19102 94TH AVE W.PDFiiiiiiiiiiii
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19102 94TH, AVE W
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STREET FILE
CITY IF EIMINIS -- PURLIC.W@RKS DEPARTMENT R EC LE7 IV ED
NOV 2 7 1990.�..
BACKFLIW DEVICE TEST REPORT
.4"iE OF
ERVICE
)CATION
--VICE:
TNE PRESSURE AT TIME OF TEST LBS.
�ESSURE DROP ACROSS FIRST CHECK VALVE LBS.
CHECK VALVE NO.
1
CHECK VALVE NO.
2
DIFFERENTIAL PRESSURE RELIEF VALVE
NITIAL
1. LEAKED
q
I . LEAKED
0
1. OPENED AT -3,4 LBS.
EST
2. CLOSED TIGHT
0
2. CLOSED TIGHT
P
REDUCED PRESSURE
-
2. DID NOT OPEN
0
CLEANED
0
CLEANED
0
CLEA,"IED
0
REPLACED:
REPLACED:
REPLACED:
DISC -------------
;R
DISC -------------
0
DISC.UPPER ----------------------
0
R
SPRING -----------
0
SPRING -----------
0
DISC. LOWER ----------------------
0
E
GUIDE ------------
GUIDE ------------
0
SPRING --------------------------
0
P
PIN RETAINER -----
PIN RETAINER -----
0
DIAPHRAGM, LARGE
A
HINGE PIN --------
El
HINGE -PIN --------
0
UPPER -------------------------
0
I
SEAT --------------
)4
SEAT -------------
Cl
LOWER -------------------------
0
R
DIAPHRAGM --------
0
DIAPHRAGM - -------
0
DIAPHRAGM, SMALL -
S
OTHER, DESCRIBE --
0
OTHER, DESCRIBE --
0
UPPER -------------------------
0
LOWER ---------------
0
SPACER, LOWER
OTHER, DESCRIBE
INAL
OPENED AT LBS.
EST
CLOSED TIGHT
CLOSED TIGHT -----
REDUCED PRESSURE
�- ABOVE REPORT IS CERTI�kED TO BE TRUE:
ITIAL TEST PERFORMED BY OF DATE
VED BY �-- U\ DATE � I - ?-I AQ
NAL TEST PERFORMED BY OF DATE
I / -7q
0
0 STREET FILE
CITY OF EDMONDS
250 51h AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
BUILDING DIVISION
April 16, 1984
Clark K. Kvistad
9114 186th Place S.W.
Edmonds, WA 98020
RE: CHANGE OF ADDRESS
LARRY S. NAUGHTEN
MAYOR
WtIV0
APR 16 M4
PUBLIC WORKS
It has been discovered that an error was made in
assigning the address of 19112 94th Avenue W. to
permit no. 830406 to construct a new residence.
The correct address should be 19102 94th A -venue W.
We will notify other Cit,v departments of this change
and it will be vour responsibility to notify all
other intereste� parties.
If you have any questions, please contact the Building
Division.
Cindy Rin#ta
Permit Co&dinator
cc: Utility Billing
.'Stri��et Files'�
Police Dept.
Fire Dept.
C-�A -
U-1
STREET PLE
In
t7-
-- 1
2'-7 - C�(
SITE PLAN, SCAL-E-*---- �' '- "z--
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FEET HORIZONTAL
9
40 L., F ZA Q
I
C AbTC44 5 AS I K:
&D5 *I S-30 (0 &
rKr.NCW L.IKNGrH
_rPkW%C" tavema
JL
. ..........
A --saw
-n &W+ Ll W Ir LVVV-L 77LRNCJ4
1A
r F OLT CAP
-rF— r, W/ 4*L-OWG LEGS
SYSTEM CROSS-SECTION
MIR,4,rl 140�-j -
r-r
L>F_ U1 V L_
To 6 LAYEI�� �f
WA,�5Hrp Kor-K
,TikE�C14 COVER
3/46— JV2" WAS"ED
GRAVEI
cl
4 01AM FIFRF P
TRENCH CROSS-SECTION
ee�o
7�_ 0�
STANDAED.DRAINAGt PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for C� _P0,rj-,- 'I
location
plan by
phone
date
DESIGN DATA
,�;� �_4 ED -�� �_
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req. I
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other ma terials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at rerlar intervals (at least
twice per year .
