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6970 MEADOWDALE BEACH RD.PDFIIIIIIIIIIIIII 12299 6970 MEADOWDALE BEACH RD p, i T -I.. QX "I n K -ATION APP - Llt 7, for- - j�EB,Jga'ii�. --4 777 -T hel C"Ity' �Onibnds' S EAi NEW CONSTRUCTION REPAIRS s so A ENTNo . ............................ ................ 2". i� 'i-� -J AV V�01 ly�l N -TA t r Z� Z,-; 'RMIT CITY OF EDMONDS SIDE SEWER PE WATER -SEWER DEPARTMENT PERMIT -1107 for side ewer inspections BEFORE covering any portion of the construction) Call 7.76 NO Sat., Sun., or holiday inspections. (Inspection will be Providsed within 24 hours after request. ................................................................................. ............................... ........................... ADDRESS LOCATION OF CONSTRUCTION- ............................ Of�-I,E-' eA '4)+ . . ................................................ ........... ...... ......... ......................................................................... PROPERTY LEGAL DESCRIPTION ......... ........ ............... A. ..................... ..................... ............................................................ ........................................................ ............... ................... . ......................... .... .......................... .................... ................................ . ................................... OWNER AND/OR BUILDER ---------- - ----------------------------- .............. .................................................. 'rry Cr,-,nz;0n, 6970 Br-'—Clh L--'�dn ....................... ................................................... ............................. RESS ........ --- ...... ............... .... .. ACTOR'S NAME & ADD .......... :i ...... CONTR and/or connection of a side sewer to the city sanitary sewer .... 119 ... for repal Permission is granted ------------- ........... ..................... rstem in accordance with City of Edmonds ordinances. ED TO THE FOLLOWING: ENTION IS CALL permit to construct sewer inside property line. A lice nsed Side Sewer Contractor must be employed to construct TE No. 1—The owners of the property may obtain a . ... .. NO has been inspected. y portion of sewer before it Do not cover an Permit obtainable from the City Engineer's office. side sewer in street area. -of-Way rk performed in city right-of-way requires an Invasion of Right NOTE No. 2—All wo wers when you get permit. .... .. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side se erty line; minimum grade of 2%. No bends in grkide least 30 inches coverage at property line and 12 inches inside prop NOTE No. 4—Top of side sewer must have at lure due to improper 7 sharper than 'A will be permitted. d. to original condition. Contractors shall be responsible for fai NOT`E No. 5--Trenches in street must be water settled and surface of street restore work which may develop within one year of completion. except to in— 7 or to do any work on the main sewer or its appurtenances NOTE No. r,—it is unlawful to alter or do any other work than is provided for in the permit, sert the pipe into the wye. 1L ......... By .......... D e- .... ...... Date --------------------------- DISAPPROVED Ej Date ... . ................................... By ............... By ........ ..... ----------------------- APPROVED ... ... .. ------------------ E 7 ---------------------- ............ ------ Dateel-� Y.: .... Remarks: ................................................................................................................................................................................................................... -,,;-J. ............ ................................ ............................................. ................................................................................................................ ................................................. e Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection BOTH Permit Copies MUST B .......... ... hereby certify that the side sewer installation constructed under this permit --- - - ------- 0 on Wati*n i"i PerfGrming "C'onstruction i inances of the City of Edmonds. <-.�:tIs installed in accordance with all governing ord ........ 19 ......... Dated this ............................ day of ........................................................ 7. Other E] Power Sewer ...... -A Check BEFORE you dig for: Water Gas E], Telephone E], ��1777175! A- ...... — 77,�, T 3- Mr. Harry 6970 Meado Edmonds, W Dear Mr. R for invest furnished: STREET FILE rebruary 11, 1966 ty Engineer mation is ( A A offr—j�ropert-y-can-be assessed for only 'one sewer rop o r- " o line in ne L.I.D. in accordance with the zone termini nftehod. Presently, a future sewer line te t Is Coll e 17ated on Meadowdale Beach Road. rZ B oper whether they border on a street or \1 ._ m y .-.MT v y be included in more than one street L.I.D. and assessed in accordance with the zone termini method; however, there are no.plans for the improvement of either street at this time. The City Engineer will be glad to explain the zone termini method of assessment in the event you find it convenient to drop into the Civic Center, Very truly yours, CITY OF EDMONDS LEIF R. LARSON City Engineer LRL: rf , "'TREET FILE CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington SEPTIC TANK INSTALLATION PLAN (Submit in Triplicate) ADDRESS OF PROPERTY ...... 6.9.70 ... Mellqw.da.l.e .............................................. Lot No.....1.4.4 ........... Permit No .... 165 ........ _ Owner_ Harry --- Robinson - ------ t .............. .......... Address.69-70. . bleadowda le. Edwnds ----------- Phone ....... ........ Builder...... ...... ....................... . Address. ........ 9 ........ ._n .................. in .................. Phone... ............ ........ Designer -Me --- B. -Meyring ---- --------- ----------------- Address -20019 --- H-iway--99 --- Ly-nmoord ----------- Phone.. PR. - Installer ---- Hichmo nd- Concrete ---------------------- Address- 20024 -Biway _. 