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20024 80TH AVE W.PDF111111111111 7108 20024 80TH AVE W PUBLIC WORKS DEPAR11E.00HECKLIST BUILDING PER"IT&MET FILLs (address) e Street Right-of-Way.Exist* n. REQD Ar- Z. Access Easements Existing.. N-A H p,4 Utility EasaTient Existing_W REQD N�& Lot Per Subdivision Plat Assessor Map Site Plan Checked for Accuracy_ Z Underground 14iring Reqd. H Check Accuracy of Legal Description 10,4 Z Review by_ Date Existing Water Main Size a in Required. Service quired ce ul red" — H y t z ydrant Size Exis s)4 Hydrant Reqd Per Fire Co Size — Detector Check Meter Reqd., Cross Connection Inspe E-4 Fire DepEar:tm��ent ts t ts �3: 0'11E Charge Reqd. Pter _e R View I eview by. Date Septic Tank Design Approved Date tit Tank PernrLt Reqd. ank it Req d t T Pe Permit -No. 41f�— -1c n Sewer Ava ab*lit� il SaSawn Sewer Availability Proj. Drm,rin No. File No. S ew r _1 il Side Sewer ailability — S i S _w Sanitary Sewer ection Fee Reqd. �3, j Review by _ate Open Ditch Exist:*,-ng_ d. Culvert Reqd. Size c4 Catch Basin Reqd. icate on Site Plan 0 Shoulder drainage tain collection on of swale open off 0 eqd. Indicate on Site C _ti, So on KReViManhole S i Conditions and Ground Water Field Checked w y ewby Date Revised: lvlO-1977 Page 2 �t�reP d et aving Req Curb tter Reqd. Sidewalk Reqd. Curb Cut for Driveway Req Right -of -Way Const ermit Mqd. Bond Reqd. lic Inprovement . s. eet Nam Sign Reqd. Other Signing Reqd. �"t ermi Site Inspection made on nnit Site Inspection Trade on. 0 S 4 F4 BY-, SEWER WATER H z STREET ENGINEERING '4 Special Requirenients listed in memo.to Commmity Development Department, Building Division > BY Q 0 MjFYWfC) Date I o All items filled in on Building Permit Application BY - 140 Date 141 P4 , Drawings Stanped and Notations Made, P4 BY Date Approved by Public Works Department Revised: 1v 10-1977 NOTICE: No 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 'Edmonds does not warrant the accuracy of anything set forth on these map(s-). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on th-e -map(s), 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 City of Edmonds nor its empio-yee-s or offiCer's Shdall be liable for the information given on this map(s), nor for any one representation provided based upon said map(s). APPLICATION The City of Edmonds for EASEMENT NO . ............................................ SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS E] LID NO. ..... . ASMT. NO. OWNER ........... ........ .......................... CONTRACTOR --- �AQ.P\7. PERMIT NO. -T JOB ADDRESS 200Z-4- -* .... LEGAL DESCRIPTION: LOT NO. -() - � ---------- 2 ----- BLOCK NO - ------------------------------------ ................................................. ................................................................ .................................................................. By...... --- -- NII A. 114 It4".1 E R,; P. Em, cyv I ir 4,� i;" &T V it M ;"I A -8-9' I I Ail 41 J" N, 4+ Ca 11 1 ?,r V", 11,775r2522OL"i" eringi�!any,,tporLlorjrIq,f - ., .1 , , ­ . - I utl — ­ - -t -, .. ..", I .. . IF M..Y -, , f. ",I;itlnspecti,)n-,\vlll.,��b.e�'P�rovidedi..wit -NO, 1: ­i- dl� wit st 4 V 4 T-1 ON-. ......................... ........................................................................................................... !�.l ........... A J: V, �s, bn,�... 0. PROPERTY; LEGAL MESC'R1pnON.!.: ... ... ......... .......................................................................... .............................................................................. j7 it J. .......................... .................... ........................................................................... ........................................... ............................. .................. 't"A Y -1L -CK-S .............................................. BUILDEXV'� ................................................................... ............................................................... J'! ,j:lCbNTRWC ............. ...................................................... .......................................................... .. ......... ............................ sewer- ssionr: sigran THE: FOLLOWING:­�' �A7 TIONr-IS 'CANLLEDt Tbt, y.%may�,obtain,.,a:,permlt tai, C6`6s r6ct-!s�wer*.,'jn$lde,.Property�'�" A41censedI.SideASe e e,eT 1_ e.,,t -cove ��slde,isewm:inuitr6ev, b' i ' V r anyi-poiti6n,;of'se%�er bef6r�'.It';has::been.in'spe�t6d�- area., _o,,jo% �dnj- . city right-o for V tay--'ri4u'liei'skA a"s'lioLn'.' o­i` M9'fit"0'f t W` aY4 Permit,obtalna�1'e'i'f'r*o-;'rr'r"t*h' CIt3 klnIglnee�.'��-&fiL'� rdina.nce overning.!sl pjsewers �vheni.ybu�;get,,permit`, ,E: re 9 �Itr d .Top;�of- side isewei r 30'r inches', covFr4ge;;,�Lt�Rropqrty 1 b i;fiar6erttth&n, J '6e;!�tb,rksettleclqancr sur . face of,.street restoredi�.t'6,oriki'nalt:cbn'dition.' 'Contractors-'s all �1)ej responsible. f 11 ;'146Th' No. (54-!:T�ehchcst;l�*qst�eef� kwhich��ir�ay�idevelopi��vithin.�biie, �e�ar iof,:complett'on�.?:-' %; i: ,�­'work` bt ti�� li�pprovib'ed,-f6ln An thej�per 10 YEr'146!. f i - I's W­n I a w f fill I "to' ei�', r y or mlt,�ior.v.to--:dc;��an .work:;orr the A. ........ ........... DISAFAWMER ;Q�1��,D' t ate.,::Z '* ' ' .... .................... ......... .. . .... 7 T N, ............ ............................ ........... APPROVE ... .. ............ ............. %; V ............................. ... ..... ...................... ............. .......... . . i .......... ............. ..................................................... ........... .................. ........ :7.7 ... ...... ................................. .......... ­j ....... A igne !By k� Perforrnhig. Constr-uc Jon, -PRIOR,,'- To"R pe . U B6,,�` d, ji!t-�' BOTHt' Pb Oi ,7 i;�i�uct6d' iin'de ................. u ,A: es .. .... .......... .......... by.,-'c'eitifY,ith�e"t�'6,iid'��'�'6wer instal latiqpv.�qq -(O�,iie� 'of -&n fra� t'ink I Fl`rriX Per fr rm ii, 9 �,'Cb nst �u�i li�� n:,.!,.� �d,,inlia�p6rdan&�withiialll tbv.er'pin'g,'-prd!*n'4'�'�'ces--ot-it-nialjcity his. ­,ii a e ...... ­ d t t ID' t g*;'tf-or'..,'.Wat`eP on jj iR L Y, L4 The -City of Edmonds APPUCATION for SWE SEWMR PERSM NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No - -------- ............ OWNER 'Y',/ 7 . .......... / ��.4� .... .......................................................... CONTRACTOR ef�7c ............................ PERhM No.!V&Y ADDRESS .... .. . ....... .............. LEGAL DESCRIPTION: LOT No - ------------------- .......................... BL4DCK No - --------------------- ....................... NAME OF ADDITION ................ 6p� Az .2A z r- 6,", -./-Z Z7 ...................................... Wil 1; z -0 UP IN In Ka: REGARDING: 20024 - 80th Avenue West (address) R E C 0 R D 0 F C 0 N T A C T S DATE NAME, PHONE NO.) & COMMENTS ACTION TAKEN ADDRESS of CALLER 5/l/74 Hunter Hicks Certified Letter No. 406306 sent Letter received. 5/1/74 5/13/74 6/25/74 7/1/74 7/9/74 7/23/74 requiring hook-up within 60 days. Called with*numerous questions re procedures for connection. Explained that he can't pay connect ion charges. Will keep in touch. North End Septic obtained permit #4893. Certified Letter No. 406563 sent Letter received. requiring response by July 12. INITIALS TE TE TE TE TE Called and requested.an extension to Extension granted and letter signed TE 7/31/74. 7/12/74. Connection completed. TE 9 9 .1 CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525 Department of Pubfic Works Mr. Hunter Hicks 20024 - 80th Avenue West Edmonds, Washington 98020 July 9, 1974 Re: Property at 20024 - 80th Avenue West, Edmonds Dear Mr. Hicks: - In reference to your receipt of a Certified Letter of -May 1, 1974,*requesting you to connect your property to the Edmonds s'anitary sewer within sixty days; due to the hardship stated by you and indicated below, you are herewith allowed an extension to July 31, 1974, in order to make the subject sewer connection: JBM:jt. Time Extension Requested Because: Contractor cannot complete installation until end of month. Sincerely, ,CITY OF MONDS LBO J. HERB G LBO Director ACKNOWLEDGED BY PROPERTY OWNER: PROPERTY ADDRESS: MAILING ADDRESS: ACKNOWLEDGEMENT DATE: '7- / 4z SEWAGE DISPOSAL PERMIT Septic Tank .............. e9A. 9 ...... gals. No . ..... .7 ........ CITY OF EDMONDS Department of P�Wic'*brks� Diso..'Field ............. ..... sq.. ft. Other................................................. Name....................... ........................... ........................ 1­1� ........................................... is hereby authorized -to install/ repair se . wage disposal system -at .......... J"e. . ...................... 1.7 ....... . ....... .. ..................... ........................................ ............................... .......... Date issued on ...... Permit expires ond: ear from date of issue DO NOT COVER'BEFORE APPROVED BY DESIGNER OR SANITARIAN I hereby certify this system was installed under my supervision.and-c6ntrol and comolies N�ith all provisions of the City., ofJDdmonds Resolutions... Signatureof Installer ....................................... ....................................... Date .... ................... I ........... ApprovedEJ D I isapproved- F-1 Date ................................................................. . By ................................................................................... ................................................... ..................... .. ........................................................................................... ................... Remariki,'..: ..... ...... . SANITARIANOR DESIGNER .................................................. Z ........................ ...................... Date ........ ........................................... it.shall be posted in a reasonably"'c'onspic'uous place -job u leted. This ':pe'rm on the ritil inspection has been comp (L 4J A 41 V) N 4 : -, N V �14 IN 4J cq N"K Qt X �J STREET FILE CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN Subnat in Triplicate) r —ADDRESS—OF�13R.0 Lot N Permit No ....................... ................. 4 q P1 Owner ..... -T. 17 o�7 ...... ?7e- R_-,4_77. ............ Address. ....... ... i-A.­ Phone ...................... P1 -57 Builder ----- 04.ew oa.A­ . co._ ...... Address ...... ..... Phone. "V ................ Designer...,447F Address- ............................ Phone.PA... ....... ... Installer_.A/-.r%� .................................................................... Phone,/!�, . _W Address 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 scwage disposal system permit application dated ................ /W. 4 ......... have been complied with. ....................................... s1g... Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted......................... ­ ....... ......... ............... Date... Not Accepted ............. Date . . . ..................... Signature of framftmIlff-h ...... 1� ........ .. ... -------- . .................................. Remarks:.... . ....... .......... ................ . ....... .......... .............. ...... .. ... ........ INSTRUCTIONS: Use the reverse side of thi's 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: I . Have your tank checked periodically to see if pumping is necessary (2y2-3 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 over 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. 31V17 JN10-C AV-7eO IN CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (�ubmit 3 Copies) Permit to be issued to: ------------ HerT ... Lumbar ... Co!*' --------- for -Roy ... Treat. For installation at: (street address) ... .......... Z0024-8Qth--Ave�.---Wi . ............ MdjnonAs .... ....... I ......................................... Addition or Subdivision ... Eaat.-Ed=nds.-Aer.es-.Dii�...Xo�. _2 --- ...... �!...*..Of ........ Lot --- 22 ........ Block ................ Type of Building: New.T0.8.... Existing -No..... Single family residence.