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7005 MEADOWDALE BEACH RD.PDF11111111111111 12302 7005 MEADOWDALE APPLICATION I /-.Vq for jhe City of Edmonds SIDDE SEWER PERMIT EASEMENT No..... .................... NEW CONSTRUCTION REPAIRS[:] /D ....... ........................................ hzt) ........ .0 7,WER /�;l Fw.. z2z CONTRACTOR ... ... ? ------ �? ........... PER2�11T No .3 0 IkDDRESS .... LEGAL DESCRIPTION: LOT No. .� .......................... BLOCK No . ............................................. ............................................. NAME OF ADDITION 2-5- Ir- /9,t),Y or. Z- 6 7# t) 40, Approved: 1-7137-r- ///?E�r l3e--y /9 7- 7-7-1 Z -6) 7 APPROVE0 MAY -2 2.1970 ........... -I- A . . ... .. .... .. .... z 'j, CITY OF EDMONDS Can PRospect 6-1107 when work WATER -SEWER DEPARTMENT (No Inspee- Ct�14b CENTER is ready for Inspection. N2 3731 Sunday holidsys.) 7� tions Saturday, or SIDE SEWER PERMIT dalg... B9-arb RQAd ADDRESS ---------------------------... ------------------------------------------------------------------------------------------------------- ... coNTRAcToR .... A --- & .. 13 ... UIA in ............... OWNER------_---­-----------------J-ohn --- Wi2s-on -----_---------------------- ------ ....................... Perinission is granted ----- May .. 22 ------------------------ 197.0.... for ........................ days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. j 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 Do not cover any of sewer before It has been inspected. be employed to construct side sewer in street area. portion NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sew ers when you get permit. I rade of 2 -wer must have at least 30 inches coverage at property line and 12 Inches inside property line; min mum g NOTE No. 3—Top of side sL 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. NOq'T7 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. Y1 1b I 900 -Gsijo' 'S, To' 149 �'Uho f t. d'reintib 31 wide trench, 447 So. fts required HOW STUB OUT HIGH Per. Role 0 soil Log 4" Tight Line' — t' Drain -Tile C Sc sle: l'!_. 20 V, SNOHOMISH: HEALTH DISTRICT ENVIRONMENTAL HEALTH DIVISION Court House, Everett, Washington 98201 APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) I Permit to be issued to: ------------ 0,4�­If%�ar__'fi:une W_ ------------- For installation at: (street address) ........ ------------ -------------------------------------------------------------------- Addition or Subdivision- ..... -- --------- ---- -- -----_----------------- ------------- Lot ..... It ....... Block_ .............. Type of Buildir�g: New ---- jK ----- Existing ... ------- Single family residence ------- X ----- Number of bedrooms ......... 3 Other: (specify type or use) Builder .... WdvAr --- Aiam ------------------------------------------------------ Address--a-3.600-78thl ------ P_1.1 _R FRB-7752 Designer ---- --- Ttmk__Daa1_gn&Address --- 5209-*180tb ... --------- SoilLog Hole No. 1 ------ -------------------------------------- w ---------------------7--- 7 ----------------- SoilLog Hole No. 2 ----------­-------------- Sn-M-0-0 --------------------------------------------------------- ---------------------------------------------------------- ------------------------ --------------------------------------------------------------------------------------------------------- ­ -------------------­-------- ­­ ------------------ ------- --------- Elevation of Water Table, if encountered. (Distance from ground surface)_ --------------------------------- --------------- ------ ---------- Corrections to control surface water if needed ------ ------------ __ ------------------------------------- I -------­------ ----------------------------------- Specify if any removing or grading of topsoil in field area ----- _Spread­excavetlon --- a-U-4W-_­0-V0r ---- ­­ --------- -------------------------------------------------- dLn_GF1_nft0_1_d --- Gr-40.0 - ----- -------­---------- ------------------------------------------------------------------------------- Percolation: Test Hole No. I —Average Rate .......... --------------------------------------- (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 2 —Average Rate -------------- 7_ ------------------------------- ...-.-(Fall in minut6s/inch-botto'm 6" test hole) Test Hole No. 3 —Average Rate --------- _10 ...... ----------------------------- (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ---------- (3_1_1 ­-­------------------ .' Date taken_ _6.-4!9!w67 ...... Septic tank requirements based on present rules and regulations: '..-i Septic Tank Size ------ 900--__ ------------ gallons. I HOLD STUB OUT HIGH Amount of Square Feet of Disposal Field ----- 447 ---------- ---_---_---- Signature Designer. -------- C112016.".1.1 ---- -------------- Date.. .... 6-20--67 ---------- ---------- DO NOT WRITE BELP�V THIS LINE (To be completed by Issuing Agency) Permit issued (date)._-.. ------ r... 4/_/ ------ Permit Numbe ...... �_O ................................ .............. Remarks: ....... .. --- ..... . ............................. ---------------- .................................................. ---------------- --------------------------------- ------------------- ............ ...................... I ....... I .............. K&H 34060 SEWAGE DISPOSAL PERMIT Septic Tank ........... ...... gals. No. ....... CITY OF EDMONDS sq. ft. Department of Public Works Disp. Field ----------- - /Irl_/ ... Other _------_-----------_- ---------------- STREET FILE Name__._. --- ----_------ --_-----------_----- ................... ------------ : ............. is hereby authorized to install/ repair sewage disposal system at f ---­---­--- 00 ............ ------­----­- Z, -------------------------------- C ----------------------------------- f Date issued on.---. /.&!_1 -------------- - --- ---- -- Permit expires on4vear froldate 0 issue DO NOT COVER BEFORE APPROVED By DESIGNER OR SANITARIAN I he by certify this system wap installed under my supervision and control and complies with all provisions of the City of m ds Resolutions. Signatureof Installer ------------------ ...... -------------------------------------------------- Date ------------------------------------ A Tproved� Disapproved E] Date ------------------_------- : -----------------­----------- --- By. I ----------------------------------------------------------------------------------- Remarks: ---------- ------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------- SANITARIAN-OR DESIGNER ------------------------------------------------------------------------------------------------ Date .......................................................... This permit shall be posted in a reasonably conspicuous plac I e on the 'job - until inspection has been completed.