19815 86TH PL W.PDFIIIIIIIIIIII
8217
19815 86TH PL W
NOTICE:
N. -67w —arr a n t-Y 0 T u 1 :d k-.,:Y.
The information . shown on the attached
MaP(S) W*aS compiled for use by the City of
Edmonds/ its Employees and Consultants.
Th..e City of Ecim.onds does not - warrant the
accuracy of anything set for.th on t . hese
Map(�-). Any person or entity.requesting a
copy should c:onduct an independent
ormation shown, on
inquiry regarding the inf*
-map(s), including, but not limited to, -h
the lociation of any sewer stub shown. Suc
sewer stubs may or may* not exist and may
at the location shown.
or may not exist
Neither the ,;ty of Edmonds nor its
k-.' I
ernp-to-yee-s o-r offi-ce-rs -sh-a-11.1 be 1--ia-b.-Il-.e for the
information given on this map(s), nor for
e representation provided based
any on
upon . said map(s),
APPLIC#TION'
CARDNo. ....................................
for,
S
The City"'OE� Pon FcusE r Fl=,.
S,I:DE" SISINrM
EASEMENT No - ---------------------------------------
OUTSIDE INSIDE,r-1 R 1
All!
OWNER crl' q'i L
iti .................................... I ......... I .................................................... CONTRA OR ............... ................................... PERMIT No
STREET
HOUSE No . ..... ........................... . AVENUE LOT N o
............... 7 ......... ................. . . ....... ....
....................................... BLOCK No - -----------------------------------------------
NAMIDA01). )!�.VAg'w ......................................................
......................................
0 1:
APPROVED
c T 2 G 1965
...... . ......
BACKFILL WORK ORDER ISSUED ......
SEWER WORK ORDER ISSUED ............
Date Approved:
........... ............ DEPOSIT, $ .............................................
By ----------
------------------------ DATE ...... 1.3 ...... ..................
%:
ON
DS-�
PARTENT aIl PR*SPect G-JI07'--
when, work
is
for inspi�caon.
IN0, inspec
tion Sat,
Oi,fi6lidays
AM N2. -12
1T
13
A6D
...... .... 19.81
ESS
W
t .........
9 WNER.— --- Pe -------------- .........................
...................... ..........
...................... ...... ----------------- ----------
................ -------- -
rim ...... . I(ONT"PTOP ......
Pe 9r"ted--.'* .'.PPtober-�20' :6: - --------------------------
on
- ------- : ---- - ------------------ 119
i for
n accordailcie witfi�'
all`P"CaIiOn on file aild gove ----------- ysi to REP or CONNECT
riti,119:0rdiri4n A - in a side sewer
Ai�h�NTION. iS: CA ces.
ED To
4L THE�,FOLLOWIN6:
NPT-- No- —�!$e owners of the 'Property
'MPIOYed to -construct sid obtain a
be Permit to 6nst
N 2 reet are& f114 sewer,in�lide Property 11j,
6TE' No. r. in st
any
obtain full Do not.cover e- A licensed Side Sewer Contractor ust
E" - . "fl.611atioP regarding 4jr Portion of sew6j,j*
NbIj NO.- 3L��p j ,I dinaftce 11.16030 and Re fore It ha-s been irilfPected:
m
No bends qe sewer bjufft fijL '16"t 3Q - gula'iOns Wovern
I- jad ve at inches frig, side, Sewe
if. 9- e sh 2 Overage at Prope . rty lin rs when you
N6TE'No arPer than 8�et Permit.
4--krenche - ' �will'bfi perznc e and 12-inches insi
s In str Itted. de propert
to ieet, must be water settled and Y line;'minimum
fallure,du6 mprOPer work which sWf— - Of street grade of 2 T..
NOTE
No'. 5-1-�Xt, is unlawful to �!MaY,dev6lop Within one restOred,t,o Orlig1rial cohdi
Year ofcOrnPletion.,' tion- Contractors shall
Pipe er�work thaii,
lert the 'Into the w I's Perni
urten"s ek ept to in,
P alter or do �nY oth' be responsible for'
c
provided for in the
'Ye:-. t, �'Gr to
do work on the main
sewer o its *p
F
J%
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: ....... Sjr,.Qtj�� ... QpP.111y .. fti-1-deTs
For installation at: (street address)... ----- . .... . . . ....
------------------ -X61 ...... ......
---------- - ----------
Addition or Subdivision ....... S-cot.t S_Firyiew _.. - __ _ ............... ........ _ ......... ....... ............. Lot ..... I ......... Block ................
Type of Building: New ----- X ..... Existing ............ Single family residence ...... X� . Number of'bedrooms 4 ............
Other: (specify type or use) ........... .................................. _ -_------_---- ...... ........................................................................
Builder ......... $!�.QtU ... ....... ........ .... .-Address ... 2370 .... ... 740..W#,.�Edmonds
........................................
Designer ...... U...R.Aleyri.ng. .............. ....................... .... Address ..... P,...O....Biox..32...L-y-nnwoo.d... ----_------_---- .........
Soil Log Hole No. 1 ----- 34"—sanAy --- clay --- loam_... -hardpan ........ .....
