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18532 84TH AVE W.PDF1111111111 7827 18532 84TH AVE W SEWAGE DISPOSAL PERM&T F%E 111 Septic Tank ............. le)"e gals. 5 0 ............... CITY OF EMS TID FILE Disp. Field ............ ft. Department of Public Works Other................................................. Name ....... .. ..... . .................... ................. is hereby authorized to install/ repair sewage disposal system at P73 . . ...................................................................................................... .................... _�Z - P F� Date issued on ......... ..... ---------- * ............ -------- -------------- 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 ................................... ........................................... Date .................................. ApprovedE] Disapproved F� Date ........................................ .. ..... ............. By ............ ........... ...................................................... Remarks: ----- ...... ................... ............................................ ................................................................................................................ SANITARIAN OR DESIGNER.. ........................ .................. .......... .......................................... Date .......................................................... This permit shall be posted in a reasonably conspicuous place on -the job until inspection has been completed. 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: --- Qharl�pv ... A., .... Tian.sjon ........ ... ......... For installation at: (street address)... ...... ------ /h.— . , y -m .......................... ............................. _­ _ _q . ..... Addition or Subdivision .......... S.e.a.Y.i.e-w --- Fo_r.e.s_t .... Di.v ..... . 4 ....... ....................... Lot ....... 2 ...... Block ................ ..... .. .. .. . ..... .. Type of Building: New ... ?� ----- Existing ... ........ Single family residence. ... X _ ...... Number of bedrooms --- : ...... 4 .............. Other: (specify type or use) ................. .......... ...................... ...................................................... ....... ......................... Builder ...... QhEX1_e_s ... A ...... H-an-Sen ............... Address ..... ................... Designer --- S.o. -..s no.... ..3 e.pt lo ... T-ank ... De.8i gna.- Address .... 5_2.0.8!!-!..1 8.0.1. - th a 7. .... ... Lyxmwood ----- Soil Log Hole No. 1 ----- ___..0"­_-3.0 --- Ssnd-y ... �-t4m;- -- 30"_-_-48.'_1.'- S-and.y/'C-1.9-7 ................... ..... ..... ............................................................................................ ----------- --------- Z .......... I ------- ­­1 .................................................... Soil Log Hole No. 2 .......... ....................... ....................................................... _ -- _ _ ..... .. .. ...................................................................................................... ........... ........ .................... ...... ....................................... .ilevation ofWater Table, if encountered. (Distance from ground -surface) ..................................... ....... ..................... Corrections to control surface water if needed ........................ ......................... ................... ........................................ ...... ................................................................................................................................................................................... .................... Specify if any removing or grading of topsoil in field area ........................................... ................. ........................................ ...................................................................................................................................................................................................... Percolation: Test Hole No. I —Average Rate ..... ....................... .... . (Fall in ini.nutes/inch-bottom 6" test hole) Test Hole No. 2—Average Rate ....... 1.2 ............................... ..._(Fall in minutes/inch-bottorn 6" t st hole) Test Hole No. 3 — Average Rate .......... 5 .......... .......... : .......... -- ------- (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design . ......... 8 .. ......... .............. . Date Taken .... 7!r'�.6�6.3 Septic tank requirements based on present rules and regulations: Septic Tank Size ....... �Q.0.0 .......... gallons. AmouAt of Square Feet of Disposal Field ------ 59.6 ..... . .... ..... ... Signature ....... - ------- ........... Date 7-27- 63 .... ... .......... . ..... ..... ....... DO NOT WRITE BELOW THIS LINE (To be complet�d'by ISSUing Agency) Permit issued (date). ......... ( . ........................ Permit Number.. ...... -'_2ARn ............... .......... Remarks: .......... __ ........... .......... ................. ........................................................................................................ ............. ......... .............. ................................................................ -- -----_------------------- 2 4 t�- W. sl, e Drive Harold 61son 5208- 1801 th S. W. Lynnwood . Wash. B , ase men t DI ;35� 1000 Gal. S. T. L -ft. of in. draintile 596 Sq. ft. req. 31 wide trench. 