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20323 87TH AVE W.PDFIIIIIIIIIIII 8277 20323 87TH AVE W F1 F CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ADDRESS OF PROPERTY..20323 .. !r --- a7d.� ................................................. Lot No .......... 6 ........... Permit No ...... R57 ........ Owner. Fitzpatrick .......... .. . ....... . . ..... .- AddressFX- D.0X__736.5_-j4RLtt10 ................ Phone ........................ Builder ... ... 11 .. .. .. .. ....... ....... Address It ........ ..... " ................. 0 ........................ Phone ......... .............. Designer1l..B.- Mey-ring. ........ ........ .......... . . _ Address.F.-O.--Box - 32.9 ... la=waod ................ Phone..PR ... 0.-3.10-1 Installer.Lynnwood.-Septio--Tan-k ------------------- Address.. Seattle ... He i g-hts " - - W-a-sh ............. Phone..0.4.774.5 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 .... ........... ..... ... ... . ......... ............. ... have been complied with. 191771:0 6.6 .................... ... ................. ........ ................. 9/9/ Signature Date TO BE FILLED IN BY CITY ENGINEER ONLY Accepted ...... . . ....... .... ....... Date.- ............ / NotAccepted .. .......... ........... . ....... ..... . ate ........................................ . . 11� Signature of Sanitarian ......... ... . ... ............... Remarks:...a ..... . ........... & / " - ...... .... .............. .................................... .......................... ...... ..................................... ....... .................................................................................. 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. W Own* r * Fitzoatrick Box 7365 Seattle, W45"'I. I Installer: Lynnwond Septic 1, Seattle �Heirl-hlll As - built Sketch FITZPATRICK I,ot 6. SlIbon Hei�-hts #2 F,DY")NDS WkST4. S3PT. 1966 Permit No. 25'7 evq--:� ulth an lob 10 36 \0 Designer: M.B. Meyring P.O. BOX32 Lynnwood, Wash. qMjt7/' :5 -77 4�5'0 .5f W. I 41 In NI Ve yr i n g Z�' ur ", y o r s 1 1 n c . &iionds, Waslr.. FR 8-31ul SEWAGE DISPOSAL PERMIT Septic Tank .......... gals. CITY OF EDMONDS No . ...... ...... Disp. Field ......... ........ sq. ft. Department of Public Works Other................................................. Name ...... ......... d1,XJis hereby authorized to install/ sewage disposal system at ................................................ ............. !.Zil: ....... X-e. C-C - ------ ----------------------- ............................................................ Date issued on .................. r: ................................ 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 .................................. Approved[:] Disapproved [-� Date. ............................................................... By ......................................... ........................................ Remarks:.. ... .......................................................................................... ....... -- ---- ................................................................................................ SANITARIANOR DESIGNER .......................................................................... ....... -- .... ..... Date .......................................................... This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. J,-V,,,1.',,--NSEWAGE DISPOSAL PERMIT. Septic Tank ...... ..... gals.— No . ..... ............ CITY OF EDMONDS .......... Disp. Field .... Y.P.(� ............. sq, ft. q o 0� 1. Department of Public Works Other Name ...... ........ ........ .......................... is hereby authorized to install/ repair sewage disposal system at ......... 7 .... ................. ................... ... :F . — ........... ... "--( . . .......... , L -------- ........ Date issued on ................ 40 ... 7::..i2./ . ..................... 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 ...................... ApprovedE] Disapproved F-1 Date ......... ............... I --------------- ----------------------- By .................................................................................. Remarks: ............................................................................. I ............. .... ................................... ....................................................... : .................... SANITARIANOR DESIGNER ......................................................................................... ...... Date .......................................................... This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. To Date 2 /- Q AZ16 i:;� Time WHILE YOU WERE OUT Mr.-S, �Z,;ce, ,,OR. 6 - ? 7 a c, TELEPHONED PLEASE CALL HIM CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH Message —/,w, 6 - -7 /,? ( Adfth.. IWO, ope'ato, No. 68 4, 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: ...... 55 ...... ........ For installation at: (street address) ..... 4.C.,3_Z_3 ... ........... Addition or Subdivision ....................... .......... ........ --- ----- ............... V ..................... ......... ZAV��_ ..... Lot ....... 6.... Block ................ n Type of Building: New ... .... Existing. ........... Single family residence../N . ........ Number of bedrooms .......................... Other: (specify type or use) ............... .......... .......... ........ ................................................. ................. __ ........... ................... ............. _Address ... ....................... __7 ...................... .. ........................... Address..���19 ------ -.2-19 ..... ........ ... . Soil Log Hole No. I ............. A ........ e ...................... /* C v I n> 7-7 �- " Z, - �7- .......... ........... ........ I ........................... .............. ............................................................... -------- ...................................................... SoilLog Hole No. 2 ............................. ..................................... ................................................ ............. Elevation of Water Table, if encountered. (Distance from ground surface) ........... 00 . ...... .... Corrections to control surface water if needed ............. ......... .......................................................................................................................... ....... . ..... ; ................ /I ... * ... *"** ............ ....... * Specify if any removing or grading of to Soil in field area .... . 0�7-e ...... _ 74��Ilxe5,3A . ..... ....... ............................................ : ............................................ .......... Percolation: Test Hole No. I —Average Rate."' ........................... /9-_ (Fall in ininutes/inch-bottom 6" test hole) Test Hole No. 2 — Aver -age Rate 3 ....... (Fall in ininutes/inch-bottom 6" test hole) 4*­ ----------------- 1-;9 .......... Test Hole No. 3 — Average Rate-E ...... zz�� .......... /,0 ......... ....... (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. —6-196 xnrl /2� Amount of Square Feet of Disposal Field ...... _ ....... /e : Signature — Designer ........ ............. ........ ........ .................... Date ................. ......... ......... DO NOT WRITE BELOW THIS LINE (TUe comple't/ed by Issuing Agency) Permit issued (date) ............ ZZ) ..... .. -;�./ .. .... �'.,3 ................ Permit Number ..... // - — ----------------------------- , r - z:;,,, V — e, (, ;..7? 5- 7 Remarks: .............. _ .................................................................................................. Pr-i r.f ield Sert i Tr, r.k Scotts Q11"lity hwilders Ow r. e r Scotts 1)ur,lity III d rs Lot 1) Sibon Heights IT2 2460 -3rd III() rld s , jq S b P (I s i q ne r: Sept ey), i n(f (9 200 19 Wwrly 99 963-377 Lynnwood. lrinsh. Xj 10 T p 1� nv J 10 .1 2N f 7". -infield ne!.sltiv Septic Tnnk Dr Scott$ Q11,11ty 1'"JI11.1ders Owner: -scotts QtIrAlty 111drs. T-.ot 6 Sibon Heights 42 �,100 3rd WAM, Edmonds, Nosh. Res iq rer: Sept 1()63 20019 filivay 99 �'63-3 i7 JYunwood, Ie 7�N hj X 4? "-� ki I M (qeq4 -r,, 7 W wl� n';o `ZN �Zl el P/ W i APPLICATION for The City of Edmonds SIODE SEWER PERIkHT EASEMENT No . ............................. NEW CONSTRUCTION REPAIRS C] f , � �11, 11'ev A�/ OWNER ---------- ... . ........... ....... ......... . .................................................. CONTRACTOR .................................................................................................. PERMIT No . ................... 0 3 -:� 2 3 A - 0 (1 .................................................................................. ........ LEGAL DESCRIPTION: LOT No . ...................... — BLOCK No . ............................................ ADDRESS -------- ..................... NAME OF ADDITION .............................. -- ........... 177L.; 1ji ............................................ --------- * ------------- ROVED 17 1969 Approved: DATE...7 -455 5- By .. ............ ........................................... 5� .......... NOTICE: ..Warra, -a-, N'o 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 'Ecirn.onds does not . warrant the these accuracy of anything set forth on Map(�_). Any person or entity -requesting a copy should conduct an independent 'ation shown on inquiry regarding the inform tT�e -map(s)/ including, but not limited to, -h th . e lociation of any sew-er stub shown. Suc sewer stubs may or may* not exist and may or may not exist at the location shown. Neitheir the City of Edmonds nor its emp'fo-yee-s o-r office-rs -sh-a-11 be 11a-b-'Fe for the information given on this map(s), nor for P representation provided based any on upon said map(s). �,A, wF EDMONDS Call PRospect 6-1107 when work CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for Inspection- (No lnsPe& tio.s saturday, Sunday or holidays.) N? 3321 SIDE SEWER PERMIT ADDRESS_ ---------------- ..... 2.()-32.3 ... -­-8.7-th --- ............................... . ............................................................................. OWNER ............ hj1tou_.Laib .................................................... CONTRACTOR ...... SaidmSafg ..... . ........................................... Permission is granted ----- jUly�-J:T ..................... 19_0�, for --------------- - ------- 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: it to construct sewer inside property line. A licensed Side Sewer Contractor must NOTE No. I —The owners of the property may obtain a perm r before It has been inspected. be employed to construct side sewer in street area. Do not cover any portion of sewe 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 3D 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 on the main sewer or its appur- tenances except to insert the pipe into the wye.