'10��
CITY OF EDMONDS
-I ;aIrm"
The City of Edmonds Ftt Sewer Drawing
EASEMENT NO - -------
NEW CONSTRUCTION REPAIRS El LID NO - ------------------ - ASMT. NO.
OWNER --- (Z.LA*,-,RK ---- KNI-STA
D ------------------------------------------ CONTRACTOR --- ft- MUM% --- DOZ-1-19.G --------------------------------- PERMIT NO.
JOB ADDRESS --- 1-9-1-1-2 - -----
.TK .... A,�yg�t-wt -------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO.
M
L EDMONDS
rTM P+T
- A- )I. I c W- M -TR-E-4T-m-E-p+T --- pL-A
A PL
lit piftbp
fz NAME OF ADDITION CAANM-%
1-6-0
M
9
PWW-0001 -11/75 (REV. 11/78) DATE A3 4 -
.................. - By - -- -- -------------------------------
NOTICE:
N w-'a r.r a n y ... ot -a
0
formation'shown on the a-ttached
The in
map(s) was compiled for use by the City 01
Edmonds/ its Empl.oyees and Consultants.
Th,e CItY ofEdrn.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
orm-ation shown-c
inquiry regarding the inf'
I
_tFe -map(s),; including, but not i'mited to/
n of any sew-er stub shown. Su(
the lociatio
sewer stubs may or may- not exist and ma�,
or may not exist at the location shown.
Neitheir the �'jty of Edmoinc-44S, nor its
rcers -sha-H be Via-b-re for -111h
empto-yee-s o-r off"
information given on this map(5), nor for
any one representation provided based
upon said. map(s')
'ITY OF EDMONDS A�_
0,11 ID
FOR INSPECTION CALL 1"'J'. M
—PUBLIC WORKS DEPARTMENT Permit
7fAV2V215' Ext.' 22V/ Issue Date
SIDE SEWER PERMIT 7? 1 %,) n,) 17 a I
* PERMIT MUST BE POSTED ON JOB SCTE__,� -- — — — — — — — — — —
kREETTILE
1. Address o Construction
2. Property Legal Description (include all. easements)
I ( / - 1"fi, (,f 1, EDMONDS
1 1-1 1- (11 _� I f�' 1 01)C1 !�, '_ t�-; (.-i 1, i I ( ('411 1 - 71 1
3. Single Family'Residence Multi -Family No. nf JT5�ArMLN-r PC -ANT
Commercial
4. Owner and/or Builder
5. Contractor & License No. IJ Ir
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig before
1-800-424-5555
excavation) .
E-1 7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
C14
F:4 a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
M
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
E-4 installation for one year.
N
�4 c. Commercial establishment requires a minimum of a six inch (6")
P4
side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
0
M e. Side sewer lines must be laid at a minimum grade. of 2% (1.15
0 and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and 'approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
I,certify Ehat I have read
and.-shall comply with the above
PERMIT FEE: DISAPPROVED BY: Date:
B Date:
CONNECTION'FE'E: Date:z-:2-?!3
APPROVED By - Wr �__ ��
. I -, ;FrzWff
PERMIT MUST BE POSTED ON JOB SITE
0
STREET FILE
CITY OF E13MONDS
CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525
BUILDING DEPARTMENT
October 26, 1983
Clark K. Kvistad
9114 186th Place S.W.
Edmonds, WA 98020
ADDRESS CLARIFICATION FOR NEW RESIDENCE
19112 94TH PLACE; PMNIT #830406
HARVE H. HARRISON
MAYOR
It was discovered that an error was made in assigning
an address to the above residence. The correct address
should be P,--I,&c, e
We will notify other City departments and it is your
responsibility to notify all other interested parties.
1-f you have any questions, please contact the Building
Division.
Harold Reeves
Building Official
cc: Utility Billing
Fire Department
Police Department
Street Files
(2j'-<XA '4t� �/b
1-31f -3
L-61170�
RECE, VE0
OCT 2 7 1,983
PU'YL 1C WORS
0411