01 Per. Hole Soil Log 411 Tight Line 4 1 . I Drain Tile Scale 1"--201 NOTICE: Cy No­war-r-an Y The information'shown on the attached map(s) was compiled for use by the City Of Edmonds " its Employees and Consultants. Th.le City of �Edm.qnds does not - warrant the accuracy of anything set forth on these rnap(�_). Any person or entity -requesting a copy should conduct an independent -ation shown on inquiry regarding the inform including, but not i1mited to, _tFe -map(s), -er stub shown. Such the lociation of a.ny sew sewer stubs may or may, not exist and may or ma . y not exist at the location shown. ,--;ty of Edmonds nor its Neither the k-., I h. a I I b e Vi a. b-'Fe f o r t h e e M pl-o-ye e-s o-r off ice*rs -s r information given' on this map(s), nor for tation provided based any one represen upon . said map(s). APPLICATION for The City of Edmond 7.:� . . A , ' EASEMENT NO . .............................. ------------- r SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS Ej LID NO . .................. . ASMT. NO. ............ ..... . ..... c CONTRACTOR ... .... 777 --------------------------------------------------------------- ---------- PERMIT OWNEII . ......... --------------------------------------------- ------------- w NO . .. ............... JOB ADDRESS ------------------------------------------- - -- --------- ----------------------------- LEGAL DESCRIPTION: LOT NO - ------------ ------------------------- BLOCK NO - ------------------------------------ .... .... . . .................................................... ------------ NAME OF ADDITION ----------- APPLICATION The' City of Edmonds for EASEMENT NO . ............................... SIDE SEWER PERMIT ............. NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO . .................. OWNER ---- ------- IS�-- -2 ---------- .......... CONTRACTOR ----- /�� ................. ....... ------------ PERMIT NO. 7f5�e�-,- JOB ADDRESS ------- ------- ---------- -------------------- LEGAL DESCRIPTION: LOT NO. --------------------------------- BLOCK NO . .................................... ................. ------------------------------------------------------ ------------------------------------------------------- NAME OF ADDITION <-- /V -5-, Approved: DATE-------------------------------------------- By --------------------------------------------------- A0 -D I PE f C07 IT, Y.- Q� f.."E .7M NDS) --�­S PERMIT 4zw..-? W,,�EIZ W ',A- -EW., -DE —1 ABTIMEM;*,-��,,.''­* T '5 18''. (.Call .775-2625. 16r,,gide -sewer,-.InsP'edt1_"st :BEFOI�E- covering iany,­ po uctlor!' rtlLn-,of ifie' -c6nstr �Inspe�tlo .within% 2'4 "hours 'after re uiLv,.-No,`. Sat.,, Sun., or- hol - ida Y, inspectiidns.)�' 'n. �-AMDRESKEOCATION OF CONSTRUCT -ION ...................................... .............. ....... ............................................ ................................. ........................ PROPERTY �:LVGAL DESCRIPIX ON ............ ...... .............. ......................... ................. .. ............................................................ ...................... .......................................................... .......... ......................................... ER ........... t ............ ........................ ON, .. ............... f2-4NRX-2.� ............ W?EA",WP/QR, BUILD ........................... -t7 c _0 itu�O .... . ............. ...... . & ADDRESS ......... . ............. . . ......... V-`�ni`ss' lowlsigrahted'., .. ... ....... .... 19-7r.lovrepah- RlWoi �onnilekti6n� of a side 'sewer to, the city'sairittary sewer Edrnonds �TT-!;NTION IS1,CALEDITOL THE FOLLOWING' T NOTE'_No? 1�. he,,owners,of the *pr,)perlY' may. obtain a permit to construct: -sewer. inside property,line.. A licensed Side Sewer Contractor must be employed, to construct sldc� se,�TF-�!n street area� Do,not cover any portion of sewer before it has been Inspected. NOTE. No. 2=.'All,,work�- �erformed . in city right-of-way requires an ln�dsion-'o -of-W y)�,prmit obtainable from the City . E . ngineer's office. Right . a _n, U, I 1'.i6.00, and Regulations governing -side, w erm, NOTE No._�i2ldbtai� f ll,�fnfbrrns�tl�.,�egardlng Ordinance sewers, *fien you get: p ' It. "OT"N ;i. : I � 1. . - o. 4=..Top, have at- leastL 36 .:inches coverage..at :property Mn I e an&12,inches I inside property 'line; minirnum:grade of '2 0/j. lqo��bends,iri, grade §�arp,cr­tSiri'!r2A ',�;ill,�be �permitted. VOTE,'No.,'&--�Trench�s . in, 1. st� re , e - t , m ; ust be water settled' aj I id surface ot,sfreet restored' to riginal, condit . ton Contract ors, sh&II* be , , 1.9 1 , I responsible for fatlure'�.du'e�,to Improper �wbrk,',whtcfi 4iia , d. velop, within one year '9f completion. NOTE No. 6—'It is u niaw,fu'lkiyo a,61ter,,or d6�,&ny ther work than ls�- ovided for in -the* p`ermJt,.,6r. to do anyowqrk on the%main, 0 pr sewer or its appurtenances,, except to in ertAfie;iiipe, Into 'the wye� DIS"..PROV ---J.,`Date� ......... . ......................... By ................. Date ....... ..................... . By.: ....... ...... Date ..................................... 'By ...... ......... �EIQ r A,PPROV.Ep,;7., -7 . . .................. B ............. . .. . ....................................................................................... . ......... 4 . 'y ---------------------------------- * ...... ........ ......... ............................................................... I .................................................... ................... ........ .................................. . ................... ........... ............................................ ....................................... : ...... ............. ................................................ �P,6iinitl Copies, MUST- Be Signed:,By 20,wner -of Fl*rml.,Performinz,�-Q(jii8truttioxy PRIOR. To Request For, Inspectioh r .............. ....... ...... .. .................. ................ .... ihereb thdt,ih��SldeSe"Wer instd1lation', 6onstructed.Lundee this� permit Y, ��'Contractlng. Firm Performing, Con�gt�uctlon)` 'Wa6.,installei _R%c�bidii:ncewith,:all governiniK,,Ordihaii'cds��bf,,thd- City of.!Edmonds; f_7 ............................................... DatefttNs ....... kyio ............... �9. 191.; ....... . . lm�rqRE: you d.l.gfor: Water--O,,: nei;E31 �'P"ower 0,:- Sbwer,-:[); Other E] T