18505 82ND AVE W.PDF111111111111
7529
18505 82ND AVE W
- ---------
APPLICATION
for
The City ot 9dmonds
gg JM- LT JM(E SEWER PERMIT RUN:-PEANY EASEMENT No . ..........................................
I III_EWjCONSTRTJCTION REPAIRS Ej
OWNER ........ 1_?19ZV q
...... IV/
ADDRESS .....
..........
..... .. ..............
CONTRACT6R . .......... cz�..A
........ PERMIT No.
LEGAL DESCRIPTION: LOT No . ............................................. BLOCK No . ....................
.......................
NAME OF ADDITION
.... .....
. ............... . .....
Approved:
...........
Call I'lRospect 6-1i07t%when,,work
CEN'A T . ER -SEWER DEPARTMENT - Is ready for hispection.,"(No Imspec-
tons Saturday, Sunday� . or holidays.) 211-8
S-10� -SEWER PERMIT
18505 - 82nd West
ADDRESS...........................................................................
OWNER .................... Dan-AclizLrmara .................................... CONTRA OR .. .. A
CT .... ... . .........................................................
Pern-tission is granted ..... Apx.il .... Z6.3 .............. 19.k?.., for ........................ days to REI�AIR 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 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.
NOTE 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.
NOTE No. 5—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.
r r-
1
F-I
STREET FILE
ID
72k 0 10 IST ME "PUCAPIlIbm
lb
ZR
-71
A) /-,��Wo /S
717-
or zz,
aLv el-�/
CSTWS F&PRING DEPARTMENT
505 BELL STREET
EDMONDS, WASHINGTON 98020
APPLICATION FOR STREET USE PERMIT
Name of Applicant:
Mailing Address:
Telephone Number: 2 7 Date:
Description of Public Place or Portion thereof desired to be used: (exhibit may be
attached)
r.a__ C_' e_ — 4s
� Z_ r,,z _ /,� �- 0
Type
of Use desired
to be
made of Public Place:
--a- 5
Zoo— &,c - lb
If applicable, attach plans and specifications for any utility or structure to be erected
and/or maintained on the Public Place:
TEMPORARY PERMIT: Unless otherwise designated herein, this permit is understood by
applicant to be wholly of a temporary nature, that it vests no permanent right whatsoever.
If the permitted use becomes dangerous or such structure shall become insecure or unsafe,
or shall not be constructed, maintained or used in accordance with the provisions of this
title, the same may be revoked and the structure and obstructions ordered removed by order
of the City Engineer. If this application is for a specified period of time, the terms
of said application is:
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold
the City of Edmonds harmless from any injuries, damages or claims of any kind or descrip-
tion whatsoever, foreseen or unforeseen, that may be made against the applicant or the City
of Edmonds, or any of1ts departments or employees, including but not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason
of granting this permit. In addition, applicant understands that the City shall be provided
a certificate of insurance to indemnify and hold the City of Edmonds harmless from all
claims and/or property damage, naming the City of Edmonds as an also insured.
APPLICATION OF CHAPTER 6.40 OF THE EDMONDS CITY CODE: Applicant warrants that he has read,
or had the opportunity to read, Chapter 6.40 of the Edmonds City Code, attached herewith,*
and understands that all terms of that Ordinance are incorporated herein as if set forth
in full and this application and permit therefore are subject to the terms of that Chapter
of the Edmonds City Code.
Applicant's Signature
Date
11/7/74 rev.
0 0
City ff Umonds Ef;clneerinn ent
urn
T
_�LICAT ON FOP, ST`EET USE PEP.'-!1T1 -- P�,-,:� 2
Approval (and Agreement, if applicable) of Abutting Property &oners:
Siqnature
Z:,=-�—= —.-- --
Printed Nartle Address Da te
-j7
74,615
DO [401- WRITE BELO',,,' THIS LINE (To be completed by Issuing Agency)
City Council Approval (Attach Minute Entry):
0 Permit
Fee:
Annual
Fee:
due January 1,
19
Amenities
Design
Board Approval
(if applicable)
At-tach Minute
Entry:_
Building Official Approval (4
if applicable): Signature Date
Provision for Indemnity:
Terms and Provision of Performiance Bond, if applicable: (Reference 6.40.050 of applicable
Ordinance)
PERIMIT AUTHORIZAJION BY CITY ENGINEER: —
Si gnature
PERMIT.NO.
Remarks:.