Soil Log Hole No. 2 .... ..... 33'. 1 ... Sa-rdY ... clu_lom_ ....... _33 to....40."...har.dpa.n ..............................................
Elevation of Water Table, if encountered. (Distance from ground surface) ....... W. n.e.. . ...............................................
Corrections to control surface water if needed ........ no ne .................................. ................................................................
Specify if any removing or grading of topsoil in field area...,.NQ --- f Wrt he r ... 9 TP� 0. pg.. q I I q�jje.d ... in ... d rp. 1. Af. te. Id
a r ...... Dep.th..Qf ... trext' b .. ijaJ_!.e.1A.Ar_ea ... pa ... t.o ... ... exi-sting..gra.de ........ ...........
.... ea
Percolation:
Test Hole No. I —Average Rate. .... ...... 7 ....................... (Fall in inintites/inch-bottom 6" test hole)
Test Hole No. 2—Average Rate ............ 8 .................................... ..... (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate.. ........ 1A., ................ ....... .. .. ....... (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design ....... 9 .. min ..... .............. . Date Taken .......................
Septic tank requirements based on present rules and regulations:
Septic Tank Size ----- wo ................ gallons.
Amount of Square Feet of Disposal Fi 628 36 ins, trench 210 lin, ft,
�e .............
— D ................... Date ------ 3116AC . .....................
Signature esigner ............................ .... ............... ................ .
DO NOT WRITE BELOW THIS LINE (To b(/completed V ISSUing Agency)
Permit issued (date) ........ ........ .................. Permit Number' -----------------
Remarks: ............................... ................................................................................................ __ .................. ...................................
t!7
900 S.
T.
Trench
IN) liti. ft,
" i
d r,
2 4-21
ON
NJ
I
/10
Ix
I
CITY OF EDMONDS STREE7 FILE
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY 19615 - 86th Me. We ...... Lot No ........ 1 ............ Permit No ...... 1.4.8 ..........
................... ......... ....................
Owner ..... Scotts..Qualfty ... B2uillr�`s... Address. 2460.--o..3rd -.NE-.E- dmoLnds. .............. PhonePR..6nt325T.
Builder_. ....... I Address. ----------- . .......... .. ............ " ..................... Phone ............. I . I ..........
Designer. - -M..... B-. _ Alpy;.� ng .... Address.. ZOO.19- - BiWa Y .. 99..LY11PKQQ.d .......... Phonef7_._Q!!31Q1..
.. ..........
Installer. ----- R . e M o.r- d a - nd Sons ....... Address_ 2941 NE 200t_h..Sea.tt
.... .... . . .. .............. ............. ............................... .. ...... � ... I.e ......... ... Phone .... Em._3 .. !r .. 3W
I hereby certify the accompanying drawing is an aCCUl'atC 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 ................
. ...... � ..Mnr.c1i__19.64__._ ----- have beCD complied with.
............................ V.1.3/.6.4 ...........
..... ........ -----
Signature of D�,igne, Date
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted ............ . .............. . ...... Date.
Not Accepted ...... .. .... .... Date.
Signature of Sanitarian ..... ............. . .. .. . . . . .....................
Remarks: ........................... --------------------------------- ____ .......... ........................................... ....... ................................................
INSTRUCTIONS: Use the reverse side of this form for tile 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 tile septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to
remember:
L' Have your tank checked peri6dically to see if pumping is necessary (2v2-3 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 ove'r the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities will not liarni tile action of tile septic tank and
disposal field.
AS BUILT SEPTIC TANK & DRAINFIELD
Lot 1, Scott's Firview
Snoo Coo Wash.
City of Edmonds
July* 19-64
Permit No- 148
Owr r: 1
Scott's Quality Builders ;
30
237o6 — 74th we
Edmonds, Wash@
Designer:
We Be Meyring
Box 32
Lynnwood* Wash.
d f d
2c,-11 200th
PP 31,P18
900 gal* So To
161 Lin. Ft. Tile
3 Ft. Tz ench
//-1v 11T. la3_ 19
"N.
N
. G.8
'00
QI
30
CO
Septic Tank ....... --------- gals.
Disp. Field ---------- ed ----- sq. ft.
C,1
SEWAGE DISPOSAL PERMIT
CITY OF EDMONDS
Department of Public Works
Other-------------------------------------------------
Name ----
;�� 45L"?
---------------- ------------ is hereby authorized to install/
--------- repair sewage disposal system at
.................
/5-- -- - ------- ------- ------- --------- 5:��
........ ................ X'5�.
..................
D'ate issued on ------ I .......... - ----------
Permit expires one year from date of issue
DO NOT COVER BEFORE APPROVED By DES16NER OR SANITARIAN
I hereby certify this system was installed under my supervision and control and complies with all provisions of t . he City
of Edmonds Resolutions.
signature, of Installer ----------- I ........... ----------------------------------------------------- Date ----------------------------------
ApprovedF1 Disapproved Date ----------------------------------------------------- — ........ By ------------------------------------------- : ......................................
--------------------------- * ...... * ---------------------------- * -----------------
-------------------------
Remarks: ---------------- -.: ------------------------------------------------------------------ 11 -------- ------
SANITARIANOR DESIGNER ----------------------------------------------------------- ----------------------- ............. Date. ---------------------------------------------------------
This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed.