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T�ie City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
,EET FILE NEW CONSTRUCTION E] REPAIRS
EASEMENT No . ...............
OWNER
........ ........... ................ ------ ---------------------- CONTRACTOR
......... ....... .. ............ PE
RMIT No./,, 30
. ..........
ADDRESS
....................... ............ .............. ................... LEGAL DESCRIPTION: LOT No . ............
............ I ........................
74, vw
NAME OF ADDITION .......
z: ... . ............
C
Approved:
DATE....... ............. ................ By
. ......................................................
STREET FILE
September 16, 1966
v C"
211 - 25-th Avenue �4 th
Ulmi3n�ds—,Was,h-ing 0�
Al � 8020
_,ton
Dear Mr. Gwanby:
Referen ce is made to my letter of August 11, 1966, relative to
the septic tank installation at 211 - 25th Avenue North%. A reply to my
letter of August 11 is requested as soon as possible.
In the event a reply is not received uy ithin fifteeni (15) days,
the matter will be turned over to the City Attorney For pros ecu*t.ion in
accordance with the City Code.
Very truly yours,
CITY OF EDMONDS
LEIP R. LARSON
City Lngiiieer
LRL: rf
CITY OF EDMONDS
CIVIrc W-ITr
a-,
SBW—
VP
1)E1A1P-TMMNT Call Pn.., when
Is ready for inspect, work
SIDE SEWER PERMIT tions Saturday, Sun on* (NO inspec-
day Or 1201ldnys.) 3014
------- - --------------------- 20-9 ... :7i ?�# i
OWNER ........ SP ... KP ...................
C .........
. . .......................... . ..............................
Porn'lss'on is 9-Anted May ly .............. ................ . ................. CONT"CTOR --- �Ypnwo d__Sf�p ........... ------
... ... qic. Tank
with City Sewers in a�ccordane ... $I ...... .............. 119 .... 6-� for ----- --------------------------- - --
................
_,e with appliction on ffle and _. governing.... days to REPAM or
ATTENTION IS CALLED To THE FOLLOW"": ordinances. ()ONNECT I side sewer
NOTE No- 1—The Owners Of the
be employed to co��MaY obtain a
e sewer in streperm" to construct sew
NOTE NO. 2--ObWn full W et area. Do not cover er Inside Property
NOTE NO. 3—Top of 8 Ormat'- regarding Ord,
ide 8=er nance 11 line. A licensed Side Be
N' .16. any portion Of sewer before it be.
must have a 030 said Regulations wer
AE No. 4— -Ir 0 beads in grade ' abarPer th t least 30 luches co governing side sewe bee. Inspected. Contractor must
X rs Wben you get Permit.
eacbes 11] street m will be Permitted -age - Property line and 12
failure due to I ust be wate Webes Inside property
NOTE: No. 5�_It mPrOPer work w r settled and surface of street line;
is unlawful to alter bllh may develop within one restored to original minimum grade Of 2%.
tenances except to InseOr do any Other work Yea-r of cOmPletl COnditiorL
rt the Pipe Into the wyethan 18 Provided for on.
In the permit, Or to dO an Contractor's aball be r----ible for
Y work on the main sewer or its appur-
4,
November 6,. 1967,
Memo to: John E. Moran
Director of Public Works
Vrom: leif R, Larson
City Engineer
SiAbject: Assessment on Lots 7 and T, Willowdale
Gardens, Division No. 1
The developers of subject lots extended the main line sewer a'"�
distance in excess of two hundred feet (2001), in lieu of an assessment.
LRL/rf
C11-Y OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CEfqTER — WATER -SEWER DEPARTMENT 18 ready for inspection. (No inspec- N? 2369
tions Saturday, Sunday or hollAft,".)
SIDE SEWER PERMIT
211-25th Ave. N.
ADDRESS-------------------------------------------------------------------------------------------------------------------------------------- ---------- ------- ------ ------------- ------------------
Richard K. Swanby P. .....................................
.... ...................
OWNER ............................................... ............. .....
Permission is granted --------------- June..26, ......... 19fi.7., 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:
NOTE No. I —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.
T No. 2—Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
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 217..
No bends in grade sharper than % will be permitted. ntractors shall be responsible for
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Co
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.
71& 7 PP_ D g
Ok L ' 'N DS
STWMN IC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to:...
............ �4�q ..............
21/ .................................
For installation at: (street address) ..................................
PAOWf fV
Addition or Subdivision. ........................ ...... Lot_ ............. Block ....... --------
t __ ------ :ki� -----------------
*'V"5 .... 4V'A�' 1
Type of Building: New ............ Existing... ......... Angle family residence .... ... ... Number of bedrooms.. . ..... ......
Other: (specify type or use) .................... ------- ........ _ ------ ........... --_------------_- __ ----------------------------------- ---------------------------------
Builder... ..................................................................................... Address ............................................ ...........................................
Designer................ ............... ................ __ .... ..... ........... ---------- Address .............................. ....... ........ ............ ---------------- ..........
Soil Log Hole No. l.. ...... ----------- ............. ----- _ ...... _ ......
SoilLog Hole No. 2 .................................................................. _ ............................................................................ .............
