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19904 82ND PL W.PDF11111111 lill 7657 19904 82ND PL W WY OFP EDMONDS CIVIC tENTER — WATER -SEWER DEPARTMENT Call PROSPect 6-1107 when work Is ready for inspection. (No inspec- SIDESEWER PERMIT long Saturday, Sunday or holidays.) N2 2107 ADDRESS .................. t7 . ...................................................................................................... ....... OWNER ..... 4:5 ...... ------- -------------------- CONTRACTOR ...... Permission is grant-dA. w ...... ...... --------- for ------------- R or CONNECT a side sewer ........... days to REPAI with City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. I —The owners of the Property may obtain a Permit to construct sewer inside Property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street axea. Do not cover any Portion of sewer before it has heen inspected. NOTE No. 2—Obtain full information regarding Ordinance 111.16.030 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 sharper 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 which 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. APPLICATION - Th City of , Edmonds for "NN 01. ANT 0. SIDE SEWER PERMIT EASEMENT No . ............... .......................... NEW CONSTRUCTION 0 REPAIRS 0 OWNER .......... ..................... * ------- ........................ CONTRACTOR ............... ........................................................ PERMIT No ADDRESS ................... ................ LEGAL DESCRIPTION: LOT No....,.) .. �z ................................. BLOCK No . ............................................ NAME OF ADDITION ......... ............................................................................................... lk'P"OVED AF'H 2,) 1*7 40 0 Annroved: -7 DATE.... ......................................... By /A ...... . .. ................... P-1 I �-lc r-s- A -r -ri4c v E oc' fee 4. (j RD r, pd"4'r.4 p,7 I.S C) /U rz, Al 13 NOTICE: N:o warranty..Of accuracy. The Information'shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of �Edm.qnds does not - warrant the accuracy of anything set for.th on t hese map(�_)- Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on tf�e -m a p (S) / including, but not limited to, the loc'ation 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 em p`fo-yee-s o r off iCle rS Sh a 1H be l-`1 a-b-.11 e for the information given on this map(s), nor for ion pr 'ded based any 'One representat' ovi upon . said map(s). SEWAGE DISPOSAL PERMIT Septic Tank ...... .......... gals. CITY OF EDMONDS No. ...... Disp. Field ......... ....... sq. Department of Public Works Other ...... Name .................... ------ X�lw !,�� ---------------------------------------------------------- is hereby authorized to install/ repair sewage disposal system at .......... .......... .. .......... 01 ...... ......... .................................................... Date issued on ................. ....... //. = .... 4-$ .......................... Permit expires one year from 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 .... . ........................... Approved,,M Disapproved Date ... gV-1 z. .......... --------- --------- By -- Remarks: ----------------------------------------- ................ SANITARIAN OR DESIGNER ------------------------------ * ---------------- --------------------------------------- ......... Date This permit shall be posted in a reasonably conspicuous place on the job untif inspection has been completed. 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: ........ %.-..W..jXdrthun..i ........... ----------- ----- For installation at: (street address). 00_0 .�782nd.CPIL;.�*',_ - ...... .................. 11 ..................... ..................... Addition or Subdivision ...... �qlel_'Wke(Dd ...................... __ ................................... ..................... Lot .... ?1-77--.. Block ................ Type of Building: New ..... x .... Existing ----- Single family residence ..... Number of bedrooms.. ... 3 .................. Other: (specify type or use) ................................................................... ................... .............................................. ................... Builder .............. P_.W_-Varthup .......................................... Address. !"&6Li�N.W- Isi&ttle I wrt—­ .............. Designer ----- Tholraa ... Q.,...Whi.te ............... ............................. Address.. J-9.745 --- Wth..NE, ... ............................... 01-.4irid7. Iowa ........ ........... ..... Soil Log Hole No. I ... 10� , A10VRaiii.. I ........ ......................................................... .................................................. ............................................ ................. ......................... �'f Z or 12� Soil Log Hole No. 2 ...... 6" ... taps_eAL,.:.�201 ... ............... I ...... i .......... .............................................................................................................. .................. ............ I ........................................................... Elevation of Water Table, if encountered. (Distance from ground surface) *bnla; . .................................................. Corrections to control surface water if needed ...... Ndin'n� _-_---- t .................... .......... .............................................................. ................................................................................................... ...................... .............. .......... I ............................... ...................... Specify if any removing or grading of topsoil in field area.— ............................................... : ................................ I ...................................................................................................... ................... Percolation: Test Hole No. I —Average Rate .................... .................. (Fall in minutes/inch-bottorn 6" test hole) Test Hole No. 2 —Average Rate ............... ?..9 .............................. ..... (Fall in minutes/inch-bottorn 6" test hole) Test Hole No. 3 —Average Rate .............. 7;.7 ............. ........... .. ....... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ... Date Taken 17t-15;n6l'.1 Septic tank requirements based on present rules and regulations: Septic Tank Size. ..... ------ gallons. Amount of Square Feet of Disposal Fie 423 so Signature — De igner ......... . F'� ------- --------- ------------------------------------ - Date ....... 5PPt493AMr � 9.,-.19.63. I -DO NOT WRITE BELOW THIS LINE (To be completed by ISSUing Agency) Permit issued (date) .................. - _. - 6 3 .............. Permit Number -------- ld��Z ......................... Remarks: ....................... ............................................................................................... ............................. .......... __ ..................... :5 7— /71 ip q tV 42 7S T ff --rH L- 0 o F C, 74 L 7-0 P-S a t b t, T� P— ci o 8 90 . 19 L) STREET FILE CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works a Planning 9 Parks and Recreation * Engineering November 16, 1992 Mrs. Walter Mitchell 19904 - 82nd Pl. W. Edmonds, WA 98026 Mrs. Mitchell: LAURA M. HALL MAYOR I have reviewed your account and will not allow a leak credit at this time. . The city will only issue leak credits for major leaks that are beyond owners control and customers are allowed one credit every three (3) years. The amount of credit would not be enough to cover the cost for the 15% surcharge charged to you for the adjustment. I would suggest you contact your contractor who installed the rockery if you feel they caused this and seek reimbursement. Sincerely ?-on 4 Water/Sewer Supervisor RH/l k #404050/TXTWATER 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan e- q C) v- 0,5-0 ol CAREY'S Rockeries/ Excavation 19210 43rd S.E. * Bothell, WA 98612 (206) 778-7714 Lic. #CAREYL- I 108A OUR BUSINESS IS ROCKNI INVOICE N2 1106 DATE �-: 1, Cf 2— SOLUO . a. . - 0 A-6v SHIPPED TO STREET & NO. f STREET & NO. CT V STATE ZIP CITY STATE ZIP 0 LtAtit 11AY MUM I H15 INVOICE ALL ACCOUNTS DUE AND PAYABLE BY 10TH OF MONTH FOLLOWING DATEOF SERVICE OF URCHASE. 11/2 % WILL BE CHAR G*ED ON ALL PAST DUE ACCOUNTS. STREET FILE CITY OF EDMONDS - - DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington I . SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ADDRESS OF PROPERTY.If f Pf- 4 .... W . . ........ Lot N.....1.7 ........ Permit No../422�..... .... ........ OwnerA_�_11!......1W...4 ....... 4-'j 0- -1-47770-14"t.t/9 .... Add,ess/*'P.Y--./­���' ------- PhoneiL'-'- Builder_ ------ 4 C( q ............. r .................. ................. . ............. .. Address ---- _ ............. --- ----------- I ....... ....... Phone .............. I .......... Designer_/ a -A.) ....... 1��! ........... Phone ........................ 1.7 okfl . .... ....... ­' Address ---- ----- 2 Ins t a I I er./Oarx-77*_ Phonet/'-.1 .... 7-2-1-n-z- I hereby certify the accompanying drawing is an accurate 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 scwalge disposal system permit application dated ................ ......... : ............ .... have been complied with. ............ .......... ...... .............................................. Signature oi, fDesigne Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted------- .... .. .. ............ I ................................ Date ................................... I ....... Not Accepted.. . ....... . Date .. .. ..... ...... ; ..... .......... Signatureof Sanitarian ........................................................................................ Remarks: .............................................................. .............................................. ................. .. ........................................................ INSTRUCTIONS: Use the reverse side of this form for the 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 the septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to remember: 1. Have your tank checked periodically 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 harm the action of the septic tank and disposal field. ol h'q II/F 7-4