DATE
Date
., 11/7/74 rev.
c d- Y-
14, 141. -e��Zl
Aa
IL
2-1
tj
STREET FILE
CITY OF EDMONDS ENGINEERING DEPARTMENT
505 BELL STREET
EDMONDS, 14ASHINGTON 98020
APPLICATION FOR STREET USE PERMIT
Name of Applicant: J Z,
Mai 1 i ng Address:__ 6A.1
Telephone Number: Date:
Description of Public Place or Portion thereof desired to be used: (exhibit may be
attached)
Type of Use desired to be made of Public Place:
4C
If applicable, attach plans and specifications for any utility or structure to be erected
qpd/or maintained on the Public Place:
TEMPORARY PERMIT: Unless otherwise designated herein, this permit is understood by
applicant to be ��holly of a temporary nature, that it vests no permanent right whatsoever.
If the permitted use becomes dangerous or such structure shall become insecure or unsafe,
or shall not be constructed, maintained or used in accordance with the provisions of this
title,* the same may be revoked and the structure and obstructions ordered removed by order
of the City Engineer. If this application is for a specified period of time, the terms
of said application is:
INDEMNITY: Applicant understands' and by his signature to this application, agrees to hold
the City of Edmonds harmless from any injuries, damages or claims of any kind or descrip-
tion whatsoever, foreseen or unforeseen, that may be made against the applicant or the City
of Edmonds, or any of its departments or employees, includinq but not limited to tile defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason
of granting this permit. In addition, applicant understands that the City shall be provided
a certificate of insurance to indemnify and hold the City of Edmonds harmless from alI
claims and/or property damage, naming the City of Edmonds as an also insured.
APPLICATION OF CHAPTER 6.40 OF THE EDMONDS CITY CODE: Applicant warrants that he has read,
or had the opportunity to read, Chapter 6.40 of the Edmonds City Code, attached herewith,
and understands that all terms of that Ordinance are incorporated herein as if set forth
in full and this application and permit therefore are subject to the terms of that Chapter
of the Edmonds City Code.
Applicant's Signature
Date
11/7/74 rev.
STReET FILE
City c,.f Ldnionds 1:wl,ineerinn !",--nnartment-
P.TiON FOP, ST'r.'.'PET USE FIEP.;'IT -- Paq!� 2
Approval (and Agreeirent, if applicable) of Abutting Property O-oners:
Siqnature Printed "!(-11le Ad,.-Iress Date
-/0
2 Al H K Y AJ Cj 1/ki VF-
7
L t
16- Sit? 0� Six) 42MIC115
DO 1-.4'OT I,IRITE BILO,,,' THIS LINE (To be coi,,ipleted by Issuing Agency)
Ci ty Counci 1 'Approva 1 (Attach Vii nUte Entry) : not required
0 Permit Fee: Annual Fee: due January 1, 19
Amenities Design Board Approval (if applicable) At-tach Minute Entry: N/A
Building Official Approval (4f
applicable):
Signature Date
Provision for Indemnity: NONE
Terms and Provision of Perfori,,-.ance Bond, if applicable:
Ordinance)
N/A
PERM111' AUTHORIZA110N BY CITY Eli'GINEER:
Direct
PERMIT NO.
Remarks:
(Reference 6.40.050 of applicable
al u 11 C,
of Public Works
DATE
KA'
11/7/74 rev.
STREET %9OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY -------- 18505 .... ... 82nd..SW ....... ................................. Lot No .......... I ........... Permit No ... 227 ...........
Owner. _Bp.rpp�rd Lee
.......... :1 -------------- ............................ Address .- 5217 ... $W..LY=W.0011hone..FR...S!!!85.88
Builder ... Bernard -Tee ------------- .......... --- ......... . Address. .. ....... ----- ---
........................................ Phone... .....................
Designer X.B.- Mayring - ------ ... Address --- 200.19---Hi Way __99 ... Lynnwood ......... Phone..pR .. 8-3101-
InstalleR-i-ohmond Concrete ----------------_--------- Address.. 20624--Hi-way- 99--S ...... Lynnw(wd --- Phone..743!!.3223...
I hereby certify the accompanying drawing is an accurate 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 ....... ........
. ....... 9/3/65 --- - ----------------- have been complie�d with.
Date
11/16/65
................... ----------- I ...... .......... ... .................... ............................ 4 ..................
Signature of Designer
TO BE FILLED IN BY CITY ENGINEER ONLY
0
Accepted .......... ................... ................................. Date..
NotAccepted ............. ......................... .... . . Date ......... ......... .......... .........
