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19902 MAPLEWOOD DR.PDFIIIIIIIIIIIIII 12202 19902 MAPLEWOOD DR SEWAGE DISPOSAL PERMIT)5 Septic Tank ............. gals. No . ....... � CITY OF EDMONDS ... ............. Disp. Field ........... 4.*-?-0 ..... sq. ft. Department of Public Works Other..................... .......................... Name ............................... ed - -1. � ........ (?eAnr. . .............. .............................. is hereby authorized to install/ repair sewage disposal system at ........... . -------- .............................. . ... 4�02 ........... ... .......................................................................... Date issued on ........... ........ Ns ......... / .... 9 ....... 6 .......... Permit expires one year fro date of issue DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN I hereby certify this system was installed under my supervision and control and complies with all provisions of the City of Edmonds Resolutions. Signatureof Installer ............................................................................ Date .................................. ApprovedDisapproved F-1 Date ---------------------------------------------------------------- By ................................................................................... Remarks: ................................................................................................ ................... -------------------------------------------------------------------------------- SANITARIANOR DESIGNER ------------------------------------------------------------------------------------------------- Date .......................................................... This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. The City of Edmonds APPLICATION for SIDE SEWER FERMT NEW CONSTRUCTION REPAIRS M EASEMENTNo . .......................................... OWNER ......................... ........ .. . ... q,0 ..... . . ...................................................... CONTRACTOR --- C45.0q.101 . ....... . 546 ----------- ------------------------------- PERAHT N . . ........... . ......... ADDRESS ez-oc)-a ....... ix ..................... LEGAL DESCRXPTION: LOT No . ......... D ..... . ....................... 'ELOCK NO . ............................................ NAMEOF ADDITION ... !4�407 ........ ................................................................ A -7 r7-. "5-5 , 0 00 C)4 4c VF APPROVED JUL 24 1969 Approved: DATE...? ..... ..... ....... 1�3y-� CITY OF EDMONDS CIVIC CENTER_ WATER -SEWER DEPARTMENT can PROspect 6-1107 when work is ready for insp"oim. (No Maw - SIDE 'SEWER . �PERMIT "Ons Saturday, Sunday or holidays.) N2 3349 AbDRESS ................... 19902 0 . .'.1 ........... ----------------------------- ---------------- - --------------------------- -- - - ............................................ WNER ..................... .. 9C Adam' - ------------------- --------------------------------------------- CONTRACTOR Cascade Sewers Permis' . ........... . .. . ........... ................................... Sion is gl�nnted ..................... JU�Y_Zp ........ ]Lq.fi�, for --------------- -------- days to REPAIR or CONNECT a ---------------- with CitY,Sewers in accordance with application on file and governing ordinances. side sewer ATTENT ' ION IS CAI -LED TOTHE FOLLOWING: NOTE NO. I —The owners Of the Property may obtain a permit' constr t sewer i . nside Property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street a-rea.toD. Otuc NOTE No. 2--Obtain full information regarding Ordlu cover any portion of sewer before it has been inspected. ance 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 N No bends in grade sharper than % will be Permitted, No. 4--1renches intst t must be water settled and surface of street restored grade of 2%. failure due orbee nProper work which May develop within one year Of COMI to Original condition. NOTE; No. 5--It is unlawful to alter -or do any other work than is Provided for in the >letion. Contractors shall be responsible for tenances except to insert the pipe into the wye. permit, Or to do any work on the main sewer or Its appur- CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington I APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: .......................... .... . 0. a . . ... . -- - ------- /.,9 92� For installatiorL�: (street address) .......... ... ...... ....... ........ ..................... ...................................................... Addition or Subdivision... Lot..e-f ....... Block ................ Type of Building: New ..... A .. Existing ............ Single family residence .... Number of bedrooms .... 4 .............. Other: (specify.type or use) ....... ....................................... .............................................................. Builder. /�.�,09AIVVS ... _A1 --------------------- ............ Address_4AS4 --- � ....................... D e s i g n es aZ e MA�... .......... ............... ........ Soil Log Hole No. 1 ---- . ............ ..... ................................................ 41 Soil Log Hole No. 2 ... ............. .................................... -_-----------_--_-_---- .............................. Elevation of Water Table, if encountered. (Distance from ground surface) .................... ........................ Corrections to control surface water if needed ....... 6 . ...... 41,0.r ...................................................................... .......................................................................................................................................................................................................... Specify if any removing or grading of topsoil in field area ........ A.44A/ ........................................................................ ............................................................................................................... ........................................................... 7 .............................. Percolation: Ar Test Hole No. I —Average Rate .... 4-e-2 ...... (Fall in ininutes/inch-bottorn 6" test hole) Test Hole No. 2 —Average Rate ..... Jf�!O!� ----- .............. (Fall in iiiinutes/inch-bottom 6" test hole) Test Hole No. 3 —Average Rate .... 6A.5 .... &.. 32 7".. _ .. ....... ....... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design Z..10 ............. ----- Date Taken_ Septic tank requirements based on present rules and regulations: Septic Tank Size .... A00. 40� ......... gallons. Amount of Square Feet of Disposal Field ..... Signature — Designerx.R� .. .. .... . . ..... Date ........ ;; .......... ................ DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) .............. ................... Permit Number ......... ................... Remarks: ....................... ------------------------------------------------------------- --------------------------------- ------- ------------ ! ............................................. ................................................................................................................... __ ................................................. .......... ..................... N AOe P� 0AIV44 or AIP4009A.1 J4 o.:EA� 4AVA1 IV loda .A.rjoo,,eAeArrr, a 7-.eoer foovlaf I I Ir ya 411219~-904F J;011'V4e AE' 71A OA1 &f—.fg I c I -& 4,-4s,,o . 7K)l - lj9th S. W. PF'S-5F8O +-'l,',t)LATiWV i-LST Pt UT PLANS FI.4T DEVELOPWNT COOR04NATUR