................................. ---------------------------------------------------------------------------------- ........... I .........................................................
Elevation of Water Table, if encountered. (Distance from ground surface) .�� ................... .............. ......................
Corrections to control surface water if needed ....... IAVL�.' ............................ .........................................................................
..................................................................................................................... ............................................................. a ......................
Specify if any removing or grading of topsoil in field area ..... " ............................................................................................
....................
Percolation:
Test Hole No. I —Average Rate.. ................................... ...... . (Fall in iiiintites/incti-bottom 6" test hole)
Test Hole No. 2—Average Rate .............................................. ...... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate.. ............ .................. .. ..... _ _ ...... (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.. ..... ..... ja ......... gallons.
Amount of Square Feet of Disposal Fieo
....................
Signature — Designer ... 1� ..... -- ---- - 4 ... .. ........... .- Date-- -- ----
DO NOT WRITE BELOW THIS LINE (To be completed by ISSUing Agency)
Permit issued (date) --- ............................................................ Permit Number .......... ....... ..........................
Remarks: ...... _ _ .. . . ..... . .. ... _ .. .. ... ..... ............ ......... _ .... .. . ... .. ___ _ , _ ---------------------------------------- ...............
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A- N
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
.W (Submit 3 Copies)
Permit to be issued to:... ........ ---- ........
For installation at: (street address) --- 211 ------- 2.&-
................. .......................................... ....... ...............................................
Addition or Subdivision ............. Lot ................ Block ................
0405. 2WFf!�'q rMot
---------- *'�iti;;_'i�16' -- ----- - ---------------------- V
Type of Building: New ....... Existing. ........... Single family residence Number of bedrooms .........
Other: (specify type or use) ..................... ...... ...... .................... _ ...................................................................... _ .......................
Builder................... ............................................................... Address ....................... .................................. ............... .............
Designer. . ........................................................ ........................... Address ........................................... --------------------------------------
SoilLog Hole No. I ........................... ................ . ... . .......... .....
SoilLog Hole No. 2 ............ .......................................................................... I .................................................. .............
----- I ---- ................................................................................................ ......... ------ ..................... .......................................................
Elevation of Water Tablejf encountered. (Distance from ground surface) .... .........................................................
Corrections to control surface water if needed ....... VY. �. .. ............................................. ...... ................................................
....................................................................................................... _ ............... I ......................... I ...... ...............................................
Specify if any removing or grading of topsoil in field area—AAW."' .. . . . . ......................... I ..............................
....................
Percolation:
Test Hole No. I —Average Rate ..................................... ...... .. . (Fall in inintites/inch-bottom 6" test hole)
Test Hole No. 2 —Average Rate ........................................................ (Fall in iiiinutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate ......... .............. ....... ......... ....... (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 .......... IffV ..... ..... gallons.
Amount of Square Feet of Disposal Field ... ...... . .... ..... ...
...................... .. Date.
Signature — Designer..J� -1- U ................ ............... ......... ..........................
DO NOT WRITE BELOW THIS LINE ('I'Vo be completed by Issuing Agency)
Permit issued (date) ................................................................ Permit Number .......... ..................................
Remarks: .............................................................. ............. ........... ........................... I .................... .......................... .....................
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
121 (Submit 3 Copies)
Permit to be issued to:._m� ... k .......................... . ........
For installation at: (street address) ...... & .... NO ........... ...............
.......... --------- ...... ........ ....... ....... .........................................
Additionor Subdivision ......... .................................... ..... __ ---- ----- ---- ......... _ ...................... .. Lot ........... .... Block_ .............
Type of Building: New ........... . Existing. -------- -- Single family residence ....... ........ Number of bedrooms ----------- .............
Other: (specify type or use)..�Oov,-kdt a*or
r
------------ ..............................................
Builder.. ................................................................... .................... Address ........... .... .......................................................................
Designer---------- ------ ............................................ ............ --------- Address ........ ............. _ ...................... ........ .................. ......
Soil Log Hole No. 1 ---- ...............................
.............................................. ............................................................. ........ _ .................................... ....................................
SoilLog Hole No. 2 ..................................................... ---------- ------- - ---- -- __ ............... .............. .......................... _ ........
.......................................................................................................................................................... ...............................................
Elevation of Water Table, if encountered. (Distance from ground surface) .-In'10 X't-/ . ......... ............... .. ..............
Corrections to control surface water if needed ...... 1114YLL ......................................................................................................
........................................................................................................................................ .................................................................
Specify if any removing or grading of topsoil in field area .... MI)IL.I.V . . . . .. .......................................... ..........
....................
Percolation:
Test Hole No. I —Average Rate ..................................... (Fall in iiiintites/incti-bottom 6" test hole)
Test Hole No. 2—Average Rate .................................................. ..... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate.. ............................... . .......... .. ....... (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 ............ [n ........ gallons.
Amount of Square Feet of Disposal Field .... 5.0 __ .... . ..... .....
. I . .............
Date
Signature — Designer ... ........
�m - - ------- ------------
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) --- ....... ............................................. ..Permit Number ---------- ....... .....................
Remarks:. ........ ....................................... ................................................. ...... I .......... I --------- I—— .................. ................. .........
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