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19003 80TH AVE W.PDFiiiiiiiiiiiiii 15277 19003 80TH AVE W NOTICE: No warranty of accuracy. The information'shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of 'Edmonds does not warrant the accuracy of anything set forth on these map(s�). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on ---- th-e -map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may'not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or offiCerS shall be Habile for the information given on this map(s), nor for any one representation provided based upon"said map(s). APPLICATION L.YNN PLkNt 14� for SEDE SEWER PERMIT -�E]RSE7T No. ................... ................ The,City of Ed I monds I_— Lm I . . - . STjj--- FILE 'NEW CONSTRUCTION E-j REPAIRS 0 Z27T MT No OWNER ..................... ....... ...................................... PER I .............. CONTRACTOR .... ...................... ADDRESS /L)9�5.7 ...... LEGAL DESCRIPTION: LOT No . .......................... ........... ...... BLOCK No . ..... ........... . t NAME OF ADDITION ............ .... 519 ------ up�4!4- ..... ........... . ....... ............. 1;7 L7,r 7co 6 V C tk f( Approved: DATE............ J .. Z By ....... .......... ......................... wz, CITY OV EDMONDS Call PR pect 0-1107. when work CIVIC .CENTER WATER -SEWER. DEPARTMENT 7. 01, y for, Inspection.— (No inspee-_ tions Saturday, 8 1 unday or.holl . days.) �NOI, 1593.. ,:SI1DE'_S1EWER' PERMIT ADDRESS� ... .. A -venue ... West..." ........... ............................................................................................................... OWNER ........... .......... ........... .-.CONTRACTOR.,.. Oid . ................................. ner ........................ P �rinission*- is-.grapt�idc ------ Fef)r.uaj'ny..',0.-, ...... .. 19.6.7..; foi . .................. .... days, REPAIlWor-CONNECT"a- slde*,A'e:We_'r :MIt :�City,* er' lrf-aecordanc6- With application on file -and goye�inin ordlfiiin6es. h W S 9. ATTENTION'IS CALLED TO THE FOLLOWING: 'NOTE No. 1---The owners of the property may obtain a permit to oonstruct sev�er inside property. line. A licensed' Side Sewer Contractor must be employed Ao construct side sewer in street Area. -Do�not cover any portion of sewer- before it has been Inspected. NOTE No. 2—Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sewers -when you get perm . It. 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..'A will be permitted. F—U-Nd. 4—Trenches-in street must'be water settled and surface,of street rW red to.original condition. Contractors shall be responsible, for failure due -to improper work 'which may develop within on6.year. oo completion. No. 5m—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 ap- purtenances- except to insert the pipe Into the Wye. S w E AGE, DISPOSAL PERMIT; Septic Tank. ga Is. -No ....... /;2VN� ........ C UT Y. Of I P WO N DS Departm,&nt o f Oubfic,Woirks- ft. Disp. Field ......... -Oth�r ..... .......... ........ ...................... Na' me— ............... ............................ is hereby authorized to install/ repai r s6�vage disposal system, dt 2 J 0 / .......... ........... ............................................... ................... 6K. ... I . .7 ­1 . .1 Dateissued on ....... : ...................... ; ...... .......... I ................... ........... . Permit expires one year from d ie of issue a PPROVED,BY DESIG . NER 0 R SA NITARIAN �Pq-:NOT._COVER BEFORE A I hereby certify this system was installed under my §u . pervision andz control and complies with all provisions of the City igns. of Edmonds Resolut; 't Her ............................................. .. ..... Signature of Ins a .............. ...... Date .................. ................ By ........................................ Approved E] Disapproved F-� Date ..................... ........... ............. ......... .....07 ....... .............................. Remarks: ................................................................. % . ............ ....... . ............ ...................................... ............................................................ ................... ........................ Mte ........................................ SANITARIAN OR DESIGNER ......................... ........................... us. This permit shall be, posted 'in a reasonably conspicuo place on the job ountif 1ns c tion . has, been completed. CITY OF EDMONDS STREET2FO I LLDAARTmENT OF PUBLIC WORKS venue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ............ Permit No ... / ... 3j ....... ADDRESS OF PROPERTY ....... 7 ..................... ...... Owner...... ..... ..... __ ........ ........................ ... ...... Address .................. ........... ................... ....... Phone ..................... Vof ...... Address.. 6P. 03. CA-44y ...... Phone ...... ................. Builder / Designer ......... ..... .......... Address ..................... ...... Phone ........................ ...... & ........... ....... Address ................... .................. ...... I ....... I .............. Phone .......... ............. I here by certify the accompanying drawing is an acCUratC 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 ................ . ....... .... ...................... ......... have been complied with. .......... :;� I . ... ....................... Signature of r Date Accepted ....... Not Accepted. Signature of FILLED IN BY CITY ENGINEER ONLY L Dat e. 1-1/1. ' / / . ...... Date .......... 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. Deter-ents and bleaches used in normal household quantities will not liarni the action of the septic tank and 0 disposal field. CITY OF EDMONDS DEP,ARTMENT OF PUBLIC WORKS 2,5�rfifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ADDRESS OF PRbPERTY .......... .................... .. ..... ��Lot No ..... C., ........... Permit No..) .. ...... Ownen.... ---------- ........... ......................... ------ Address ..... .................. ............... ................... ...... Phone ........................ Builder. Address.J.9-F . ..... Phone .............. * .......... Designer. ........ ...... .................................................. Address .................................................................... Phone ........................ Installer--R ............. 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 gr;�des, fills, surface drains, etc.) listed by me on my scwa--c disposal system permit application dated ................ . ....... .... ..... ......... ....... ......... have been complied with. or"XI_4 ....................... .... . ............ 00 Signature of Designer Date TO BE FILLED IN BY CITY ENGINEER ONLY Date ........ ............... Accepted .......... ...... .. \ ............................... Not -Accepted ....... . �Jf ........... ........ ....... ... ......... Date ....... . ......... Signatureof Sanitarian ...... ........ ......................... .............................................. Remarks: ............................................................. ....................... 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- loading the septic tank or disturbance of the drain -field may seriously . impair satisfaciory operation. Points to remember: I . Have your tank checked periodically to see if pumping !'s necessary (2y2-3 years). 2. Do not channel ground wat er, surface water, footing, drains'. or downspouis intio the tank or drainfield. 3. Do not excavate, fill, place a structure, driveway or. pa66 in, on, or over tl�e drainfield. 4. Limit toilet fixture disposal to sanitary wastes and toilet tissue. 5. Detergents and bleaches used in normal household quantities will n8t hai-in the 'action of the septic tank and'.. disposal field.