20023 84TH AVE W.PDF111111111111
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20023 84TH AVE W
NOTICE:
Nbwa rra
The information 'shown on the attached
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
Th��e City of �Edm.qnds does not . warrant the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
'ation shown on
inquiry regarding the inform
I ited to,
ff�e -m a p (s) , including, but not
b shown. Such
the lociation of any sewer stu
sewer stubs may or may, not exist and may
or may not exist at the location shown.
o nor its
Neither the City of Edm nds.
icle-rs be 11a.b.-Ife for 11-he
emp[o-yee's o*r off"
information given on this Map(s), nor for
esentation provided based
any one repr
upon said map(s).
4�1
R-1 I APPLICATION
61 for
The City of lEdmonds FLE SIDE SEWER PERMT
NEW CONSTRUCTION REPAIRS
OWNER ...... - - -------
ADDRESS �eAO-P` W.- ---------- Art ... -------- 4!4�
EASEMENT No . ................................
CONTRACTOR ..... P11
4 --- OR N,
LEGAL DESCRIPTION: LOT No. -2- Lc 7- *Z—
........................... .......... - BLOCK No . ............
NAME OF ADDITION .. ......
.............................. . ................... ................................
6 )=-" 7-
Lds. A# - 401
-r
APProved:
DATE.-/O
..... By 7-- dO4
CITY OF EDMONDS
C I PROSPect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT Isaready for Inspection. Wo inspec-
tions Saturday, Sunday or holidays.) N2 3851
SIDE SEWER PERMIT
ADDRESS .......................... 20.0.23 .. :7 ... 8.4th ... Avenue ... West ........................................ bv/
OWNER ........ Rohert..K.....Rob-ins.on ..................................... CONTRACTOR ................ Cas.aade ... Sexe_r
Permission is granted r ... 2 ' 0 ............... 19 .... 7A f or ........................ days to REPArR 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. 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 area. Do riot 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 1/s will be permitted.
TOTE 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.
)TE 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.
MEET FILF.
rel
SEWAGE D.ISPOSAL PERMIT
No . ...... ��.h
Septic Tank ........ ..... gals.
CITY Of EDMONDS�
..... sq. ft. Department of Public Works,
Disp., Field .............
Other-------------------------------------------------
7-11 , ...................... is hereby authorized to install/
,, - il?' '. X -. 2 ............... ........ . .........
Name ........ .................... ..... .4— -
...... repair sewage disposal system at
.......... .......... ......................................................
gown. .......................
.... ........ ..
..... ............. ..
...........
...........
Date issued on....
Permit expires one year from of issue
Y
DO NOT COVER BEFORE APPROVED By DESIGNER OR SANITARIAN
ion and control and complies with all provisions of the City
I hereby certify this system was installed under my, sup�rvis
of Edmonds Resolutions.
.............. ...... D�te ................... I ................
Signature of Installer ........................................................
Approved F] Disapproved f7l Date ..............................
Remarks: ......................................................................... I .............
..................... By ............................................................................
Date....................................... . . ...... -----
DESIGNER....................................................... ...................
SANITARIAN 0 p tibn -has -been completed.
This permit,shall be posted in a rcasonably,pnspicuous place on the job und ns ec
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copi es)
Permit to be issued to:_...' -Sven ... 1:.* ilen e n ............. . . .........
.. ............ ......
For installation at: (street address) ...... 200th a.
............................... .................. ---- ............ ...... .... ed
Addition or Subdivision .... L .912A ..'Edmond W 3.10 1
--- --- ........ 0_4,rov -------- P1 V ...... #2 .......................... Lot .... 2 ......... Block ....... ........
X 3.
..... Existing. .......... . Single family residence..
Type of Building: New....... X ......... Number of bedrooms ........ .................
Other: (specify type br use). .......................................... _ ------------------------------------- .......................... ............................. ..........
Builder ...... .............................. .............. Address ... 18.16 ... N ...... 2.0.4 ... 4.0-4,_SeAttle ....... M ... 2-2515
Designer...... VV. 91gn-s.. Address 520S.-!i,.18.0.th_4; .... V*..,..J.,7_nnwao.d ........
Soil Log Hole No. 1 ................. 0.11. 3. ro I I ----- 46" Hardpan .. ............. .. ......
...................................................................................... .............. I ............. ........ 7 ..................................... ................... ........
SoilLog Hole No. 2 ... ................ AIM ............................... __ ............. 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 ................ .................... ........................................ ................
................
Percolation:
Test Hole No. I — Average Rate .......... 6 ..... ................... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 2 —Average Rate .......... 6 ............................................ (Fall in iiiinutes/inch-bottom 6" test hole)
Test Hole No. 3 — Average Rate ....... 10 .... ................ ........... .. ....... (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design ....... $ ..... ........................ Date Taken.
Septic tank requirements based on present rules and regulations:
Septic Tank Size.. ..... ......... gallons. HOLD STUB OUT HIGH
Amount of Square Feet of Disposal Field ... 44 7.. .... ... . .....
Signature — Designer... ............ CQA2 .... . .......... .................. Ditte ..... 2,-Q.3-66_* .... .................
DO NOT WRITE BELOW THIS LINE (To be completed by Issiiing Agency)
Permit issued (date).. .... ... ..... Permit Number ........ ......................
Remarks: .... _ ........ .......... ....................................................................................................................... ................. ........... _ .........
............... ...................................................................................... ........ . ................... ....... .........................................................
I
goo Gsl.'S. T .
jAn.. f t. ;raintile
31 vdde trench.
447 Sq. fto required*
HOLD STUB OUT HIGH
18 S ILG XWEE
Harold C*on
5208-180th S.,
Lynnwood, Wosh.
o Per. Hole
Soil Log
4" might Line
4": triain Tile
Scale: 1"--201