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17223 72ND AVE W.PDF5628 17223 72ND AVE W 7'jl 17. 0 IL N 7 )- AM;- et,� IS-S T-, KOO -ilcF: fVo t",',A 0' 'CCURP'Cy Thl 11for M? 101 ql� oL UY of Edillicld- f c the - I "Ycle k Or OPG41 Z'dlng the in ti, lom�ion ci C." I d�z C j�3 cr i Cil is P. ncr fa ay Ord C." �J— )IJ 1> ot4 IM m 0 tjj p 0 #4 m 0 0 0, W q w W �A 0 All 0 z �o pq tij 02 Li T, CitY.'' OF' I.EDMONDS' S _M L,27 7Lr--_-�_ :7= 7, IVAT ER-S RARTMENT�. EWER- bg' 7. p ERMIT*-'.. 0" % or g: .6:1107 'i coverLng. VV �oft ht� ,qe,; cons� 4ue Ifispect�6ri'��ih be-�r6�id�d�wifbin. 24 S6urs after.':rc !ti i NIP gf hi�l ffi� Peet to N -1722.aj.� M-t .............. ..... ue,,v ois 7 ... ......................................................................... .. 7 DESCRILP T1 .............. ERT. ON; ............ .. ...... . .................................... i —7; -1' ...... I .................. ............ . % `BUILDER.,..� ....................... 7- . .. .......... ADDRE ......... 179N�Iluf R'S NAME Ru' ........... ............................ ................. -X pu- i§ gm-o!" q .......... the, or Fgpa f -4ry, Aq4pp- 9M9 R W!Wc 'of ti� ab-pih�� j�nay� -.46 . !'=;�-The e pi, �Ioplllly line.: bii Opkoyed.tq.:�6nstrl�t ontractor tntift %§Lde. ��ex:er aria,.:, po, n6t'covj�*anv portion -of. se,;�W. before jt­;_�!,sb� v- "�kl -i o:­ , ie�ii_ a�ion o. . ght-of- ce,.* rt.j�n%,, f btajnabl� fmiW-i]he�C'.j!y Eigineer's ciffi '43� PeT#0�, o_ NQTE No. 3�_�bl4i� afice 11�16-030 ltiid Regulatio-ris' g6 orq�p wepipg� sLd en�qrs rh4lit k�ave at least 30, inc es coverage at plFo�ert�* lj�Ej aft rLy NQ"i�-+t5p 6f sjE16 sew IL7. - 11 eR.-You gel , �WPeFL_ %::`Wj_11',ke Perbiitt�d- _9 -12 i4cKe§ k�'side pro�e ii�ne mi�IME� 9�1721-1,e.pf-,2 -7 'o:benqs !pI .,,N6t_5�_'WeW6hes-in �trek ettled aild:surface 00-�ieci r1stcmd �16: �'_opgirjai be wa!er conditiqn� ugntractors' shaW be r� I . 1) , qpsi io,r,iai,1 Ei �;Elrk Which mi' 'tl&n bine.�;t�ar­of 6or'n,plefloh: e ul�e- qe�.to LTI r Ptr N9,TE No. &:—Iti dd-'dh� 0 t i��brk on the ihe" j,_e_rh',i*t* r o qo an� main !Kwer or*its ap�urtdfiances exceDt to in- 7; 777- -DISAPPRO1 ED.. DdU.. ........... V ................. ............ ....... .7 -H, 77: Ej) APPROV ii�a i�; . ... ................... ...................... ............ u.............. .................. AT 6f - s (�i; irm Td,.'RbqU*§t, For- lnspLidd -.'i 7 - 9-4 K �Co _d . . . ....... .. .... .......... ................. perf�by certifyAliat th' 's*i e-s­ewe U11 I t*- wrier of- Era ing, F`iffim Pejrfi�im­ ori) a ion-ddn�trmcted uhdi�i-'this p�rLnit* as �ng_qqpstructi anc I 90V -of,�the ity,-,of -.w insfA& iij 5�&6 'th d' Y-, L it of:, - ---------- e !;�E - Yq�ti �U IvAte C." - T A S 7- Job # 602 U SNOHOMISH HEALTH DISTRICT DIVISION OF SANITATION 3011 Rockefeller Avenue, Everett, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) PerTnit to be issued to: .... Stan Parker . ......................... --­---­------ ---------------------------- I ..................................................................... For installation at: (street address) ---------- J69AW ... j7W--AT=8--WeA ------------------------------------------------------------------------ Addition or Subdivision ------- Robdjmd&le ------ ------------------------------ ­ -------------------- -------------------- Lot ----- 4P ------ Block ----------------- Type of Building: New._�M_.