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20035 84TH AVE W.PDF111111111111 7882 20035 84TH AVE W NOTICE: -N-la-warrantv o The information 'shown on the attached I map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. Th.�e City of �Edrn.qnds does not. wa rra nt the accuracy of anything set forth on these rnap(�_). Any person or entity -requesting a copy should conduct an Independent inquiry regarding the inform-ation shown on _tFe -map(s), including, but not I'mited to, th-e lociation of any sewer stub shown. Such sewer stubs may or may, not exist and may or may not exist at the location shown. o nor its ,-';ty of Er%,Aim nds, Neither the I a. b-'Fe f o r t h e emp'i,o*yee's o,r office.rs -sh-a-11-1 be V` information given on this map(s), nor for esentation provided based anyone repr - - upon . said map(s). FILF APPLICATION EDMOND$ ummmlmm� for TREATMENT PLANT The City of Edmondw SIDE SEWER PERMIT EASE I NT No . .......................................... NEW CONSTRUCTION 21", REPAIRS OWNER;.��.-f ...... ............. ........... ADDRESS 29:20.&_5 ...... . ..... ......... �;�- ....................... 4� a. 0 -J;.&�PERMIT No. ............ .. CONTRACTOR/.�07. --- - ... /.�� LEGAL DESCRIPTION: LOT No,�� ..... .? ........................ BLOCK No. ZZ-A� - -------------- 17 ........... NAME OF ADDITION .... . .... Z-� x Approved: DATE .......... RECEIVED AUG 10 The City of Edmonds APPLICATION for SEDE SEWER PERMIT NEW 60-NSTRUCTION E] REPAIRS F1 OWNER~100-w ----------------------------- ADDRESS0*wl--.r ... 7�� ... 4w ........ 4.lraw ...................... A� EASEMENT No . .......................................... od ........ O�.. PERMIT No LEGAL DESCRIPTION: LOT No'41.0,-.7 ........................ BLOCK No. A.,; . ............ z .......... NAME OF ADDITION AAo .. 4040" . m.. ...... ...... ;F do-f- C-<,,- Approved: I DATE ................................................ By ........................................ ............................. L IDS ITYOF EOMAON, EPSEWER, PERMIT SO WATER—S EWERDEPARTMEN .,PERMY W" voi6on-l'--oi- C 11, for,,stde, �sev�d�,'I"pections,,,BEFO E covering,any - I . I � �e onj U or' holiday' inspections., �(Mpectl6h will be providid:,withrn, 24"'hours, after. request. Noi�S&i, S n -ES -U .............. ADDR S 'Ll OC ATION OF',Q0NSTR I CTION.' .. .... ......... .......... .......................................... -io i) v1 ot a,j,6s. �E i". � t tdmollcm icres, mo.- . ......... -ROPERTY LEGAL,J)ESCIRIPTION ..... ...... M ................ L ......... ................................... ..... ........... 7 ...... ....... ................... ........................... ....... ................................... ....... .............................. ............................... . .... .......... ............................. ........................... .. ... ... .............. ............................ vs—, -Ted S. IS' ... ......... .................................. ; ......................... OA"ER AND/ORSUILDER...: ............................ ......................... ...... ...... ................. . ......... .. NOR,rit E14D s 2 10, tti S t r, �CONTRACTOR',& MAME'�& ADDRESS, ............................. EPTIC TA14K - CO- .a ....... ............... .............. ..... ......................... .... ....... ......................... 77­.... fo'r­reP'4irAhd Vor .fdonftedifionoofta, side'sewer,to'41lie,city, .9anitat!'y/ sewer, Permission) Is,g)ranted ........................... o ........ .......... systern 1w accordance With �City of Edmonds ordinances. ATTENTION IS:,CALLED� TO THE FOLLOWING':' TJ�TE No� T--�The� ners:,of the property,may obtain ti p . emit to construct sewer inside, propertylinc.' j�, licensed, Side'Sewer Co'ntracieor,must be 6mployed� to construct ow side sewer in street area. Do.not *cover any, portion of s�wer before it*,has,been inspected-. A� No,. 2�­All! wor�, performed,,in icity right-o+f-way requires an Inva sion of' Right, of -Way, P�imlt obiainable frorn.th& City"'.9rigineer"s of f ice. NOT9 No� 3--Obtain fulli-information -regarding, Ordinance,1T.16.030 apd':Regulations, governing Iside sewers'wh�ni'yowtgft, permi.t: lincajid,42 inche iruiidc� pro'p'prty line'; minlmunf- grade of 2%., No. bends, iri, grade NOTE, No:`4—T6p,!ofs1dej,!s must hELve'atleiLst- 30 inches-coverege,,at property . ewer, sharper than.,1A 'will be permitted. NOTE- No. 5—Trenches in . street must -be water settled and 'surf ace of street restored- to original'conditiom �Contractors shall; be. -responsible for failure due, to, Improper work which may develop within one year of completion. NOTE- No. 6--It is unlawful' to diter or do any. other work AhanA s provided,. for- lr�. the' permit, or, to do-ia . ny. work' off, the main 'sewer or it I s, . appur . tenan cm excepi 't I o.-In. sort the pipe into the wye. 7, DISAPPROVEDFj: 'Date ... . ............... ................... . By.: ............... Date .................... V­ ............. gy ................ Date'..; .......................... ..... Iffy, ................ MY Date ............... ..... . . ...................................................... ... .. .. ......... . ...... ........ ............ ATPROV ............ ..... ........................... ....... ................ ........................................................ Remarks:. ................................................... ...... :� .......... ..................... . ...... .............. ......... . ......... ..................... ........... .......... . ..................................... I ...... ......................... . ....................... : ....... les Be Sigif�d� By,6kiler,"bf Firm'Perforiiiihg.,Coiisft-ruction, PRIOR To,,Request,!For.Inspedfon� 'ST 0 BOT it d ndir -this, permit, .'h6reby �cdrtifytfi constiucte (u ............ ....... ... ................. .. t reel Prf.'A�ing Cciistiuctloln,)7_ 7�.e of C.nt I n, 'or inalic was. lnstalle6 in accordance with -all gpverfiing,��`__'di es!.Tof. lihd Cftyl- of,'Edmondg';' 1)afe&',this .... .. ..... ............ "of, ................. .............. .................... 19t ......... -Sewer� -Other �E] (Cheek,-BEFORK you� dig, -for': -E], X C) City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. I Al_ Issue Date: -E . T FILE A. Address or Vicinity of Construction: - 20035 84 AV W (9415613) B. Type of Work (be specific): Tristall New SarVinp --0 C. Contractor: Washingboa Natural Gas Company Contact: Frank Swan Mailing Address: 815 Mercer St. Segift, Phone: 224-2278 State License #: Liability Insurance: -- - Bond:$ D. Building Permit # (if applicable): Side Sewer Permit #(if applicable): E. n Commercial E] Subdivision 0 Multi -Family E] Single Family INSPECTOR: El City Project N Utility (PUD, GTE, ViNG, CABLE, WATER) E Other INSPECTOR: F. Pavement or Concrete Cut : F-1 Yesel"01314o) . G. Size of Cut: — x — H. Chargq�_$ APPLICANT TO READ A IGN INDEMNITY.- Applicant understands and by his signature to this application, agrees, t a the City ofEdmonds harm i; ,damages, or i claims of any kind or description whatsoever, foreseen or unforeseen, that may be against the City of Edmonds!, fr-Z6o� t epartments or i employees, including or not limited to the defense of any legalproceedings includingdefe e cos�ts, and attorney fees by reason ofgranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE, OF THE WORK ESTIMATED RESTORATION tW�§)_VILL BE HELD UNTIL TIfE FINA� ST EET PATCH QED FOR ISSUANi�-E T�rfH-16-APPL T. IS COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBITOR CREDIT WILL BEPR06E,� Construction dr ' awing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City rggulations as required byth&City Eng'ineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the above statements and understand thepermit requirements and thepink copyof thepermit willbe available on site at all ti s*r inspection purposes. Signature: Date: April 18, 1994 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED': VOID AFTER FA rL DAYS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: RESTORATION FEE: oc QEJRMIT-FEE: TOTAL FEE. COMMENTS: RECEIPT FEE: P �6 DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. I)iv. 1991 FIELD INSPECTION NOTES Comments: Diagram.: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund 111 - Route copy to Street Dept.) El YES Date: Date: El NO A on Nahx-u Gas Addendum to City of Edmonds Right of Way Permit Applicaiion Submitted by: MITCHELL S.-LANKFORD Engineering Aide Washington Natural Gas # -, .52'1-*5246 Kt/A 1-.TNG. to window yAtprxnain depth Lu �n o� gas main — I - :�; —I C�;Vk) - \4A Key: -w- water -g- gas -ss- sewer -&- watex hyc1rant 0 . watc. -.- valve ?15 ,icrcc:c St. 0 '.). I: z, 18"Y)- Sc4tt)-, 'WA S 1111 %'206) 6-22--'767 CA FILE NO - Critical -Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1'. Site AddressALocation: j 2. Property.Tax Account Number: 43, �6 .4 3. Approximate Site Size (acres or square feet): A 4. Is this site currently developed? —_yes; _Lelno. If yes; how is site developed?