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19124 92ND AVE W.PDF111111111111 8876 19124 92ND AVE W fl NOTICE: ..W-a-r-ranty. 0 '0 N' The Jnform ation'shown on the attached piled for use by the City Of map(s) was com 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 . * map(*�-). Any person or entity -requesting a copy should conduct an independent o r inquiry regarding th*e information shown -t-He -map(s)/ including, but not limited to, -1 -er stub shown. Suc the lotation of any sew ewer stubs may or may not exist and may or may not exist at the location shown Neitheir the City of Edmonds nor its Mpjo-yee-s o-r offi-ce-rs -shal-1 be 11a-b-1--e for the e information given' on this map(5), nor for any one representation provided based upon said map(s). APPLICATION for SEDE SEWER PERYaT 7 The City of Edmonds t-i" -ET FILE, EASEMENT No . .......................................... NEW CONSTRUCTION 0 REPAIRS 0 OWK '.' VO4 �IE Rl 1I T N 0. OWNER .... 1. / ..... .................. CONTRACTOR ... ADDRESS JZZ P LEGAL 6ESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ !!;/ ....... K .......... !e> .... .... ...... NAME OF ADDITION .......................... �,Z ..... -l/ .. . ..................................................................... 0 4- Ap� MAY Approved: DATE................................................ By — .......... .......... I ................ APPLICATION for The City of Edmonds SIODE SEWER PERMT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS 0 OWNER-------------------------------------------------------------------------------------------------------------- CONTRACTOR .......... ....................................................................................... PERMIT No . ...................... ADDRESS ............ 19124 - 92nd Ave. Vest 51 ............................................................................ ................. LEGAL DESCRIPTION: LOT No . ....... ...................................... BLO�CK No . ............................................ NAME OF ADDITION .�4Mqnd-s-.Se-a ... VJ.ev!..Tr.act.s ...... ... D.-.01 -- -- ----- -- .. .. ... . ..... .. .... .. . ..... .. .. .. .... . beqinninq N.E. corner. T Approved: DATE ........ ............................. By ....................... .......................................... F7 IP 0/,5- 1,),3,1' tJ j �X, 6 "I�-2 3 7 .,CITY CIVEDMONDS Call PRO Peet 6-1107 when work CIVIC -CENTER WATER -SEWER NT is ready fsr Inspection. (No Insper- DEPARTME 0 tions Saturday, Sunday or holida.ys.) NO: 2949 SIDE SEWER- PERMIT ADDRESS ............................ 19124 - 92nd Ave. West ..................................................... : ...................................................................................................................... OWNER ................. William M. Fortune .............................................................................. CONTRACTOR ...... Edmonds Underground .................................... . ..................................... Permission is granted .... k! 4y ... 1 .......................... 19..U., for ................. ...... days to REPAIR or CONNECT a side sewer with City Sewers in accordance With application oil file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A be employed to construct side sewer in street area. licensed Side Sewer Contractor must 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 wh.1ch 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 wye. STREET FILE 00 StIOROMISH. HEALTH DISTRICT i Division'of SeLitation 301.1 Rockeff-'Iler Ave., -PLpine 9-2061 Permit No. Everett,." Ww�!,,,iagtva Date APPLICATION FOR PMMIT TO INST-41-7), OR 1�7 .�Mc.;17.�UCT SWAGE DISPOSAL FACILITIES Name Addrees Ad.d--ess of Proposed site 61 .,il Description: Lot Block Addition o. of bedrooms Lot size X110 T�,-p-a of use tank Capacity 7 Disposal field length Sanitarian's Sketch: K7 Remarks: D,.%te Inspected by Installer Ap7,woval- Mailed to Rec. i:::;- STREET FILE SNOHOMISH HEALTH DISTRICT Division of Sanitation 3011 Rockefeller Ave., ATpine 9-2061 - Everett, Washington Pe rmi t No 1) Date APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE, DISPOSAL FACILITIES K Name Address VV Address of Proposed site_ Legal Description: Lot Block --7- Addition Type of use 6Z-�� 1 No. of bedrooms Lot Size Remarks: I C�'O' 0 ;--> (;/- A D a t eg Inspected by Installer Approval Mailed to Date x r Rec. I/- � SNOHOMISH HEALTH DISTRICT 3011 Rockefeller Ave.p $5.00 fee for permit Everettp Was,hington Phone ALpine 9-2061 LOT APPROVAL SHEET M/-1-7 7- 'S 0 ADDRESS ADDRESS OF PROPOSED BUILDING 1-7P le, LEGAL DESCRIPTION: LOT BLOCK ADDITION TYPE OF USE R J=_ S NO. OF BEDROOMS SIZE OF LOT 0 0 '�o SOURCE OF DRINKING WATER: PLIBLIC SUPPLY PRIVATE WELL A. SURFACE DRAINAGE 1. Is disposal field site well drained? 