20610 MAPLEWOOD DR.PDFIIIIIIIIIIIIII
12247
20610 MAPLEWOOD
DR
APPLICATION
for
The City of Edmonds S11DE SEWER P=mT
NEW CONSTRUCTION REPAIRS BASEAIT.NT No - ---------------------------- ------------
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ADDRESS
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CONTRACTOR -------- ...... ------------------------------ "JQUT N'..
LEGAL DESCRIPTION: LOT No . ...... J4 ----------------------------------- BLA)cK No . ............ ...............................
NAME OF ADDITION?�.9t ... P:�� --- 4111's ....................
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501 \000.1 4hv ko+ 4
APp "VED
AUG 26 1969
Approved:
1119PI-ir 7>
DATE --- 4.r,.;o ------ — py��
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CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER — WATER-SEINMR DEPARTMENT is ready for inspection. (No Inspec-
N2 3405
tions Saturday, Sunday or holidays.)
SIDE SEWER PERMIT
Drixe
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ADDRESS.... _14�?Kqqd ----
John F. Gemmill CONTRACTOR. Cascade Sewers
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OWNER ----------------------
August 26 for ------------------------ days to REPAIR or CONNECT a side sewer
Pern-lisston is granted ---- ----- . ....................... 19..69,
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 obtaJn 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.
74'
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 o.
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches In street must he 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. 6--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.
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STREET FILE
S14OHOMISH, HEALTH DISTRICT
Division of Sanitation
3011 Rockefeller Ave.:-ALpine 9-2061
Everett,, Washington
Permit No. 1r17 DiLte
AppLICATION F� PRO= To INSTALL OR REC2E§MUCT_ SIUAGE DISPOSAL FACIL=IES
Name ,I� L:e=� Address c��,o
V
/Address of Propo--- site
5Z� L/e-g-�a)-lzD/eacerip/t-i5o'nO: / Lot Block Addition-,
Type of use o. of bedrooms Lot size
Remarks:
Date Inspected by -Installer
Approval Mailed to Date
Rec.
W - t
0 SNOHOMISH HEALTH DISAT
$5.00 fee for permit 3011 Rockefeller Ave.,
Everetto Washington Phone ALpine 9-2061
LOT APPROVAL SHEET
NAME P1qkzE__ADDREss o 4:� Ait) 1-:!j1w1W0Vd
ADDRESS?!F PROPO�.ED BUILDING
IaGAL,TESCRIPTION: LOT BLOCK ADDITION
TYPE OF USE 20j_d__NO- OF BEDROOMS SIZE OF LOT
SOURCE OF DRINKING WATER: PUBLIC SUppLy - PRIVATE WELL
A. SURFACE DR
j=A_T
1- Is disposal field site well drained?
2. Any water course (stream, drainage ditc4
j, e t V/ through site?
B. TOP
1- Any heavy slopes in field area"?
2. Will present topsoil In field a—reaOe removed or graded before field tiles are
installed? 0.
3. Will any fi�]Llmaterlal be us�d —in �hq disposal field site/_Y_0_-If yes, how much—
C - SOIL_*,NDjTIoNs
V__
1 . Has a hole at least 4 feet de b On d
the type of soil present? in the disposal field area to determine
2. After hole is dug record the 1�tan 'tioas at the following depths. (Record
as sandy gravel, clay2 pa^1r_dZani1,s loamy etc.)
I P inches 0 inches
18 inches
24 inches
inc es
4. Any ground water encognter f g
ed bVefreaching a depitUh of 4 fea+4 If so at
what depth?
D. WAM TEST
.1
A simple water test will show how 1#11 this soil will drain or percolate water. To
perform this test:
1- Dig a hole at least 36 in4hes deep. Use a shovel or post hole digger-_
size of hole makes no difference --only depth.
2. Fill hole with water. NOV let all water run out of hole. This soaks the
ground and will give a mgre accurate reading.
3. Again pour water in hole. to a height of 12 inches from the bottom. Let
'water run out until thei:e is just 6 inches from bottom left in hole.
4. Note how many minuter, :L+, takes for this last 6 inches to seep away.
Record the time. Num-aer of minutes for last 6 inches to seep away__
5. Divide this tide by 6 kto obtain -tpe rate yer inch. , Z
6. Date water test was p$rformed. 7
I hereby certify the above in:fbrmation to be correct and the above tests were per-
formed by me as prescribed. 1%
Signed
Address
IL
NOTE: A septic tank permit Is issued on the basis of the above infQftation.(-T-P there
are any changes or alteratiqns in the above stated soil conrlitinn asult in
the installation being reJetted at the time of inspection.
./C90 A,