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20114 88TH AVE W
CLAIM FOR DAMAGES
VOTICE t C E � W I ED
STREET FILE F REC;
Claim MUST be filed with City Clerk and presented to the CitZ�vpcou-n�c_a:vVj 1975
within 120 days from the date that the damage occurred or Met 4QTj1ffM0NDS
was sustained. BY.__ . .......
CITY CLERK
TO THE CITY COUNCIL OF THE,' CITY OF.EDMONDSs
PLEASE TAKE NOTICE9 CLAIMANT9
(if married ive both wife and husband's name)
91
WHO N OW RESIDES AT___;-)01(4
(state present actual address by- street, number & city)
.AND WHO FOR SIX MONTHS LAST PAST HAS RESIDED AT
-(Give residence by street, number and city)
CLAIMS D0AGES OF AND FROM Tlii� CITY OF EDMONDS IN THE SUM OF
D0
arising out of the following circumstanceBI
Describe defoct, giving "-Aat-� G",
DATE and TIME injury or 11)I
damage occurred; PLACE -Z- 0 1 1 -6
and full particulars.
Accurately locate and
describe defects cau3-
ing injury or damage
and all acts of negli-
gence claimed.
O—L,
Accurately describe u,14
injuries or damage.
State items of damage
claimed. Itemize all
expenses and losses.
(Claim must be sworn to by claimant)
(Sign�ture-of Cl`-�dmant)
SUBSCRIBED and SWORN TO 0.
before me this-aC!5 day f
Notary Public in ar4:�c
Washington, residing at "e
June 30, 197S
MM FOR RECORD.
Subject: Claim -for Damages - Phoenix O'Toole
On June 26P 1975) Mr. Joe Schwah., an adjuster for our Insurance
Company, inquired about the attached Claim for Damages.
I advised him that we did not have City forces working in this
area when the excessive pressure was noticed. However, DiOrio
Construction was in the process of making a main line tie-in at this
time. Therefore., they could have either opened the main line valve
too fast or opened the wrong valve. After we received calls regarding
pressure problems and dispatched our Special Assistant to the area,
the pressure was normal. Consequently, DiOrio's work might have been
the cause of the damages, although we cannot be sure.
JBM: j t
Attachment
ow
^TREET FILE
June 4, 1973
Mr. P. 0 1 Toole
20114 88th Avenue West
Edmonds, Washington 28020
SUBJECT: Replacement Of SWP" Comers
Y-
Dear Mr. O'Toole:
DUO to the time lapse between the sower installation
and your request for replacement of the survey monuments, we
will not be able to have a survey crew reinstall the property
corners . However, we will be able to install approximatc,.,,;
corner stakes if YOU can locate the remaining property corners
so we can use them as a reference point.
The attached sketch explains the informetion needed.
Tf you can locate these corners, plane give us a call and we
will come out to set the missing stakes.
Yours very truly,
ciTY or EDMONDS
RIICHARD H. ALLEN
Assistant City Engineer
RHA.-mir
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CONTINENTAL ENQw
INE"O CO`
7 '404t"7
APPLICATION
for
'REET F SIDIS SEWM MUM
lho City of lldmoMe I ILE
NEW CONSTRUCTION REPAIRS C]
EASEMMNT No.
!l0j
Ovafm .4- ..................... CONTRACTOR PEMUT No
.......................................... .......
ADDRESS --- OT No . .. . . . .. .................. BLOCK No . ............................................
f.46ilowl LEGAL DESCRIPTION: LOT No.
NAME OF ADDITION X, e ........ /
.............................. . ...........................
K.
Ij
10
Approved:
A*PRO
ED
N OV 311969
N
DATE ---------------
i
NOTICE:
' . N ---W'ar.r a My ... o . a, Y.
o ation'shown on the attached
Theinform
e by the CitY Of
map(s) was compiled for us
Edmonds/ its Employees and Consultants.
Th,..e City of Edmonds does not warrant the
t these
accuracy of anything set for, h on .
rnap(s�. An . y person or entity,requesting a
copy should conduct an independent
inquiry regarding th8 inform-ation shown on
7_th-iE� -map(s), including, but not I * imited to,
er stub shown, Suc
the lotation of any sew
sewer stubs may or may, not e.xist. and may
at the location shown
or may not exist
of Edmonds nor its
Neither the City
empl-o-yee-s o-r office-rs -shall be 1--ia-b-1--e for the
information given* on this map(5), nor for
any one representation provided based
upon . said.map(s).
