18707 92ND AVE W.PDF111111111111
8846
18707 92ND AVE W
NOTICE:
-ar-ranty ... o - r. -a.
N'o---w
The -information on the attached
map(s) was com - piled for use by the City of
Edmonds/ its Empl-oyees and Consultants.
Th,..e City of "Edm.onds does. not. warrant the
n these
accuracy of anything set for ' th o . *
m a p (�-). A n . y person or entity'requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown, or
t-F� -map(s), including, but not limited to,
the location of any sewer stub shown. Sud
sewer stubs may or may* not exist and may
or may not exist at the location shown.
Neither the city of Edmo-mr.,is nor its
ernpto-yee-s o-r offi-ce-rs -sh-a-1-1 be 1--ja-b-1--e for the
information given' on thi5 map(5), nor for
ion provided based
any one representa . t
upon'said map(s).
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A
CITY OF EDMONDS
Call PRospect 6-1107 when work
--CIVIC CENTER —WATER-SEWER DEPARTMENT
is ready for Inspection. (No Inspec- IXTO
tions Saturday, Sunday or holidays.) 2649
SIDE SEWER% PERMIT
ADDRESS ............. 14 .18707'.- 92nd Avenue West
..........................................................................................................................................................................................
OWNER ........................... ...... SNan-S-On .................................. CONTRACTOR ....... A.� ... R' Sires
.................................................................
Permission is granted ............ De.ppmb.er ........ 2.� 19 ... �� for ......... : .............. days to REPAIR 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 shaxper 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 an
pi y 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 pe Into the*wye�
APPLICATION
The City of Edmonds for
Fj SIDE SEWER PERMIT
F `
NEW CONSTRUCTION E] REPAIRS E]
EASEMENT
OWNER ... . .......... z)
.... . .......... ...... ................... ......................... CONTRACTOR S,
.. ............................................................ PERMIT No.
ADDRESS ... ......................
....... ... ------------ ...................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ......................
......................
.............. ..... .....
NAME OF ADDITION
......................................
5
7
7-1
T
DATEI. .. . ......... ...... . ................... BY.
...................
CITY of EDMONDS
SIDE SEWER PERMIT
For Inspection Call 771-3202
Address of Construction:
PERMIT NO.
FILE
DM ND9
TM
FT�REA EOMT PLANT
Z-1
Property Legal Description (Include all easements):
0 C-;7,- /3
Owner and/or Builder: )qe /,W 6-3
Contractor & License No:
Single Family Residence
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invas�ion into City Rig ht-of-Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No V/ Yes (If Yes, easement required,
attach legal description and county easement number.)
PL.E-A5 READ THE 1,T-EMS LeISTED ON THE BACK
02
'5�-1
I'certify that I have read and shall comply Date
with the items listed on the back.
Permit Fee: 00 — Is'sued By -
Date Issued: 0-2-1 —19to
Trunk Charge:
Assessment Fee: Receipt No.: bD30
Partial Inspection: Comments Date Initial
Final Inspection Approved:
K31 Date InitAl
co
Rejected:
C)
Reason Date —I—nitial
PERMIT MUST BE POSTED ON JOB SITE
cl� Wh.ite Copy - File *Green Copy - Inspector Buff Copy - Applicant
1%. -
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION D9 REPAIRS LID NO. ASMT. NO . ..................
OWNER .... 140 ... M- Er;� .......... t --- N- c ---- -------- CONTRACTOR ---- Lu-77-7 . ...... 71��l RCK-IA OC--- � - - � ................. PERMIT NO. '7-51BCO.
JOB ADDRESS .16r.70-7 ....... C.�-1 "D ... ................. LEGAL DESCRIPTION: LOT NO. -Z ------- ...... SA37%-BLOCK NO. -- EDMONDS
................... -------- -..
TREATMENT PLANT
---------------------------------------------------- -------------------------------------------------------------------------------------------------------------
PWW-0001-1 1/75 (REVA 1178)
-NAME OF ADDITION
IS-70 r7 9 2, t4o A,,jF-.W.
22'
3
I— k"', I
I,bp. e—� 20
0
41.5
.A.
44" C..0 W'3E N
Approved:
DATE��.5,-19-8-7--- B,lYllkl.i - -------- --- -- ------------
NOTICE:
-ranty ... 01 r* . . . . . . . . . . . . .
r 'ttached
The information shown on the a
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
Th,..e City ofEdm.onds does. not * warrant the
accuracy of anything set for.th on these
map(�-). An*y person or entity -requesting a
copy should conduct an independent
inquiry regarding the infbrm-ation shown or
_tRe -map(s), including, but not limited to,
c ion of any sewer stub shown. Sud
the lo' at'
sewer stubs may or may not e.xist and may
or may not exist at the location shown.
