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19325 80TH AVE W.PDF11111111 lill 7087 19325 80TH AVE W ::j city of EdmoiWs 411.1 - 0�5 f _no APPLICATION auk for i1ce SIDE SEWER PERMIT T Fll&,CONSTRUCTION REPAIRS E] OWNER ----- ........ A ..... . M FY . ........... ............................ T i," ", ( ADDRESS ... ....... ao ............. 4lej ............................................ N 0 X LU V) 4D s� U] i: cu 24 VA 00, 40 V) CL PL). 'j 7-� t4 LO (P V1. keg kL :z"4 !0 1.1) EASEMENT No . .......................................... ........................... ................................. PERMI 0 N c- re- ..... ...... CONTRACTOR ............. T N LEGAL DESCRIPTION: LOT No . ............................................. BLOCK No . ........................................... NAME OF ADDITION ..... .......................... :7 ....................................................................... K",'T!�E- NO WARRANTY 0 CtIRACY— attmr,�.-d map wz.s cdmoij, We—Informatiop shnwn on the 'd'I Pr use by the City of Edmcr,,3, q:; c;mr:!, S an�: ccjjs;'�tar 0 as. The Ci' 1111Z ,Y 0' Edmonds does not warrarit"; t�- aw"" 1, scttorO On the rn�ap, Any Person or entity requc,-,�;,.. sk�!'� c0ndluct an indeponde it Inquiry regarding the Info th0l r'1111P, includiing, but not limited to, the ri-112tion sho"vj) C'j S location Of any sevver st,..'b hcvm. Such sewer stubs mal � or may not e)dst and may or M:iy not e)jc!t at tk', 10cati0t' ShOt"n Neithei the CItYof Edmonds nor Its empicy.,,2�, r offic8ts shall be Ii 0 able for the I formation given an this map, nor for any orlf-I representgor provided based Ponsaldrnap C-b 1i 6711". 11 P Irl V E D A R 7 Approved: Ac.'a .... Axi . ....... DATE aA.;> ........... By �q S� NOTICE: No warranty of accuracy. The -information 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-reque sting 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 liable for the information given on this map(s), nor for any one representation provided based upon said map(s). APPLICATION for The City of Edmonds SEDE SEWER PERMIT 41 t I - GC,)- f no S EET FAZICONSTRUCTION EB� REPAIRS M 'Y OWNER.... . ........ A ------- Mti-: ................................................. ADDRESS ... L��3.Z.5 . ....... aQ�_' ......... \l/ ...................................... 0 U) VI) -.5 fo z Y) z V? 00 '�j P- 'c EASEMENT No . .......................................... nI# CONTRACTOR ......... 0. ....... "It, ----- - - ---- -------------------------------------- PERMIT N4117 t/ .. LEGAL DESCRIPTION: LOT No . ............................................. BLOCK No . ............................................ 5. � �i.p' la R ......................................................................................................... _ZAME OF ADDITION ..... NO WARRAMY 0 FRGY'Wj­_'-­ — _" _" &w!-,s.rj rp4,j e Information sholjr, on the compil'ad o use by the City of Ecimend., if,� Th 1' 3 '�; chy I Edmonds dow not warran, th: 8�!.' f04*1 m' in sh:-' UU M AnY person or enfity rellqu — af. i Inquiry rewding the Infoi III th 64q), incille"ilg di 1� sh bu!,' noi limited to, the locauoj'l of any se,�!; --tit siidj)� ME '0Y may ft e)dst and may or m:y not e�d,,i &i 0-hilc;% Shu-wa Nelia'ailthe City of Edmonds yz:�; Of wan wil MIS map, nol fol ak M, Off I mds s b (-, Ii f on a ncT Its empic rePresell� ci-Prc'Adz0 bajtd Q'i Uld map Approved: 0 '7— U V i�_": D ,R1 c 126? I ...... B Y . ...................... ------ DATE .211A.? ..... Q OF IDMON6S CITY C V WATER7SEWER DEPARTMENT Call .;�PltOspact 64101., when, ��C -ENTER -work Is, ready -for ffispectlom (N9, inpec- y unday or he tions Saturda N2 17-25 -ADDRESS ............................ 1932.5 .... ..... 80th Av*enu6Vest .......... .. .. ................................ ............ : .................. .......................... . ............................................................. 'OWNER ......... Ju - lian A'. Meyer Owner . . ................................................................ ......... ... CONTRACTOR ... ................. ..................... t ............................. ....... Permission Is.granted . ..... March .................. ................ 1 19..6.7 2for ........... ........... da�s,..to'REPAI --or-CONNECT a'side--sewer With -Rify'Seweis, in accordance with application on lile'an �governing ordinances. . d ATTENTION IS CALLED TO -THE FOLLOWING: NOT No. I —The owners of the property may obtain a permit. to. cbristr et sewer Inside property -line. A -licensed -Siae -Sew be employed to.construct side s6wer In street area. -Do -not. cover any portl6n:,qf, a ewer,before It er Contractor must NOTE No. 2—Obtain -full Information regardi . ng Ordina I nee has been inspected. 11.16;030 and Regulations gove, - rn ' Ing. �side sewers when you get - permit. NOTE No. 3—Top of side sewer must have at least 30 inches -coverage at property itne Ind 12'inches Inside property line; minimum grade of 2%. No hands in grade aharper than 'A will be permitted. fE No., 4—Trenches In street must be water settled and surface of at failure d 0 reet'.restored to original condition.. Contractors shall be responsible for ue to Improper work which may develop within ne year"bf' 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 ap-- purtenahces except to Insert the,pipe Into the wye. STREET FILE 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:. ... !jq1A.a_n --- A ....... M-ey.er ............ ...... For installation at: (street address) ---- 1-9-32-5 ... _80th --- W� ----- Ed-m&nd-s-,---Wa.sh ------------------------------------------------------ Additionor Subdivision ----- ............................ ...... ----------- ------------------------------------ Lot ................ Block ................ Type of Building: New ....... .... Existing --- X ...... Single family residence _� --- X ....... Number of bedrooms ------ 3� ................. Other: (specify type or use).--.. ----- __ ---------------- ____ -------- ------------------ __ ...... _ -------- ..................... ............ I .......................... Builder.. ------- _ ......................................... ----------------- __ ........ ..... Address ............................. __ ....................................................... Designer- . ......... .......... ............ -_----------------- -------------- - ----------- Address._ _ --------- _ ----------------------------------------------- .................. SoilLog Hole No. 1 ---- ---------------------- ............... -------- -- ....... ... . _ _ .. ................ ...... . ..................... ............... ... SoilLog 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 ... ..None .......................... ......... ............................................... .......................................................................................................................................................................................................... Percolation: Test Hole No. I —Average Rate ... .2-2t min ......... .... .......... ....... (Fall in inintites/inch-bottom 6" test hole) Test Hole No. 2—Average Rate ---- -----------­------------ ..... (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 3—Average Rate. -mi.n ..... ........ .. ..... ... - ------ (Fall in minutes/inch-bottom 6" test hole) Average vercolation rate on which to base drain field design .... 2 ... m.in ....... ............ . Date Taken-V51­66 ... ... .......... Septi c tank requirements based on present rules and regulations: Septic Tank Size. --goo...--- ...... gallons. Amount of Square Feet of Disposal Field .... 2.2.5 ........ .... .... Signature — Designe!�.—_ DO NOT WRITE4dL Permit issued (date) ------ Remarks: ........................... -4 ... 4�1_96 .............. THIS LINE (To be completed by Issuing Agency) ............... .................................. Permit Number .......... _ ................................ 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-__._.a�ilan --- A ...... Mp_ye�r .......... .. .. ..... ... For installation at: (street address) _19 32 5 80th W Edmonds, Wash ....... ­ ........................................... 1­1 ........................... ........... ............... I ......................... Additionor Subdivision ...... ............................................. _ ----------------------------------- _ ............... Lot ................ Block ................ Type of Building: New. .......... . Existing.--.-X ---- Single family residence ----- X ........ Number of* bedrooms_ ---- 3 ................. Other: (specify type or use) ............ ................... ............................................................... _ ..... ........................................ Builder........................................... _ --- ----- -_--_------------------- ...... Address .................................................................... ................... Designer.................................. __ .................... .... _ ...................... Address ........................ ...................... ......... ------------- ................ Soil Lo Hole No. 1 ......... .................. .............. _ ....... : ..... .. ....... _ - ------- - ---- ................ ........... ..... .9 SoilLog Hole No. 2 ..................... ---_--------------------- ............. ...................................................................................... ............................................................................................................ ...... ......................................... I ........................................ 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 ....... NQnP ................................................................................... ............................................................................................................... .......................................................................................... Percolation: 2� min Test Hole No. I —Average Rate ................. ................... .... (Fall in ininutes/inch-bottom 6" test hole) 1J- min Test Hole No. 2—Average Rate ....... �­ ............................................ (Fall in minutes/inch-bottom 6" test hole) 2 min 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 ... _2 ... min Date Taken 6/5&�.... Septic tank requirements based on present rules and regulations: Septic Tank Size. ... 9-0.0 ................ gallons. Amount of Square Feet of Disposal Field .... 2.2.5 ....... . ..... . Signature — Designd�.; . ......... e: �?. - �_ ..... ....................................... Date5;L--1-_ _41_6 ----------- DO NOT WRITEWLOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) . ....... ................ ........... .......................... Permit Number ............................................. Remarks: ......... ................................................................................................ ............ ......................... ............ ................. a 0 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:_j�qjlan --- A ...... M.ey��X! .................... . . ...... ­ ----- ... . ... .. For installation at: (street address) ----- !��25 80th W Edmonds, Wash ­­ ..................... ............... ............................ I ....................................... ........... Additionor Subdivision ............................ ------------------- _ ............... .... _ ................................ .. Lot ..... .......... Block ................ Type of Building: New ------- .... Existing .... Single family residence . X Number of* bedrooms 3 .. . ....... Other: (specify type or use) ........ ----------- ........................ ..................... __ ..... ........................ ..................................... Builder............................................. ... ­ . ­1 .................... ............ Address ................ .................... ................................... _ ............. Designer_. ................................ ................................ ................ Address.. .................. ................................................................... Soil Log Hole No. 1 ------- ....... .... _ ...... ---------- -------------- SoilLog 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 ....... None .................................................................................. .......................................................................................................................................................................................................... Percolation: Test Hole No. I —Average Rate ...... ?j. m.in ..... ­ ...... ... .. . (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 2 —Average Rate ...... 11 ... m.in ............. ­ ................ (Fall in iiiinutes/inch-bottom 6" test hole) .. .. ... .. .. Test Hole No. 3 —Average Rate_ .... 2 .... m.i.n ........... .......... .. ....... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ..... 2 min Date Taken. .6/516.6.. Septic tank requirements based on present rules and regulations: Septic Tank Size ... ......... ...... gallons. Amount of Square Feet of Disposal Field ...... 22.5 ----- - Signature — Designer..(.;a'_e. ------- - ------ ............... .............. .. Date, _el ........... L.1� DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) . ............. ................................................. Permit Number .......... _ ................................. Remarks: ...... ... ... ..... .................... ... ........... .. . ........ ... . ........... ......... ........................ ..........