99 ... Lynm.00.d ........... Phone..PR --- 8-!4963 I hereby certify the a.ccompanying drawing is an accurate representation of the system installed at the listed address.' I also certify all recommendations and restrictions (concerning plumbing stub elevatjons, maintenance of grades, fills, surface drains, etc.) listed by me on my scwage disposal system permit application dated ................ %y­1%4 . ................. have been com. plied with. .......... ........... 012V.64 ...................... ............... ...... . . . .......... Signature o Designe/� Date T TO BE FILLED IN BY CITY ENGINEER ONLY 0 BE F1 Accepted ------ ... ... Date. i_�7- Y__ 4! Not Accepted ...... Date ............. ........ ....... ...... .. Signatureof Sam ian ................................ .. ............... ................................... 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 an ' d 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 harin the action of the septic tank and disposal field. A,, Bvilt Sketch Owner: "nrry Robinson Al I Tr. 144 Meadowdale Beach CITY OF EDMONDS WASH. 6970 Aleadowdale JULY 1964 Permit No. 50PA-w- 175 1A N .30 Designer: M. B. kleyring 2001.9 fliwny 99 Lynnwood, PIRO. Installer: 900 gal. S. T. 3 ft. trench /&S lin. ft. Z�� Meyring Siirveyors. Inc. Lynnwood. Wash. PR 8-3101 PP33 P9 5;?1/94.1�'- - / "'-L z 0 1 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:_­�W_ ..... For installation at: (street address) .......... ................ ---------_------ 4 Addition or Subdivision ............ ... e0a.. ....... ------ . ..... ........................ Lot../.?!�r.. Block ................ Type of Building: New ... X.. Existing. ----------- Single family residence .... �K ..... Number of bedrooms ......... ............ Other: (specify type or use) ------------------------------------------------------------------------- __ ................................... ......................................... Builder ...... -------------------- Address ... ......... Designer ..... --------- _------------- Address.. Soil Log Hole No. 1 ----------_--- 0__.Z. to, -ye eV s ......... .... ... 4,110 ---- ------------- 6&1Y'_V7 ......... 41-1 ....... ........................ .............................................................................................. ----------- ----- --- Soil Log Hole No. 2 ----- .......................... ......... a.5 ........ eel-ep"e- ------- ........ .......................... ......................... Elevation of Water Table, if encountered. (Distance from ground surface) .......... �0210AO-e . ....................................... Corrections to control surface water if needed ........... . . ...................................................................................... ................................................................................................................................................... ........................... a ...................... Specify if any removing or grading of topsoil in field area— .......... . ............................................................. ..................... ............................................................................................................................................................................................... .......... Percolation: Test Hole No. I —Average Rate ............ ...... ....... ... (Fall in inintites/inch-bottoin 6" test hole) Test Hole No. 2 —Average Rate ..................... ? ......... ......... .......... ..... (Fall in ininutes/inch-bottom 6" test hole) Test Hole No. 3 —Average Rate_ .......... /.0 ........... . I ........... ...... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field desig ........................ . Date Taken..--�og//4* .,n ...... Septic tank requirements based on present rules and regulations: Septic Tank Size.. ... c-94W_ ..... gallons. Amount of Square Feet of Disposal Field...._15��-.57... ............... Date ...... Signature — Designer ....... .............. __:3 ------------------------------- ---- ------ -------- -- --------------- - ........ -------- I DO NOT WRITE BELOW THIS LINE (To bEVompleted by Issuing Agency) Permit issued (date) ... ...... / --- ---_---_- Permit Number ........ 16.6 ............ ........ Remarks: .................................... ........ .......................................... ............................ ­ ................... ........................................ ........................................................................................................... ....... . ....... ........ .................................................................... 60 1:2,0-30 �P-S 24 1 1 ��P- -7-r. 14-4 M t� I P!,�C I FfCOA-WO 5 goo gaM -5,77 36 6�0111,7� SEWAGE DISPOSAL PERMIT I Z..6 No. ...... Septic Tank ............ g,!,. CITY OF EDMONDS ft. Department of Public Works Disp. Field.... - Other.......... ------ I ------ ---------- ----------- is hereby authorized to install/ Name ------ ......... repair sewage disposal system at .......... --------- -------------------------------------------------------------- ------------- . ..... ............ ............... _�/ . ........................... Date issued on ----------- Permit expires one year from -date of issue DO NOT COVER BEFORE APPROVED By DESIGNER_OR SANITARIAN I hereby certify this syst - em was installed under my supervision and control and complies with all provision I s of the City of Edmonds Resolutions.. - --------------------------------------- Date ---------------------------------- Signature of Installer ------------------------------------- ....... By -------------------------------------------------- ---------------------- Approved E] Disapproved Date ------------------------ ---------------- --------------- ----------------------------------------------- Remarks: ------------------------------------------------------------------------ ­* -------- * ---------- ------------------------------------------------------------- ----- Date---------------------------------------------------------- SANITARIANOR DESIGNER ------------------------- --------------------------------------------------------------------- tion has been completed. This permit shall be posted in a reasonably conspicuous place on the job until inspec