Signature of Sanitarian ............. ;'ee� //
........................
Remarks: ...... 6—t'-t- .........
. ............... ...... I ......... ........... .......... ....... ......... ; ....... .... ...............
.................. ..........................................................................................................
............ �; ..................................................
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-
loadiri,g 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 liariii the action of the septic tank and
disposal field.
As Built Slatch
BERNARD LEE
Lot
1, Nelson's Add. #1
(Prop. Flat)
CITY
OF EDMONDS
WASH.
NOV. 1965
Permit No.
227
Installer:
'Richm6nd,Conerete Prod.
7-H
20624 Hirmy 99
Lynnwood, Wash.
1000 gal. S. T.
36 ins. trench
564 sq. ft.
SCALC /
7
JI
tie
N
06
4fJ-
Cl
7
r I
01\
30
6A -,� 4 lmc
I
-9/.
Designers
M.B. Mayring
20019 HiWay 99
Lynnwood, Wash*
ci*�5
/0
/0
07-44-1
0 : T - �-'.
Cb
I001.
Mayrinz Survqyors, Inc.
Lynnwood, Wash. PR 8--;3101
-1
0
41615 - 12 51Z
0
Septic Tank ........ ---- gals.
Disp. Field ------- sq. ft.
SEWAGE DISPOSAL PERMIT
CITY OF EDMONDS
Department of Public Works
No. -7
-- ---------
Other----------------------------------------------- 7%
------------ repair sewage disposal system at
Name -------------------------------- ��Z --- 4-1 ----- - ------- -------- ------ is hereby authorized to install/
--------- ----------- ------------------------------------------------------------------------------------
----------- ......
Date issued on --------------- �;"
............ ------ 1 ----------------------------------------
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.
Signatureof Installer ---------------------------------------------------------------------------- ijave ----------------------------------
ApprovedDisapproved Date ----------------------------------------------------------------- By ----------------------------------------------------------------------------------
Remarks: ............. ---------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------
SANITARIANOR DESIGNER ------------------------------------------------------------------------------------------------ Date ----------------------------------------------------------
This pern-dt shall be posted in a reasonably conspicuous place on the job until inspection has been completed.
Col./ OF
A It*"
CT
DIVISION OF SANITATION
M. U=116eftiolmo ffWFU 0.
, e —,-- —D~ / V 0, S/ 114 -S 74, -
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to:-. ------- Barnard.-leei.
For installation at: (street address) -------------- -- ------ ......... I ..................
Addition or Subdivision.. --------- Nelson aAdd.----(Troposad) ------------- ------------------------- Lot-. --- 1� ........ Block -------- I .......
Type of Building: New.-X ....... Existing ------ I ----- Single family residence ------ X ....... Number of bedrooms ........... 4 --- -------
Other: (specify type or use)--.-. -------------- ------------ --------- ------------------- --------------------------------------------------- ..............
Builder- PorA%rd Iae A
---------- ----------- I ----------------------- ------ ddress --- 5217!-!�--201stP1.ZW .. Lynnwood. ----- ..........
Designer.--Molp- -Metyring ------- ............. ------ ----------------- Address-20G19- Riwa-y--99 ... Lynnwood- -------- ..........
Soil Log- Hole No. '-0-6'�--toPaoil ----- 6-01--sandy -1-oam - 30-48"- hardpan -------------
Soil Log Hole No. 2 ------ .... 12!n36! ... sandy .. loam- -3&.481t -hardpan.
------------------------------------------------------------------------------------- ...... ............ .................... ----------
Elevation of Water Table, if encountered. (Distance from ground surface) ------ � - -none .......... -- ------------------------ ----------
Corrections to control surface water if needed... ... ........... zwale-lot.-linez ................... ...........................................
Specify if any removing or grading of topsoil in field areaNoA'Urther --- grading. all.owdd in..draintield- area.
--- I ................
Percolation:
Test Hole No. 1 —Average Rate ----- ---- 7 -------------- ---------- .... .. .. ... (Fall in rni n U tes/inch -bottom 6" test hole)
Test Hole No. 2 —Average Rate -------- --------------------------------------- (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 3 —Average Rate- ---- T ------- ------- -------------- ------- (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design ................ ------- - ------ -- Date Taken ... 8/2-5/65-
Septic tank requirements based on present rules and regulations:
Septic Tank Size.-1000 ................. gallons.
Amount of Square Feet of Disposal Field ..... &-.564 ..............
