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20210 81ST AVE W.PDF111111111111 7387 20210 81 ST AVE W NOTICE: Wo -w-a rra-n-t-y-of--accu 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 �Edm.qnds does not warrant the accuracy of anything set forth on these rnap(�-). Any person or entity'requesting a copy should conduct an independent inquiry regarding the information shoWn on tFfe -map(s), including, but not limited to, th I e location of any sewer stub shown. Such sewer stubs may or may'no t exist and may or may not exist at the location shown. Neither the City of Edmonds nor its ernp-l-o-yee-s o-r office-rs -sh-a-11'I be Hia-b-]--e for the information given on this map(s), nor for any one representation provided based upon said map(s). The City of Edmonds APPLICATION for SEDE SEWER PERMIT LEO NEW CONSTRUCTION 8-' REPAIRS n JYNN PLANIT 10`17 No. .......................................... 4, IV OWNER ........ .... .... 4? .. ..... ............... CONTRACTOR ....... C-4n.-L� ........ .................... PERMIT No. ......... .... ...... ADDRESS .... /.0 .......... ...................... LEGAL DESCRIPTION: LOT No . ............................................. BLOCK No . ............................................ NAME OF ADDITION . ... ..... .. F-1 a* Approved: DATEJ ...... 1.42 ..... !� .......... BY . . .................................................. CITY OF EDMONDS CIYIC CENTER — WATER -SEWER DEPARTMENT SIDE SEWER PERMIT. CaJI PROSPect 6-1107 when work Is ready jor Ahspection. (No Inspec- lkyo tiOns Saturday, Sunday- or holidays.) 'A - 2228 ADDRESS ....................... ZQ2.1 ............................................................ .................................................... OWNER ..... Rir_hard..A....FaLt.te.r5_o.n ................................... CONTRACTOR ..... n 00) ........................... Permission is granted ...... ......... 19 ......... for ........................ days to REPAIR or CONNECT a side sewer With CUY 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 perm1t. 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 shaxper than % will be permitted. .NO,.,4o. 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 on the main sewer or Its appur- tenances except to insert the pipe Into the wye. 0 I STREETSIFJIMM DISTRICT Division of Sanitation 301.1 Rockefeller Ave.,, -ALpine 9-2o6l Permit No.— Everett., WadAngton Date APPLICATION FOR ]�MM To IN. -,TALL OR RECQMTRUCT MAGE DISPOM FACILIMS Name _Addrear Address 6f 'F;r4odl/e� ite :Vz Legal De8Crip ion: J�t_ 2ZI Block Addition '(f Type of use L No. of bedrooms Lot size — Septic tank Capacity___f!2C) gallons. Disposal field length___����� Sanitwisn's Sketch: Remarks: Date Inspected by —Installer Approval.Malled to Date Rec. #_ SNOHOMISH HEALTH DISTRICT 3011 Rockefeller Ave. 0 $5.00 fee for permit Everett, Washington Phone ALpine 9-2061 LOT APPROVAL SHEET NAME ADDRESS ADDRESS OF PROPOSED BUIMING LEGAL DESCRIPTION: LOT BLOCK ADDITION, TYPE OF USE NO. OF BEDROOMS 2 SIZE OF LOT 4, S_ -"< 13 0 SOLRCE OF DRINKING WATER: PUBLIC SUPPLY ­4 PRIVATE WELL A. SURFACE DRAIMOE 1. Is disposal field site well drained? 2. Any water course (stream, drainage drich., 6tc.) through site? B. TOPOGRAPHY 1. Any heavy slopes in field area? 2. Will present topsoil in field area be removed or graded before field tiles are installed? 0 3. Will any fill material be used in the disposal field site? —,,o If yes, how much— C. SOIL CONDITIONS 1. Has a hole at least 4 feet deep been dug in the disposal field area to determine the type of soil present? 