__ Existing ------------ Single family residence --- 7-68 ..... Number of bedrooms ......... 3 -------------- Other: (specify type or use) ------------------------------------------------------------------------ ------------------------------------ z ------------------------ ------------------ Stan Parker Builder-,--- -------------------------------------------------------------- ----------------- Address ....... -------- sledttle Designer._Rm,!��_.& Assoclate-s -------- ---- Addre ss ------- 73-01 .... 179-th-SoWo ------- Rdmwda ---------_------ ------ --------------- :­ -------- -- -------- - Soil Log Hole No. 1 --- .............. 4..--. 160w ... It - Rm- to- -Gray- - Sa- -SJ---,Gr ------------------ 16 32P Grav Sa Gr .................................. ­­ ..... -- --------------------------------------------------- 32.Avio-36" ..... Conemt.ed.-Sand ------------------------------------------ Soil Log Hole No. ------------ 12--*4­15111 ----- Blackfrleam ---------------------------- --------------------------------------------- ------ TA__RmA_o._fka7__.Sa_.,C 311k ---- -------------------------------- I ---------------------------------------- Elevation of Water Table, if encountered. (Distance, from ground surface) .... A94q ........................................... ---_----- Corrections to control surface water if needed ---- XMA -------------------------------------------------- ------------------------------------------------------- Specify if any removing or grading of topsoil in field area .... UQUIO ................ _ -------_--------------- ------------------ -------_-----_------- I ............ I ...... Percolation: Test Hole No. I —Average Rate ----------- 3*6 --------------_--- -------- --- (Fall in minutes/inch-bottorn 6" test hole) Test Hole No. 2 —Average Rate ........... 363 ------------------ ------------------ (Fall in minutes/inch-bottorn 6" test hole) Test Hole No. 3 —Average Rate --------- 1-049 ---------------­------------ ­* ------ (Fall fri'minutes/inch-bottorn 6" test hole) Average percolation rate on which to base drain field design --------- �5_ * - 6 ---- mWinch ------ -------------------- .............. Septic tank requirements based on present rules and regulations: Septic Tank Size ......... ----------- gallons. - Amount of Square Feet of Disposal Field ------ ---------- --------- ------ Signature — Designer ....... ...... - --------------------------------- . Date -------------- 4/2-6/63 ---------------_ DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date)__._._4 ................. -------------------------- Permit Number ------- F!, - -------- ------ .... .. Remarks: ------------------------------------------------------------------------ --------------------------------------- BROWN -5cA,LE,' / li Z zj�.)j 7? Ivo 4 vz 1720P cO T u A le ak., 3TAIV .- -I- --- 5 P c i PqlAIA1,F N. ,sz,4TT4E1 WA-5,; j, AeRC044TIPAI T417z MIN IINC-9 o'd A V4; 5, �,A TA F�LK— J-nAM ,q - L i P>iqm-, -fo C(fZAY 'SA, -S I - el a-, 4*19AY �SA - 2 - CgFWN 7YO 54/V 0 DK - 8P-,V -3 A 15 /, Lcl, ftAcx 46AM T,) 4/u y No TI-6 , p tnvwe 3 90 TP-Z,Vcl� AR-8A IN 2 LATeXALS t9ro-, I( W11%5 �( GS 4�: = T. J-lAl (f IP;4VIP9 '7'1( . L/NCS AS PO#.D. jAIT Z)ALAmocieL4) A k, E'A-, c JVopo 7301 - 179th S. W. EDM(��S, WASHING10N PR 6-5880 FERCOLA, . FION TEST PLOT PLANS PLAT DEVELOPMENT COORDINATOR