Signature — Designer .... Date-. ...... 6
---------- ---- --- ----------- � -- ---------------------------- - W6 .......... -------
DO NOT WRITE BELOW THIS LINEVo be coi4feted by Issuing Agency)
Permit issued (date).. .................. :7.-..3- (P 5 ---------------- Permit Number ----------- --F 7 .......... ...........
Remarks: .................................. --------- -------------------------------------------- --------------------------------------- -------------------------------------------------
-------------------------------------------------------------------------------- ----------- ---------- ----------- . .......... -------------------------------- --- -------- -------------------
BROWN
7
'o,62-25z
19P -:Z5,
Septic Tank & Dralnfi-311 Dej.'ag�l
Lo t 1, Nelson's Add. 1�1 (Pron. Flat)
SNO. CO. W AS!",
AUGUST 1.965
7-H
100-P) 527/ -5,77
Ive
10
2 1
3
:5.01 — i
15710
9/.-15
qL-
'0.6
Inc.
Lymr,Tjood,, ffach, PR 6�3101
PP35 #65-25?
rniod
' I �K
P'T
('1-7 L
I NOK
UJ
LL. IN
LU /7- 7
c1c
3
0
0
C)
2-"
(.5 < LAJ
z
0
K�
C3
C13 LU
C;N
D
NEI
-0
A-lE GRANTORS,
q.,
for alid ill colj.5i(l(!v;jjioll of
pr
k
kip
Cu
--S-T-(!WfbrY' 'Wrlirdrit-V I Dleecr-4
1,1-1:'RNARD n.E. LEF ANU-494911! 1� - .
his wife,
orpl 11,
TFN DOLLARS AND 'R. VALUABLE cnNSlDF'RATt0N
Ill 111111d pai(,J, c(InvvyS apd 'AIIII-1-:1111.5 !1,) DAN11:1, C. NI(' NAMAIM AND 11,1111:1.. NIC NAMAIZA, his Ivi,fo
ihe ronowi,ig d(,s(:,ii),,(i I
Slall", sill1j;!led ill 1114! Coulify (if
SN0110M1,S)i State of
Begi - nnjng on tile Iveit line Of tile South .1/2r of tile NE 1/11 of tile Shl 1,/4 of tile -
Nil .114 of Town.ship 27 North, Ranpo -n,s
4 El t at a point 165 ft.
North of tile q0tithwest cornex thereof; thence continuing North 001614'0"- West
.1.35.70 -fect ajonp 6
slifj lVest li-ne; thence North 89 51.148" Hast p.,l�,,11jel to tile
lin(3 Of Said SUbdiViSion
Nprth .1,21.5 feet; tll�llce South 0 16140" East 135,61 ft;
the,nce North 89'491141' 121.5 feet to point oF I)cp
illn �i 11 p. IM: , 11T tile West
30 'foot and 'rex",i-i'mult ivj,j, I an ca. c i iit l7o r
H, u :ijigi,ess ogms's ;111(11 uti'litics OVC17
11cst 30 'Fef!t 1,;1 Soi�J 51thd i vi s i.on; sftma,t
ill,tI16 C0.1111ty of Sn0homisli State
f W
'IM, 41
U�Jj..i 'Ct,-"' , TO.: ;e1Sf-11rxr-tt_1_on;s7 and- restrictions of record.
------------ — ---------
'6- W S:�
All
W 01 Mli U
qarm�, 11101 AW% (111() IN
I'll Ill AWS III INS
Dateq this day of JUN131 1966
AMOUNT PAID;2 .17 --e 09 e",
RECEIPT NO.-.- 4
Lu
*T
JUN 13 1966
IINGT N
RS, Sol
s-c-
't�' 7hQ4V,,,u* 1"NOT61
u'd
C4
6- 01 s,d,i')',1,pers0;lal1y appeared be(oren**` - RN A R D: 0. E-;. L!, F ANR ATZPAT11 .1. LEE', 11 wife
-,iU
B . F
�61)wn.-'t&'�'b� the.indiv:Oual' _9 described in and who executed the withip and foregoing in� 1p
(rq ent, 40
We fto'110(dg��q\th*,ut, tll(-Y :signed the sani� a� t 11 e.1 -r, free' and voluntary act and deeci, for Ibq
q,
,11 this llay of,
ll�y llm!(j illid ofrl!jal l;l,
066
ZZ,
residin fit Y!f1j,j,,r I )YqS11iqg1,(,n,
S I " Ali t, 1: ()rJ - :104 KPORDS
""IN
Q�l