2. After hole is dug record the dbil conditions at the following depths# (Record as sand, gravel, cky., packed sand., loam., etc.) 12 inches 30 inches 18 inches 36 inches 24 inches 48 inches 4. Any ground water encountered before reaching a depth of 4 feet?,,., so at �..Jf what depth? D. WATER TEST A simple water test will show haw well this soil will drain or percolate water. To perform this test: 1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger -- size of hole mak a no difference --only depth. 2. Fill hole with water. Now let all water run out of hole. This soaks the ground and will give a more accurate reading. 3. Again pour water in hole to a height of 12 inches from the bottom. Let water run out until there is just 6 inches from bottom left in hole. 4. Note how many minutes it takes for this last 6 inches to seep away. Record the time. Nunber of minutes for last 6 inches to seep away 5. Divide this time by 6 to obtain the rate per inch. 7 6. Date water test was performed. I hereby certify the above information to be correct and the above tests' were per- formed by me as prescribed. Signed a, - Addr e a s F / W , NOTE: A septic tank permit is issued on the basis of the above information. If thexc are any changes or alterations in the above stated soil conditions it may result in - the insta3_1_atlon b,,etng rp-Sected at the time of inspection. It- 1-1 1-4 0 0 Permit No.— q_3 �A' SHOHOMH I ro '%'&'ETF1Lr. Division of San 3011 Rockefeller Av ne 9�Ll Everett., Washington Date AppL3:CATION FOR pM= To INSTALL OR RECgMTRUCT_ SWAGE DISPOSAL FACUMES Name (?,LAL4,� OL. J L,.4-A� Address -7 - Address of Proposid site a 4/-.- Legal Description: -Lot Block Addition Type of use No. of bedrooms —Lot size Septic tank Capacity___f 0 '0 gallons. Disposal field length. Remarks: Date Inspected by —Installer .. Approval.Malled to, Rec. # 45.00 fee for permit SNOHOMISH HEALTH DISTRICT 3011 Rockefeller Ave.p Everett, Washington LOT APPROVAL SHEET 0 Phone ALpine 9-2061 NAME ADDRESS W ADDRESS OF PROPOSED BUMING 9 LEGAL DESCRIPTION: LOT BIDCK ADDITION TYPE OF USE NO. OF BEDROOMS SIZE OF LOT SOU1RCE OF DRINKING WATER: PUBLIC SUPPLY PRIVATE WELL A. SURFACE MLAINAGE 1. Is disposal field site well drained? 11� 2. Any water course (stream, drainage ditch,"Jetc.) through site? o-o" B. TOPOGRAPHY 1. Any heavy slopes in field area? 007-kA 2. Will present topsoil in field area be removed or graded before field tiles are installed? -,I-" 3. Will any fill material be used in the disposal field site?evL4.If yes., how much— C. SOIL CONDITIONS 1. Has a hole at least 4 feet deep been dug in the disposal field area to determine the type of soil present? �14� 2. After hole is dug record the s6il conditions i;t- the following depths. (Record as sand, gravel, clay, packed sandp loam., etc.) 12 inches 30 inches _Qe%d� 18 inches 3b Inches U 24 inches 48 inches 4. Any ground water encountered before reaching a depM_0_f_T_feet?-KAIf so at what depth? D. WATER TEST A simple water test will show how well this soil will drain or percolate water. To perform this test: 1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger -- size of hole makes no difference --only depth. 2. Fill hole with water. Now let all water run out of hole. This -soaks the ground and will give a more accurate reading. 3. Again pour water in hole to a height of 12 inches from the bottom. Let water run out until there is just 6 inches from bottom left in hole.. 4. Note how many minutes it takes for this last 6 inches to seep away. Ll Record the time. Number of minutes for last 6 inches to seep away__Z,�__ 5. Divide this time by 6 to obtain the rate per inch. '7 6. Date water test was performed. I hereby certify the above information to be correct and the above tests were per- formed by me as prescribed. Signed 4, Addre a s ei W NOTE: A septic tank permit is issued on the basis of the above information. If Se�� are any changes or alterations in the above stated soil conditions it may result id the instal-lat.ian. belng re-Sected. at the time of inspection.