20014 82ND AVE W.PDF11111111 lill
7532
20014 82ND AVE W
NOTICE:
No warranty of a. cc u racy
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edrn.qnds does not warrant the
accuracy of anything set for.th on these
map(s-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
'm a p (s) ,
t 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 r-ity of Edmonds nor its
a 1.1 be l-`1a-b`1.-e for t-he
emp]-o-yee-s o-r off i'Cers sh
information given on this rnap(s), nor for
any one representation provided based
upon . said map(s).
Appro�ed:
DATE ... ................
CITY OF EDMONDS
11 118PI 6-1107 when work
CIVIC CENTI�R — WATER -SEWER DEPARTMENT is ready for Inspection. (No Inspec,
SIDESEWER PERMIT tions ftturday, Sunday or holidays.) N2 3483
ADDRESS ...................... 20014 - 82nd Avenue West
_ . ------------------------------------------- ---------------------------------------------- . ........................................................................
OWNER ............. Charles A. Hansen
I -------- ---------------------------- ---------------------------------- CONTRACTOR ...... )�JAP�qgA $!Pjb.ti.0
Permission is granted .-aeptember ---- 30 ........... 19_0�, for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on 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 licensed Side Sewer Contractor must
be employed to construct side sewer in street area. 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 sharper than % will be permitted.
NOTE No. 4--Trenches in street must he 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. S—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-
A ) tenances except to insert the pipe into the wye.
SNOHOMISH HEALTH DISTRICT
FDIVISION OF SANITATION L
3011 Rockefeller Avenue, Everett, Wash ington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to:.....,5 0.741 ...... 4:;Z74,64ZI�'�l ...... Jes .......... ............................. ......
For installation at: (street address) ------------------------ C_;?. 0� .. . .... AX
02
/V..p ---------------------------------------------------------------
Addition or Subdivision-_'.5MV.-A //"I/- - - - ------------ -- ------------------ ---- Block --------------
Type of Building: New --- ).( .... Existing ------------ Single family residerice .... Number of bedroorris-.—a ...... ........
Other: (specify type or use) ................................... ---------------------------------------------------------------------------------------------------------------------
Builder__:51::�_ 1145. �__eS ... ._.Address_.d?3.7e6___—._7'0 ---- iW, ..... 406W_.5 ------------
Designer--dakv --- -------- Address_/0-04) ---- /,VZO��7 ... l.;�ew,6-Ve --- s5�3
Soil Log Hole No. L-1-7 __0000 . .....
------ --- -----------
...................................................................................................
/X ------------------------------------------------------
Soil Log Hole No. k*to -------
- - ; ---------------------
47 ------------------------------------------------------------------------------------------------ ..............
Elevation of Water Table, if encountered. (Distance from ground surface) -------- ------------------------------------
Corrections to control surface water if needed._/.�_w --- e. . ----------------------------------------------------------------------------------------------
............................................................................................................................... --------------------------------------------------------------------------
Specify if any removing or grading of topsoil in field area. _6. V.17y ..... ..............
'/ W.Z."
.............................................................................................................................
Percolation:
Test Hole No. I —Average Rate ----- 4 ............................................. (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2—Average Rate ------- 51 ------------------------------------------ --- (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate .... 3 ---------------------------------------------- (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design ....... ---------------------------------
Septic tank requirements based on present rules and regulations:
Septic Tank Size .... 47M ------------- gallons.
Amount of Square Feet of
Signature — Designer
F
Field ---- ly! - - ------------------
Date .... -:17
----------------------- ----------------
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) --------------- - ...... (-.3 -------------------- Permit Number. ......... 1.33-3. ....... ? ..............
Remarks: .................. ------------------------------- ----_------------------
BROWN