-YeV ...... Number of bedrooms ----- ... I .......... Other: (specify type or use) ------------------------------------------------------------------- ------_------- _ ----------- ----------------- ---_---_------­ ............... Builder..4�rr Lumber Coi ........... ­_­!!� ........ ................................. Address_ 490-. Haxbor Ave* S,W.9 Seattle .................... ............................ Designer ... X0.0 8_QhT0.e:tQr ------------ ------------------_- Address.. 15.62-2.114-leV414.. AT01.4... Soil Log Hole No. 1 ---- � ..3.6"...yellow --- sand -and gravel;-1211-tight.white -silt ... .. ................. . . Soil Log Hole No. 2 ....... 4211 sand and gravel; 6.11 --- vi_lt� ................................. ............................................ ­------------_ ----- . ................. Elevation of Water Table, if encountered. (Distance from ground surface) ............... non ............................................. Corrections to control surface water if needed... ............ none ................................................. .............................................. Specify if any removing or grading of topsoil in field area— &M.-V.-to ... 121.1 ... 0f...topaoil-.from ................... ... aver ... drainftald..area ........................................................ Percolation: Test Hole No. I —Average Rate .............. 2.)....Q. .................. (Fall in ininutes/inch-bottom 6" test hole) Test Hole No. 2—Average Rate ............. 3f.4 ............................... .... (Fall iff minutes/ ottorn 6" test hole) Test Hole No. 3 —Average Rate ............. 24.0_ ........... ........ ... . ....... (Fall in in nlh- test hole) 4�4 -Qj� WAs . ... ......... .. Average percolation rate on which to base drain field desgn ...... 10-25."fi5_ rT" Septic tank requirements based on present rules and regulations: 'k, W _j Septic Tank Size .... ............. ..gallons. Amount of Square Feet of Di osal �Field . . . 300 00 "W" . . .................. Desi .. ... .. . D_ 6 ri Signature igner ...... . ... ... 4 .... . .... .................... ........... I DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued date) ................. ..... _ ............. Permit Number ---------- ................ Remarks:..��. ... f_it- .......... "-e . ................. .................. ----------- ... . . Z ... . ......... / . .............................................. Ao 17 I -Z/ a /-1-6) L--"GEND GAL. c-,EPTI(-- TANK MIN. F1 T 0 N BO X G LINE (41") C -, 's-r -Ot L-)'�RZECT!CN C� 7/ -Ile -d eel. 1.e: -- e5:55�1 e,7 LEONARD 1, SCH.RO921ER Civil Enginew &Land Surva-for L-i:-.d F--odivision & Utilities Perc-Ant;on Tests & Structural Design i5622 Maplawlid S. W. Sea'�tle; Washington Y8166 CH 2—.5621 Dete RECEIPT FOR CERTIFIED MAI L.30�. (plus. postage) R ARK SENT TO (Y) S'REET AND -NO. 0 L(l) P.O., STATE AND ZIP CODE C2) OPTIO41L SERVICff FOR Ab ONAL FEES —�I. Shows to whom and ame aulivuruu RETURN , With delivery to addressee only 650 RECEIPT 2. Shows to whom, date and where delhiered 350 SERVICE With delivery to addressee only ............ 850 —'6—ELIVER—fO —ADDRESSEE ONLY .. - - - .. - =� SPECIAL DELIVERY (extra fee requi red) - PS Form 3800 NO INSURANCE' COVERAGE PROVIDED— (Sao other side) * GPO: 1970 0.397-455 Ap 1971 NOT FOR MERNATIONAL MAIL CD z 7-30� (plus, postage)"' RECEIPT FOR CERTIFIP-MNk, P-1 4 18-04 100 , * ORI)AT Q'I HICKS, HUNTER E_ W. APR 20024 80TH AVE. EDMONDS, WASHINGI'ON 0-, 98020 10 V OPTIONAL SER CES FOR ADDITIONAL FEES ham and date de 1 Shows livered ............ 150 RETU - With delivery. to.ad,dressee only 650 I �T 2. 'She t whom, date an i 850 RE IP d where delivered 350 W' to only SERV W h delivery to addressee_ .... NS ' — I 50d At EE ONLY .... . ...... ............. 50d red) I .................... Form NO INSURANCE cuvERAGE PROVIDED— (See other side) PS 3800 * GPO: 19700-397,4116 Apr. 1971 NOT FOR INTERNATIONAL MAIL > Pi c�-0 �:E M cn Ej rl ID ty, ji ;% Z" - . % ..rn;t W Jr rn M,;D! a ic) �70 M N.- rq c 14: =5— n X. �7 rMn a: jTJ Mr X�l rn'. CL__ CD jP;�� G: �0 (n t.- .7-5 cr M (D X M.r 7 A