CITY OF EDMONDS
CIV)IC CENTER — WATER -SEWER DEPARTMENT Can PBosPftt 6-1107 when wor*
18 ready for inspection. (No Inspec-
SIDESEWER PERMIT 'tons Saturday, Sunday or holidays.) N2 351-3
ADDRESS ........................ 20114 - 88th Avenue West
....................................... ......................................................... . .............................................................................
OWNER .............. Q,. Toole
.................................................................. CONTRACTOR ......... �,_yRp!�qqA Sewer
.................................................
Permission is granted jg-QMeMb�g.r --- 4 ----------- -, 19 ..... APfor ........................ 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. 2—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 an the main sewer or its appur-
tenances except to insert the pipe into the wye.
City of Edmo4
e%qr City Engineer's Office
REET FILE
COMPLAINT REPORT
Report No.
Referred to for Action- gn, Wbaltay- Anat- Pub- Works Dir, Time , Date 9/26/69
Received By jj,, r,nway T)m Date
Ajqnt_� City Engineer(thru Rhonda) Time 2:15 9/18/69
Made By Mra- ()ITnnlg Address 20114 - 88th Ave, W. Tel. 774-1515
How Received: Letter x Telephone In Person
Nature of Complaint: Grader removed gravel ridge in front of driveway. They replaced
it with loose material. The new ditch needs opening up on outlet end, Outlet of
ditch needs to be lowered. Driveway needs raised asphalt section in front to divert
run-off into ditch.
Describe Action Completed:
I
a
Time Date of�—jg�' Completed By
Location Sketch:
r e
7' / ��7 r
r; re. m
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
ADDRESS OF PROPERTY ....... Aal.Z�� ........ .................... Lot No ....................... Permit No ......
Owner. ......... Address __Z.0. _1a.X ..... .......... Phone ........................
Builder-141n, .... a ... . ...... ........ Address ........................ ................ .......................... Phone ........ ................
Designer.. &4--l- �ZV� .... .. Address- Phone .........................
A
K _. f, ? '�
............ ................................................. ..... Phone ..............
Installer.. ... 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 sewage disposal system permit application dated ................
. ...... I .... ......... ....................... have been complied with.
Accepted ......
Not Accepte(
Signature of
;7C
....... . .................. . ............................. 71 -!--1 ..........
Signature of D-irrmy D��e
TO BE FILLED IN BY CITY ENGINEER ONLY
.1 .......... Date.
J-17
f
............ Date. ........
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 (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 liarin the action of the septic tank and
disposal field.
r7
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds' 'Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in 1'riplicate
XDDRESS OF PROPERTY ..... ........ ................. Lo t No ....................... Permit No,.... .....
Owner,
.......... Phone .... ....... ...........
....... ... . Address.. ......... ........... ......... - ........... .... Phone ........................
Designer 0,4141.,(1j4;1�1___.;4 Address- _X4. .. Phone ........................
Installer. Address.. .................. ...... ... .................... ____ ----- Phone ........................
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 sewage disposal system per I mit application dated...... ... ......
.... .. ........ have been complied with.
............
........................... .........
Sionaturs ot D
T TO BE FILLED IN BY CITY ENGINEER, ONLY
0 BE
.......... . .......... .... ........... .....
Accepted...... ....................... Date
NotAccepted .. ... ..... .......... .......................... Date .......... ............ ......
Signature of Sanitarian..... ... ........ . ............ __ ......... ....... ...........
Remarks:....... ... I .......................................
................... . .................................................................. .................... ..........
INStkUICTIONS: Use the reverse side of this form for the drawing, Use a scale which will permit the greatest
detail and still' contain ihe 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 (2!/2-3 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.
3. Detergents and bleaches used in normal household quantities, will not harin the action of the septic tank and
disposal field.
11. lz_ ol
0
0
--. JV
fe'eamer 2,41WI
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
I -----
Permit to be issued to:...
For installation ........
.2..:treet address) ... 2... OvY -------- — . ..... ........ .........................
............ ......
Aadition or Subdivision ....... ........... Lot Block ................
Type of Building: New ... ���xisting_ ......... Single family residence Number of bedrooms 3 - -------
Other: (specify type or use) .......................................................................................................... : ................. I .............................
