under subject
permit has been accomplished by a soptic tank installer not licensed with
the City of Edmonds. Under Ordinance No. 999, a septic tank Installer,
in order to do business in the City of Edmonds, 13 required to pay a fee
of $50.00 per year for a sewage disposal installer's certificate of
competency, and in addition, to provide a surety bond in the avount of
$1,000.00 to the City of Ednondc.
Since the septic tank system has been installed by a firm not
licensed to do business In the City of Edmonds, approval of this syatem
cannot be granted. Accordingly, it is requested that you advise the
installer that he is required in accordance with the city ordinance to
pay a fee of $50.00 per year and post a bond of $1,000.00.
A copy of Ordinance No. 999 is enclosed for your information.
Yours very truly,
CITY OF EDMONDS
LEIF R. LARSON
City Engineer
LRL/rf
cc: M,B. Meyring
�4cc: