18522 85TH AVE W.PDFIIIIIIIIIIII
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18522 85TH AVE W
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ADDRESS: i � �� 7 sl—' mc - yj
TAX ACCOUNT/PARCEL NUMBER: W6 to-7 19 c) Coo cl q Of)
BUILDING PERMIT (NEW STRUCTURE): Ig tol
COVENANTS (RECORDED)
CRITICAL AREAS:
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA'
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORTPLAT
DETERMINATION: 0 Conditional Waiver F1 Study Required F] Waiver
I
LID #:— Is; i
LOT: BLOCK:
SIDE SEWER AS BUILT DATED:— I/z,41 &I
SIDE SEWER PERMIT(S) #: �s 6 11 / -)OL
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LATEMP\DS'rs\Forms\Street File Checklist.doc
NOTICE:
Yrar
N'o ... wa rr a nty OT �4-_CCJ V - - -
The information'shown on the attached
Map(s) was compiled for use by the City Of
Edmonds its Employees and Consultants.
Th.e City of �Edm.onds does not * warranttliv
accuracy of anything set for.th on t ' hese
rnap(�-). Any person or entity -requesting a
copy should conduct an independent
0 -ation shown on
inquiry regarding the inf rm.
_ff�e -map(s), including, but not limited to,
th'e lociation of any sewer stub shown. Such
not exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the City of Edmonds nor its
empto-yee-s o-r office.rs -sh-a-11.1 be 11a-b-'Fe forthe
n on this map(s), nor for
information give'
tation provided based
any one represen
upon said map(s).
The City of Edmonds
APPLICATION
r
SEDE SEWER PERMIT
STRMTFII�E fo
wws� a Ew CONSTRUCTION REPAIRS E)
OWNER ----------- � ............ . . . ........
----------
. .. ... ........ e .......
ADDRESS .... ka... 4.072_-2 ..................... 4?.I;r.'- -1& ;4
..........................
I 1)s - � 1--- 11 /
CONTRACTOR ------------ ... Vi ..... �.-. PERMIT N — & �
. .. .............. .
LEGAL DESCRIPTION: LOT No . ......... (K .................. 9��x No . ................. ............
NAME OF ADDITION ........... ..... ....... .... ..........
Approved:
EASEMENT No . .....
I- (
A pp. A-;/. �/
Nov zk
DATE .......... By ......... --
CITY OF EDMONDS
-�:PRospcct 6-1107 ,ihen work
Call
CIVIC CENTER WATER-SEVVER DEPARTMENT Is ready for Inspection. (No inspec-
SIDE SEWER PERMIT tions Saturdity, Sunday or holidays.) NO. 2565
ADDRESS................ 1.8522:..-.�_ja5th ... AyqnJq!� .. wqgt ........................................................................................................................
OWNER .................... Char s Happen
le ....................... ................................... CONTRACTOR ........ .....................
Permission is granted ...... NMTRbAr * ....... 22 .... 19.�7_ for ........................ days to REPAIR or CONNECT a side sewer
With City Sewers In accordance Nvith application oil file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No.'1—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 infbrmation 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 a1ter 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.
604h
N_ is
la i ncc i riLt:
�EWAGE DISPOSAL PERMI'-r/
gals.
Septic Tank ..................... CITY OF: EDMONDS
Disp. Field ......... � _,"2- sq. ft. bepartmenv6f T.01ii, Works
Other.......................... .......................
Name .............
........................ . ..... .............
" . j,
No. ............
... is hereby authorized to i�stall/
repa , ir�-sewage disposal system at
..... .......... ....................................................
.... ............. ............. ....... ...... .............. .... .......... I
Date......... Z ------- ---------
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 comp"lies with all provisions of the City
of Edmonds Resolutions.
Signatureof Installer ........................................................................ .... Date .....................
Approved[J Disapproved F-1 Date ................................................................. 'By .............................................................................
Remarks: ................................................................................................ ............................................................................ ............................... I.:,,
SANITARIANOR DESIGNER ... --------------------------------------------------------------------------------------------- - Date ......................................... o ...............
This permit shall be. posted, in a reasonably conspicuous place on the job until inspection has been completed.
26�v_ �11��
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: ....... Char.je.q....Hanaen _--------- -------_----
For installation at: (street address).. --------------
-1-f-I V_ —
.... ........................................................... .......
Addition or Subdivision ........ Seavie.w .. 3breat ...... Div-*. . #4 .... ........... ............ Lot ..... 8 ........ Block ....... 4 .......
Type of Building: New .... X .... Existing ............ Single family residence ----- X ........ Number of bedrooms ............ 3 ............
Other: (specify type or use) ....................... ...... .......... ............... ............ .. ................. ...........................
Builder .... Qhs-rle�s --- ban-Ren --------_------------ : ------ ------ Address ---- IM-7�81at --- V. Edmond - s ----_---__-----
Designer-So ...... Sno.---Septic --- TAI-nk - - Do 4:1. gn et --- Address.- -1yn-nwoGd .. ......
Soil Log Hole No. 1 .........
... 241 ....... Sandy .-loam; 30" Claypan.
SoilLog Hole No. 2 ........................ Same . . .......... --------------------------------------------------------------- _ _----------_-- --------------- -----------
Elevation of Water Table, if encountered. (Distance from ground surface) ......................................................................
Corrections to control surface water if needed ......... ( . ....... �Q691N .... Fj.4�.e..D .... _ ILI. . ....... . V..e.. .
............ 0 . ....... 0
........ 0.nj�?
.......... C23/; ........ oi .... wz ma'r 7
Specify if any removing or grading of topsoil in field area ........... Spr..e-ad ... ex.eay.pAl.on ... out ... over ...............
....... .......................... dr.ainf I.e.ld .... areaa .......................................... ..............................................................................
Percolation:
Test Hole No. I —Average Rate ............. l0 .. .............. .. ... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 2 —Average Rate ------ .......... a ... ............................ --- (Fall in iiiinutes/inch-bottom 6" test hole)
Test Hole No. 3 — Average Rate .............. 32_7� -------- I .......... .. ....... (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design _1_0 .......... . Date Taken --- 3-24-67
Septic tank requirements based on present rules and regulations:
Septic Tank Size ........ goo,, .......... gallons. WLD STUB OUT HIGH
Amount of Square Feet of Disposal Field ........ . .....
Date-- ZP-25-67 --- -----_--------------
Signature — Designer ... ....... (9&ov ........ ................... : ------------ ......
DO NOT WRITE BELOW. THIS LINE (To be completed by ISSUing Agency)
Permit issued (date)_.. 1-1/0 _-------_----------- Permit Number ...... 4. �,-7 ..........................
R.............. __ ....... .........
emarks: ....... -,.4 ...... a ------
......... .......................
t
Dr.', I I GII r�! IR
Harold Olson
v t. n ZY 6 rt &
0 Per. Eol*
goo Gal, 8, T. 'S Soil Log
Uno ft.- draintile 4" Tight Une
31 wide. trench. 4" Drain Tile
495 Sq, fto required.
lil-,41lu F-, e- e D Se 7- 1-17' ;� -////
Cq�.�V/qAc, 0 F Cr ' Iltl7b (W-
6
OUT HIGH Sc ltl..20
i f SO! K
e r
Pit
Poo
n;W 10 fdrnrds in v i Trh
H*w;
in AlWores
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Wo 0 Ads oln
9no 5.7
Iran
ow
t
7 7
BUILDING 1DEPAW�
T Applicant FIII
PERMIT CAMN
APPLI
Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
MAILING ADDR4,5.
NUMBE�t
M
P,
`x"
IL
NAME
-A
CITY
TELEPHONE NUMBER
NAME
t-n
01
0
-A RE
mqtv
ONE NUMBER
JAFW Deenription ot I-roperty (Show Below or AtLt4h Ifouir Cor
a v i r L_j
z
F 0jr e
0 —.13).-IIAL
Ej
'As-
NON-R.WIDvT—
F�
,I.,
F-1
N
PXTAI 'ING
F-1
DEMOLISH
WALL
ALTER
EXCAVATE
E]
FEN E
F
OR FILL
(__c r1t.)
REPAIR
PRE -MOVE
INEP.
Sir
P 0 O'L'
;UMBER OF STORIES
'EETF UF
DWEIAING
I
�OSTED Olt ILROLL MAP 140-: -7
6,0111
/Z# 19 -7 _�T
'6B ADDRESS
;IDE YARD SETIJAF�
0T. IHACK
REAR YARD SETRACK
0 /Y7 "'q
z
USE ZONE
NO
]EIGHT
VARLOLNCE NU DER
16
A
�LOT PLA. PR VED
T
STREET R/W FT. DEFICIENCY TIUS PROPERTY
COMP. PLAN ST. H/W Z�d-rr-
z
FLEMARHS
Z
z
J.
METER SIZE
SERVIC4 SIZE CLEARANCE
C BY
TYPE CONNECTION
atz-- -Iro_ K_
VER�
PERC. TEFT
IERIUTI�tl]ER
REMARKS
F7t,zoNE TYPE OF STREET IMPROVED
�CON7UCTION
I
L r:] TES 0
SPECIAL INSPEHOR REQUIRE
oucuPANCT GROUP
'NO
0 YES
d.
PLAN CHECKED BY,
4;
REMA,tK
Valuation
Fee
Recelpt
No.
Plan Check No.
PROPOSED USE
BUILDING
__jL_ _oD
PWT PLAN (Indicate Building setbacks. abutting 3tre.ts) PLU3MNG 0
HEAT & GAS LINE 0
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION Olt FILL
TOTAL A31OU-1-T DUE
-/�A. a a
I hereby ackpowledg& that I be,, read this application: that th�e�ln-
formatlou giv 1. correct: and that I — th owner, or the duty au t-
Iiietl agent of the o"er. I &gw. to comply with c1ty and state laws regu-
ATMNTION
latIn : and In doing the work authorlted thereby, no pemn
�'. �9 r:o'.atlon of the Labor Code of the State of Washington
areployed in
Tins rERXIT
relating to Worimien-it Compensation Insurance.
AUTHORIZT:S
NOTE: Permit Limit One Year (Except DEMOLITIONS which
ONLY TtEr
WORK NOIrED
&hall be completed in ninety days; 31OVED-lN BUILDINGS shall be com-
pleted in six months.)
IIGNATUPLE (OWNER Olt AGENT) DATE .4IGNED
INSPECTION
A
DEPARTMENT
CITY OF
EDMONDS
NOTE: Applicant Stibject to Plan Cbeck Fee
PR 6-1107
Thin Permit work to be done oo privnte pmp-rty ONLY.
Any conxtritetion, m the p-blic domain (curbs. aldewMicn, driveways.
—1-1 ct..) will -r—tc p—l."lon.
APPLICATION APPROV L
This application is not a prTnit until
signed by the Building official or his Dep-
uty; and fees Eire Paid, find receipt Is ac-
knowledged in space provided.
,96
FILE