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18716 94TH AVE W
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CITY OF EDMONDS
C CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
FiL
Call PRospect 6-1107 wben work
18 ready for inspection. (No inspec-
t Ions Saturday, Sunday or holidays.)
N 2: 2533
ADDRESS .............. 1.8.7.1.6 ......... 9.4t.h ... P.1.a.ce ... We.s-t ............................................ _
. .. .... .. .. .. .. .... ..... .. .. ..............................................................................
6WNER ................. G.K. Bartol
............................................................................. CONTRACTOR ........ Rortbwe.s:t ... Sgver ...............................
November 19 ....... for ........................ days to REPAIR or CONNECT a side sewer
Perinission is granted .............................. ..... 14 67.,
with City Sewers in accordanee 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 vrye.
Septic Tank ..... gal,.
Disp. field .......... ft.
Other
SEWAGE DIS POSA6 . EUCMS
P, I
61TY OF 'ED ON' Fl[
M DPS11:
Department of PuAlic Works
Na.........
me ................. ...... ............ ........................ ---------- -------- is hereby authorized to install/
repair sewage disposal"system at
J�V.: ... .......... ...........
... .........
.............. .................................................
-A
Date issued on ...................
--------------
Permit expir
es one ��ar,,fror date of issue
DO NOT- COVER-iBEFORE APPROVED BY- DESIGNER OR SANITAR IAN
I hereby certifi��this system %-�as installed. under my supervision and control -and complies with all provisions of �fhe'Cit'
y
of- Edmonds' kesolutions.
Signatureof Installer ... . ....................................... ................................ Date .... ............... ............
Approved Disapproved F� Date .......................... I ......... ..... ..... ........ ... By .......... ................... ......
Remarks: .................................... ............................................... ............. ............................................................ ............................... ... ................
SANITARIANOR DESIGNER- .................................... I ........ ......................................... ....... Date ............................................ .............
This permit -shall be posted in a reasonably conspicuous place on the job � until "'inspection has been completed.
a
The City of Edmonds
Z APPLICATION
STREET hb, for
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS
EASEMENT No . ..........................................
L ........ . .....
...... CONTRACTOR PERM -IT No.
OWNER
C716`
ADDRESS 1 ... 0 ......................... ....... -No . ........ ..... BLOCK No .. ...................
. .................. LEGAL DESCRIPTION. ............................ ...
�A
NA OF ADDITION' /4L
.............................................. ......................................................................................
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A F P.;
NOV 14 1907
Approved:
DATE ... // ...... 2 .......... I Y
................. :�� ............ — ........................
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: ...........
For installation at: (street address) ......
Addition or Subdivision .........
—5- ........
1-9.17- ......................................
Lot ................ Block
Type of Building: New ... X ....
Existing .........
.. Single family residencc../W-U..
Number of* bedrooms ... 1:?
Other: (specify type or use) .......... ..................................................... ...................................................................... ...................
Builder..//"94 ....... .4- 4� ................................ Address..�/Ma ---
Designer,"m/l/ ------------------- -------------- -----
............... .. . ..........................
Soil Log Hole No. I .................... 6?. t,
.�F�75
.................
.................................................................................. ............ ;1 .......
e-1 I? "**' e< , X -- -
Soil Log Hole No. 2 ....................... ............. -- -------- V ............ ............. .........
......................................................... ......
............... /.... 1. — ............................................................
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: .0 ......... ;&, -bottom 6" test hole)
Test Hole No. I — Average Ratez��.' ..... ... 4-7-10.,0 . (Fall in ininutes/inch
Test Hole No. 2—Average Rate.. '12, . 0 ............ 16'- 0 ..... (Fall in ininutes/inch-bottom 6" test hole)
...... ... .......
Test Hole No. 3—Average Rate ... ----------- I ...... ... ... .... ...... (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design .......... Date Taken
Septic tank requirements based on present rules and regulations:
Septic Tank ...... gallons.
Amount of Square Feet of Disposal Field ...... :57. �-5 .... ..... ......
Signature — Designer .......... . . . . .. ................ Date .........
DO NOT WRITE BELOW THIS LINE (To be completed by ISSUing Agency)
ZD
-mit Number --------- �'. 7.5�-� .... ................
Permit issued (date) ............... ....... - ------------ .......... Pei
Remarks: ....... .... . ..... .... . .. . ......... -- .............
"'M
F
Legal for that portion of Tract 66 of
Edmonds Sea View Tracts, known as: .
Portion "B" :
Beginning at the S.W. corneroof Tract 66 of Edmonds
Sea View Tracts; thence N.39 2810'/"E. along the North-
west6rly margin of said Tract 66 214.76'ft.!; thence
S.'/"7 05?32"E. 225.72 ft. to t'be Westerly margin of
94th avenue west; Thence S.10 12127"W. along said
margin 20.28 ft.; thence N.8-�044133"W. 40 fit:.; theitcf-
S.8500312-711W. 97.50 ft.; thence S.48 0 13127"W. 2?.-.�O
thenceS.10 0 12127"W. 80 ft. to the South Margin o' ' '
said Tract 66; ti.-ience N.86.0151.93"W. along said South
MarginI85 ft. to point of beginning; all in Tract 66 of
Edmonds Sea View Tracts in Sec. 13, T.27 N., R.3 E.,Wni.
Snohomish County, Washington.
I-D
0
NOTICE,
'0w-'a*r-ra
N* n t.y---C)T
The information shown on the attached
Hed for u-se by the City Of
map(s) was cOm ' P'
Edmonds/ its Empl.oyees and Consultants.
Th,..e City of "Edm.onds does not . warrant the
accuracy of anything set for,th on t hese
Map(s). An . y person or entity -requesting a
copy should conduct an -independent
inquiry regarding the inform ation shown-o
tF�e -M a P (S) including, but not hrn'ted to/
th*e location of any sew-er stub shown. Suc
sewer stubs may or may- not e.xist and may
't the location shown,
or may not exist a
,—ty of D-Jmbnrls nor its
Neitheir the �"j '.'i -./
i c e,r s *s h. a. I. I b e I-1, a. b-1--e f o r t h
emp'fo-yee-s 0*1' off
I n on this map(5)) nor for
information g ve d
any one representation provided base
upon said map(S).