_ 5. Describe the general site topogriphy. CheA'all that apply. Flat. less than 5-feet, elevation change over entire site. Rolling:' slopes,on site generally Iess than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). r1w Hilly: slopes present on site of 010re than 15% and less thaii 30% ( avertical f 10 eet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a .,horizontal distance of.l.ess than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water. -0 Approx. Depth: 7. Site coniams, areas of seasonal standing water Approx. Depth: 4. What season(s) of the yeaO '�J `� of a water course. 8. Site is in the floodway �., 4 0 floodplain 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? (What time of year? 10. Site is primarily: forested ,,A'eadow _;shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wedand is present on site: 0z 0.0 Q-3 (:nc algo -,194 City of Edmonds Critical Areas-Ch S 17he Critical Areas Checklistco4ainid-o'e", ' -asidii�6'm*i,t,i,t-io�'the&ity. this form is to be filled out by any personl,r-;- "ji., r. review. the checklist,,inakea:06"�Y-site preparing a Development Permit �" r�c5visi�'and rhalo64 determination of the Application for the City of Edmonds,prior .11�.subsequent. steps necessary.tolcompjiq�p a-. to his/her submittal of a development - i,,� -i-development permit application. permit to.the City- '��th a sipo`�qpy, OQhis the�'� The purpose of the Checklist is to enable applicant should also submit a vicinity map City staff to determine whether any-- plot plan,for individual lots'bf theparcel potential Critical Areas are or- may be - - -with enough detail that City staff can find preseq�qn.;he subject property. -Tbe�­­ -,!�andidentify the -subject pafcel(sY.F-!1d! -144- information needed to.complete the :�44itiqnl..thegpplicant shall include�,,� Checklist should be easily available from other pertinent infonmation (e.g. sitik, observations of the site or data available at - ---.plam6.topographinia"'i;j��"�o-e-i"d&iii-M- pf City Hall (Critical Areas inventories; maps,.. coqjundion with.Wks,Chec1disi to is" or soil surveys). staff in completing their prelindnary-,,�j?, assessment of the eite. An applicant, or his/her representative, must fill out the checklist, sign and date it, I have completed the attached Critical Area, Checklist and attest that the answers provided are"' ­ factual, to the best of my knowledge (fill out the appropriate column below).* 'I 0 Owner Applicant: Appricant Representafive: Name Name C;C> Street Address Street Address City, State, ZIP city, state, ZIP Phone Signature Date Signature Date AMR" fry GTHEET FILE CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) .' Y & .. . ... 4J. ADDRESS OF'PROPERTY .................. -?.Jaj0 ----- - ­ . - L.t N . ........ S3 ......... Permit No..4;Z ........ Owner. ..... .. J.W.-.? .... . Address ....... Phone.: ...................... Builder.. ------ ------ ---- ------------------ ............... Address. ------ ................ .. .................................. Phone ........................ Designer... 7��Iel y ........ ---------- Address.. ............................................... .................. Phone ............ ........... IV................... Address ... ................................................................ Phone ........................ Installer. ................................................ 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 ................ . ....... .. 'PI-2.,116Z ......... .... have been complied with. ------- .. * .......... * .. .......... * ............ ------------ slat-'re"W Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted ............... ....... .... Date .. ..... F ... 915— . � - ! 10 ---- /16LIC Not Accepted .......... .... ..Date .... _ ............. Signatureof ..... .... ....... .. .... - .. ........................ ........ Remarks: ... .............................. LEIF R. LARSO .--.P E ...... .......................... .................... ­N ..... q ........................................................................... EDMONDS CITY ENGINEER ............................................................................ ................... I ... ....... .............................................................................................. INSTRUCTIONS: Use the reverse side of this form fox, 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 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 liarin the action of the septic tank and disposal field. CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Subinit in Triplicate) ADDRESSOF PROPERTY ..................... ..................................... ................................ Lot No ....................... Permit No .................. Owner.... Address ........ ............ ............ I ............. Phone ........................ Builder.. ...... .. . Address__ ............. .... ....... ........ _ ......................... Phone ................. ...... Designer... ... .... Address .... . ....... .......... .......................... Phone ........................ Installer.................................................... ............ .- Address ...................... .... ..... .......... _ ..................... Phone ...... _ ................ I hereby certify tile accompanying drawing is an aMlratC 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 ................ . ...... I .... ..... ..... ; ... ................. have been complied with. .......................... I ........... ...... ................................................................................... Signature of Designer Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted...... ......... _4 . . .... ............... ............ Date.. ....... Not Accepted. Date . ................... Signature of Sanitarian.. ... ..... .. ... .. ... ............ r Remarks: ...... ............................. .................... .... ......... .......... ........................................................................................ EOM01\1DS CITY ;-.NGINEER ............................. ............... .......................................................................... ............................................. .................................... INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit tile 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 (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 harin the action of the septic tank and disposal field. 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: ... lr� .... ........... .............. ...... ........... For installation at: (street address) ... ............ Addition or Subdivision­c!�. 1121PA16114'e... / _'17 ...................... .. Lot: ..... Block,/)Jje Type of Building: New ..... Existing.... ----- _ Single famil), residence Number of bedrooms . ....... Other: (specify type or use) ----- Builder- ..................................... Address ... /I O.-VIC 4Q� - W ........................ A A/ Designer.... ....... _ ..... ..................................................... ............ Address. --- ........................................................................... ....... Soil Log Hole No. 1 ....... ......... /A 4 vtjf, t:'414 d V M SoilLog Hole No. 2 .............. --------- A.* .......... 4_41��.tww ............................. ....................................................... Elevation of Water Table, if encountered. (Distance from ground surface) ............ H.P..We ......................................... Corrections to control surface water if needed -------- -------- 14 WA 7 ....... ....... -5.. e . ............................ ......................................... ................................................................ ........................................ ............................... ; ................... Specify if any removing or grading of topsoil in field area ... kvycb.K.? .......... 0." C-�. (7 ............... V.edy ...... .............................................................................................................................................. ........................................................... Percolation: �s MOO- Milk* V i CA -bottom 6" test hole) Test Hole No. I —Average Rate. ........ #�. ............ ?� ..... . (Fall in minutes/inch 3pull- - t.".t Test Hole No. 2—Average Rate ........ ��5 Pk . ..... ..... (Fall in ininutes/inch-bottorn 6" test hole) pt i '�c ...................... Test Hole No. 3 —Average Rate 16114111 ......... P. � '*.. � ... lkt.k ...... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ..... #,-.7 ... I - L4 - C _4- Date Taken --- Septic tank requirements based on present rules and regulations: Septic Tank Size .... 4!0'0� ... gallons. I a � SOO Amount of Square Feet of Disposal Field.,-, -----------­-­ - ---- . ...... Signature — Designer... .... ...... ----------- _ ................ Date ..... ..... * ............ I DO NOT WRITE BELOW T46S LINE (To be completed by Issuing Agency) Permit issued (date) ....... ............... �7.t .. T-n ... .............. Permit Number ......... ................... Remarks: .. ... ... ..... . . ..... KAIJ L,/). e, . I I bit LLe-Ral -Descri PL ton L)t V3 Last A c,,; -) nc(:� rg To P _- 'a r 12 & "181 F'Age 66, Recatts Of' CfDxlty, Less 711t3 &ist !St." 71kerec�7 A3 '.'