Neither the city of Edmonds nor its
t=mpl-o-yee-s o-r office-rs -shal-1 be l--ia-b-11--e for the
information given on this map(5), nor for
any one representation provided based
upon said map(s).
STREET FILE
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY ..... Ze ... 7_0 .. 7 ......... �?-;;l .... bt ........ Permit N . .....
Owner_ 9'11�_ _.. � .... Address .... ........ .. ....................... ......... \ ........... ... Phone .....................
Builder........ ........ ............... ........ ...... ... .... -------- - Address ------------- ...... ........................................... Phone ............. ..........
Designer--------- ------ -------- ----------------------- ----------------- Address ----------------- .................................................. Phone ........................
Installer..;��.. ------------ Address-... ......................................... ................. Phone .............. .........
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.. _-----------
. ....... ... I ................................. have been complied with.
........................ .......... ......... ..............
_1a'e
Signature of D44ig*wr �e
TO BE FILLED IN BY CITY ENGINEER ONLY
....... 912'3_14-17. Date .. ..... ............. _ ................
Not Accepted ............. ....... ... _ ........... at
Signature of A=< ........ C� . ......... Ic .....
Remarks: -------- ............................. .............. -__ ------------------------------------------------------ ....... ........................................................
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-
loading 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 lial-111 the action o f the septic tank and
disposal field.
a
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESSOF PROPERTY ...... ........................... ........................................ Lot No ............ ....... ... Permit No ............... .......
Owner----- ..... .... ------- - __- .. ............... . ... .......... Address ... - .._ .. ....... ................. ............... ...... Phone ..... ..................
Builder.... ... .... . --- - -- ---- ---- ............ . .. __ ..... . Address.. ..................... . ......... -------- -------------------_ Phone .............. .........
Designer. -------- --- - -------- --- --- ........ ................. Address ...................... .. .......................................... Phone ........................
Installer.. 6AV�'_ ".-_ - Address ................ ............... ................................... Phone ........................
-------------
1 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 ................
. ...... .... ... I ........... ................ have been complied with.
------------ ......... ..................................................................................... .........
Signature of Designer Date
TO BE FILLED IN BY CITY ENGINEER ONLY
QAccepted .. .. .... 7 Date .. ...... ............. ...............
Not Accepted. t
Signature of &-
Remarks:... .......................................................... ............ ------------------------------------------------------ ---------------------------------- .....................
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-
loading 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 (2V2-3 years).
2. Do not channel ground water, surface w ater, footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure, driveway or, patio in, on, or ove'r the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detervents and bleaches used in normal household quantities will not harm the action of the septic tank and
disposal field.
0
. - I ill
YLLJ6�tl _IL4,
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Petmit to be issued to: .......... (�!.w .......... 5..�P.a_ms
............. . . ...... ...........
W ......... ArdmPrds
For installation at: (street address) ......... -- ------ ....................................
Addition or Subdivision ...... Tf v.
-------- ...... ......... Lot --- 04C. Block ................
Type of Building: New ............ Existing.--,>C .... Single family residence Number of bedrooms 3 ...........
Other: (specify type or use) ...................... .......... _ ........... ..........................................................................................................
Builder .............................. a J? � _---__------_-------_- .............. Address ................ ........................ - ------------ * -------------
----------------
Designer ............. .
................. --------- Address.,4.�...
Soil Log Hole No. I ---------- ....... 111� ----- ...... ...... pl,"_1 . . ..... ..... ...
. ...... ........
-------------------------------------------------------------------------------- ---------------------------------------------
Soil Log Hole No. 2 ...........
. ........................... .................
Elevation of Water 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. 1 —Average Rate ......... __1_ .................. .... . (Fall in inintites/inch-bottom 6" test hole)
Test Hole No. 2—Average Rate ............ Y ---_-_-_- --- -- ................ (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate ............ 13 ..... 1 ....... .. -------- .. ....... (Fall in minutes/inch-bottorn 6" test hole)
Average percolation rate on which to base drain field design .............. Date Taken.o4_
Septic tank requirements based on present rules and regulations:
Septic Tank Size. ....... .... gallons.
Amount of Square Feet of Disposal Field ..... -1-00 -A &z4aA.,.. � cxt&. 14�
Signature — Designer_--, Date
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
(a _ .2 t S'
Permit issued (date) ... ................. .. . ..... .................. Permit Number .............................................
Remarks: .................................. ............................... .................. .............................. __ .................... ... __ ............. ..................