17215 72ND AVE W.PDF111111111111
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17215 72ND AVE W
0 Job # 602 9 0
SNOHOMISH HEALTH DISTRICT
DIVISION OF SANITATION 112
3011 Rockefeller Avenue, Everett, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: ........... Sban..Parker . ----------------- -------------------- ...... ........ ..........................
.......... ............... ---------------
For installation at: (street address) ----------------- 292* ---- 472nd-AW-MUS .. WOA ------------------------------------------------------------------
Addition or Subdivision ----------- RobdIL clg Lot ------- 9 ------- Block ------- --------
.0 ---- - ---------------------- -------------_---- ----------- ':: -------------------
Type of Building: New.XK--,-. Existing ---------- .- Single family residerice --- Number of bedrooms.- --------------------
Other: (specify type.or use) ---------------------------------------------------------------------------------------------- ------------------------------ .............................
Builder ---- Aan PaftOr
------------------------------ -------------------------------- Address--.--59*j. PkJJM67 No S44tie
--------------------------- - ------ w ---------------------------------------------
Designer.--.2m.-MM167 .. &Aaseciat-es ------------------------- Address .... �73%__17%h_S*_W* ------- Sftwds -_--------------_
SoilLog Hole No. 1 --------- 0._*.._.6!t ---- VAARIM--a-ZOV& ------------------------------------------- 11 ............ 1 ...... 111 ...... I ...........
------------------------------------------------ 6_*_!t� --- 4811 gr --------------------------------------------------------------------------------------------
SoilLog Hole No. 2 ---------- 0 ...... & ---- 3--.2- ----------- S_ -a ----- S ... I --- ;Pisr ----------------------------------------------------------------------------------------------
3.2 Qa WwU B r*r.0
.............. ------------------ I ------- ---------- ..................................... ...... Pi/
,_gr -------------------------- -----------------------------------------------------------------
Elevation of Water Table, if encountered. (Distance from ground surface) ---- 334M .................... --------_-----------------
Corrections to control surface water if needed ------ Uwe .............................. ----- __ ....... --------------------------------------------------------
Specify if any removing or grading of topsoil in field area --- MR." ....... .................... .............. .....................................
Percolation:
Test Hole No. I —Average Rate ------------ 5- # 7
---------------------------------- __ --- (Fall in minutes/inch-bottorn 6" test hole)
Test Hole No. 2—Average Rate ---------- 6
.#.7 ----------_---_---------- _ --------- (Fall in minutes/inch-bottom 6" test hole)
3*3
Test Hole No. 3—Average Rate ......... - ------------------ --------- ---------- (Fall -in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design -------- �#2
..........................
Septic tank requirements based on present rules and regulations:
Septic Tank Size ........ 9.W -------------- gallons.
Amount of Square Feet of Disposal Field ....... 381 --------------------------
Signature — Designer ........ -_------ - 4 --------------------------------------- Date ----------_- 4/90/03 ------------
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DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date)-, ------- Al .. — __ .? . I -- — ---- I --- > -------------- Permit Number ---------- /3 G
...... -- ----- ---- ---- -- _- --- I ------------------------------
Remarks:
................... ............................................................................................................... -------------------------------------------- -----------------------
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7301 - 179th S. W.
EDMONDS, WASHINGTON PR 6.5880
PEZO�TIO;77EST
OT AN e, UANICYD ARkcl*T. -PLOTQLANS
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RECEi VED
S T Z T P7 1. E AUG 2 7 1984
ENGINEERIN!�
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MINVESTMENTS
M.R. MASTRO
August 21, 1984
Larry S. Naughten, Mayor
City Of Edmonds
Civic Center
Edmonds, Washington 98020
Re: Sanitary Sewer Agreement
Dear Mayor Naughten:
I have reviewed the modification of the Sanitary Sewer Agreement and I
fully understand the responsibilities.
The holding tank has been upgraded to a minimum of 10,000 gallons and
an alarm monitoring system has been installed.
At my own expense I have retained an employee to - control the valve
monitoring of the holding tank out flow. This shall occur between the
hours of 12:00 midnight and 6:00 A.M. In an emergency situation please
contact Julie Kester, 212th S.W. and 72nd Ave. W., Edmonds, Washington,
telephone number 771-3448.
Very truly yours,
Michael R. Mastro
Pf"EIVED
AUG 2 3 1984
0ecutive Offices
510 RAINIER AVENUE SOUTH, SEATTLE, WASHINGTON 98144 [206) 323-5393
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