.eai.xred pa�,Bllei E.,, I L511he T)Neveof. /V I- jP07 1-=M-y , W 16 1 M074 gw SEWAGE DISPOSAL PERM, IT Septic Tank ........... f LO ..... gals. CITY OF EDMONDS' No . ...... fe.$$ .4 ......... Disp. Field ............... ......... sq. f t. Department of Public Works Other ....................... ! . ..... ........ ............. Name........................... y ....... ........ . . . . . ............................. is hereb' authorized to install/ repair sewage disposal system at .......... ....... ......... L ... 1.4 ............................ 4 . .......................... .................................................................................... Date issuca on .......... 9. Permit expires one year. rom0date 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 Disapproved Date ................... .................... ... ---------- ........ By ........ ........................................................................... Remarks: 'SANITARIAN OR DESIGNER ................................................................. ............ Date ........................................................... ............. This,permit shall,'be posted in a reasonably conspicuous plac'e.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 _Z'�- Z � ............... ..... For installation at: (street address)_'_..V ..... _->00_3J .... I ................................. ­1 ............. Addition or Subdivision..Z-;��r ... ...................................... Lot..�� .... Block. Type of Building: New --- Existing ......... .. Single family residence ---- Number of bedrooms ....... / .............. Other: (specify type or use) ................................... _ ........ ....... ..................... ........... ........................ ................ ................. Builder --- ;.7e-- "J21./_ e4l? ............................. ...... Address ..... 2.,,o-,,9 A/ Designer.................. . ........ ........... ..... . ... ..... _ ...... _ ..Address . ..... I - --------- I ......... .......... 4rr / // J;OWD"41 Soil Log Hole No. 1 ----- / ---------- & ............ 2_,,0,4 1`7 ­1 .................... SoilLog Hole No. 2 ........ ............ .......................................................................................... ............ ......................................................................................................................................... ................................................... Elevation of Water Table, if encountered. (Distance from ground surface) ..... ............................................. Corrections to control surface water if needed ...... "_)e ............................. ........... ......................................................................................................................... ................. ....................................... ; ...................... Specify if any removing or grading of topsoil in field area../e��e//' y ...... :9'. �- .... ­ � - - - Y. ... ............. ...................................................................... ... ............................................ ................................................................. Percolation: Test Hole No. I —Average Ra (Fall in ininutes/inch-bottom 6" test hole) /V .. .............. -bottom 6" test hole) Test Hole No. 2—Average .............. ..... (Fall in minutes/inch -bottom 6" test hole) Test Hole No. 3 —Average Ra ......... 4711�9w ------ -------- 19 -- ------- (Fall in minutes/inch Average percolation rate on which to base drain field design X7 1121.'�� Date Taken Septic tank requirements based on present rules and regulations: Septic Tank Size --- /,�. ......... gallons. Amount of Square Feet of Dimosal Fleid. ....... . ..... ..... Signature — Designer ..... Date 71t� /�� . . . ....... ................ DO NOT WRITE BELOW MIS LINE (To be completed by Issuing Agency) Permit issued (date) ................. ........................... Permit Number .......... ..................... Remarks: ....................................................................................................................................... _ ............. ................................... 7FI-D J, S/Y /7-74' SGO Lot tf3 Acre Div. ie r e o f Recorjt-i In 66,9 Rec-rds Pr,oze. --easared Less 'Tile EaSt Line Thc;-eaf, /W,v "zorwev ,04 k7, 04 67 /109 /tqr000 Ile 014 74 S-zo