2. Any water course (stream, drainage ditch, etc.) tlLrough site? 91nL B. TOPOGRAPHY 1. Any heavy slopes in field area? & It--) 2. Will present topsoil in field area be removed or graded before field tiles are 1. installed? J�') () e?�6 If yes., how much �t4g Will any fill material be used in the disposal field sit ._ C. SOIL CONDITIONS 1. Has a hole at least 4 feet deep been dug in the disposal field area to determine the type of soil present?. V"s S 2. After hole is dug record the 'soil conditions at the following depths. (.Record as sand, gravel, clay, packed sand., loan.. etc.) 12 inches L 0 '�4 ,I �o inches 18 inches 11�/_) Q -., V J_ 0,�? A-1 36 inches 24 inches - it /1 — 48 inches X/ 4. Any ground water encountered before reaching a depth of 4 eet?& If so at what depth? D. WATER TEST A simple water test will show how well this soil will drain or percolate water. To perform this test: 1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger -- size of hole makes no difference --only depth. 2. Fill hole with water. Now let all water run out of hole. This soaks the ground and will give a more accurate reading. 3. Again pour water in hole to a height of 12 inches from the bottom. Let water run out until there is just 6 inches from bottom left in hole. 4. Note how many minutes it takes for this last 6 inches to seep away. Record the time. Number of minutes for last 6 inches to seep away 5. Divide this time by 6 to obtain the rate per inch. U-e water test was performed, 6, Dal fe- I hereby certify the above information to be correct and the above tests were per- formed by me as prescribed. Signed Address j-71-4, e� NOTE: A septic tank permit is issued on the basis of the above information. If the—rc are any changes or alterations in the above stated soil conditions it may result in .the installation being rejected at the time of inspection. t � 0 PLOT PLAN A detailed plot plan showing pr . opert lines, location of house,. and proposed location of septic tank and disposal field lines shall be submitted along with the lot approval sheet. The location of the test holes shall be clearly marked on the plan and shall be performed in the area of the proposed disposal field. W,KE SRETCH IN SPACE BELOW: Example. E-j- 0 1 . 0 ' 131- 0 0 H N 751 0 0 150 tile 0 a) 40 (U -rq �q W .rj 50' i-"atc t Cd 0 - test hole locations ­5�00 fcr- 1�jr peruil. HOMISH COUNTY HEALTH DEPAR, 00 2935 Rockefeller .Everett) Wash. Phone CEdar 2061 'LOT APPROVAL SUM NAME ADDRESS ADDRESS OF PROPOSED BUILDING LEGAL DESCRIPTION: LOT BLOCK' ADDITION, TYPE OF USE NO. OF BEDROOM$ SIZE -OF LOT SOURCE OF DRINKING WATER: Public Supply.- , - Private Well IaNAGE A. SURFACE IIR, 1. Is disposal'fie.ld site well drained? 2. Any water course (str6am, drainage ditch, -eta.) thrQuFhl'stie? B. TOPOGRAPHY l.' Any,heavy-plopes. in field area? 2. Will present . topsoil in fiela area bq';euio�red or graded before fieTa tiles are installed�,.' 3. Will any fill -, material- b--e-usi-ea in' the I dfspoiia'l field � site i ;4­0 If yes,, how much? C. SOIL CONDITIONS l.' Has a hole at least 4 feet deep been dug in the disposal field area to determine the type of soil present? 2. After hole is dug record the aroil conditions'at th'e following depths. (Record aGJ sand,, graveli.'elay) racked sand) loan, etc.) 12 inches 30 inches 28 inches 4-- 36 inches 24 inches 48 inches 1�� 4.; Any ground wat—er—enicotu—itered b�f-6r­d reaching a d;pth of 4 feet?' A" If so at wbAt depth? D. WATER TEST A simple water test will show how well this -soil will drain or percolate water. To perform this test: Dig hole at least 36 inches deep. Use a shovel or post hole digger --size of hole makes no difference --only depth. 2. Fill hole,with water. Now let all water run,out of hole. This soaks thc ground and will give a more accurate reading. 3. Again pour water in hole to a height of 12 inches from the bottom. Let water run out until there is just 6 inches from bottom left in hole. 4. Note how many minutes it take's for this last 6 inched to'seep away* Record this time below. Number of minutes for last 6.inches, to'geep away... 5 Divide th im6 by 6 to obtain the rate per inch.. 6: Dat is t - /,- Z / e water test was'performed. I hereby certify the above information'to be correct and the above tests were p4�r- formed by me ds prescribed. Signed Address NOTE: septic tank permit is issued on the basis of the above information, If are any changie's or alterations in the above stated soil conditions-it-may-r-es.ult in the -installation. being reje-ated at the t='e.-.Qf, inspection.