Builder ........ f6,64IF-7 -------- I—IM_'��IV -------- .................... Address .... 2— _a. 0-..,Y .....
Designer- . ....................... Address ..... XeAc..� J__ /W - &—sz,
Soil Log Hole No. 1 ............ .................... .......
SoilLog Hole No. 2 -------_----- ........ ........ ..................................... ..................................... ..................................................
...................... ................................ ........................................................................................ ............... ...................................
Elevation of Water Table, if encountered. (Distance from ground surface) ...... _ 4141* ... ........................................
Corrections to control surface water if needed ................. /Olyo ............................................................................................
................................ ................................................................................................................ ................................ ......................
Specify if any removing -or grading of topsoil in field area.... ....... .. .....................
.......................................................................................................................................................................................................
Percolation:
Test Hole No. I —Average Rate .... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 2—Average Rate_. -1.6. A--v . ........ (Fall in iiiinutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate ... 3.0... ------ A-P -- - ------- (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../40_0 ............ gallons.
Amount of Square Feet of Disposal Field. .... Z—S.O.
7 0
Signature — Designer ... .... ...... ........ Date._
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) .............. ..... I ............. Permit Number ..... ...................
Remarks: ... .4-r-) ...... All
Z..............
d" .......
. .......... .. .. ......... ..... 7
�o . ............ . .. .....
e,
0
Septic Tank .......... ---- PIS.
Disp. - Field ------- ft.
Other
SEWAGE DISPOSAL PERMIT
CITY OF EDMONDS
Department of Public Works
No . ...... 11f
-----------------------
Name -----------
---------- -------- . ................... -------------------------------------------------- is hereby authorized to install/
repair sewage disposal system at
0 --------- .................................................................
-------------- ------ --------------------------- ............. -------- ------------------
V_
Date issued on-... ------------
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 .... 7 --------------------------
Approved Disapproved Date ----- By --------- ---------------
--------------- ----------------------- ..................... ; .... .... 6 .........
Remarks:_ ...... I ..........
SANITARIANOR DESIGNER ----------------------_- --------------- ------------------------------------- Date ----------------------------------------------------------
This pern-dt shall be posted in a reasonably consp . icuous place on the job untif inspection has been completed.
W
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: .... Afigz,�V'l . .... . ...................... .......
For installation at: (street address) ----_------_-
..................................
Addition or Subdivision .............. ........................................ . ...................... ...... ..... Lot.. ...... ....... Block.. ..............
Type of Building: New_ ... �<Existing ......... .. Single family residence _40 ....... Number of'bedrooms ..... -3
Other: (specify type or use) .............. ...................... ---------- .......... ........................................................... .................................
11e7 )
B u i I d e r.... ........ ��e ..
r ... ---------- --------------- .. Address ..... 2 -0 X- - — - - -
Designer. lel-14611- JA_J_/Z4 ..... -------------- Address. 2._e_V.,V ........ 5.Y. - X.P:....
SoilLog Hole No. 1 .................... ....... ____ ------------------
--------------------------------------------------------------------------------------------------- .................... I .................................. I ........ .................................
SoilLog Hole No. 2 ....................... _ ...... __ ................................................................. .......................................................
........................................................................................................................................................................................... ..............
Elevation of Water Table, if encountered. (Distance from ground surface) ........ //14 //4�� ...............................................
Corrections to control surface water if needed ....... ..............................................................................................
Specify if any removing or grading of topsoil in field area ............ .............................. ..... ......................... ......................
...................................................................................................................... ...................................................................................
Percolation:
Test Hole No. I —Average (Fall in ininutes/inch-bottom 6" test hole)
-bottom 6" test hole)
Test Hole No. 2 —Average Rate. .... ............... / . ................. ..... (Fall in minutes/inch
Test Hole No. 3—Average Rate... .............................. ........... .. .5..Oali-'-,iirf-mtinutes/inch-bottoni 6" tT91 e)
Average percolation rate on which to base drain field design -------- Date Taken .......................
Septic tank requirements based on present rules and regulations:
Septic Tank Size_/�AQ ... ....... gallons.
Amount of Square Feet of Disposal
............ ................ . Date...
ner.40 — -- - ----------- -------
Signature — Desig ........
11
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) .............. �p .. ... 3. �. - �/ ................. Permit Number ......... If ........................
Remarks: .................. _ ......................... ............................... ............... _ _------------- _ ................... ......... _ ............... .................