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7009 MEADOWDALE
BEACH RD
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APPLICATION
for
Tilia City of Edmonds srDE SEWER PERMIT
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NEW CONSTRUCTION E3 REPAIRS E3
OWNER'...:5.
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.... PERMIT No . ......
ADDRESS .2 ........
�Zcl LEGAL DESCRIPTION: LOT No . ......
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BLOCK No . ...... .....................................
NAMEOF ADDITION... ...... ...............................
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APPROVED
JUN 18 1970
Approved:
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�CITY OF EDMONDS
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CIVIC' CENTER — WATER -SEWER DEPARTMENT Call PRospect 6-1107 when work
is ready for inspection. (No inspec-
SIDE SEWER PERMIT tions Saturday, Sunday or holidays.) N2 3761
ADDRESS -------------- 7009 Meadowdale Beach Road
. ............................................................................................ ........................................................................................
OWNER ............ Robert E Mcoall 'TOR.
...... ------------------ q ----------------------------------------------------- C01S�TRAC ............. N;jfkr
Permission is granted ....... quTie .... 1.8 ............. 19_70.,
....... ... --- — ----- for ---------- ------------- days to REPAIR or CONNECT a side sewer
With City Seivers 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.
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 30 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.
7---E 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.
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Submit in Triplicate)
81)YAE��171 144.
"714
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ADDRESS OF PROPERTY .... 7
.0_0 .. 7 . ......... P,,mit No./Y.7 ........
Lot No..
Owner...... ..... ..... .......... .... .. . , , Address .. . .. ..... . .. . . ..... .. .... ............. Phone ........................
B u i I d e r eJ?1a ..... Address ---- �L 7-7
......... 92.0 ------- ezewLA_ _Vv ......... Phone ........................
Designer_. ----- . ................... ................. Address ........ ..... ............................................. Phone ........................
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Installer ...... . _M ..... . __ ...... Address --------------------------------- .......... ....................... Phone ........................
I hereby certify the accompanying drawing is an aCCLIFatC repres entation 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 sc",age disposal system permit application dated ................
. ...... ................ .......... have been complied with.
........................... .....
Signature ofz�r (e
TO BE FILLED IN BY CITY ENGINEER ONLY
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Acqepted--------- ................................... .... .......... Date ......... ... .... ...
Not Accepte ....... .... ------ -------- - I ...... Date.
Signatureof SNak"' n ................................................ .................................
Remarks:... .................................................................................................................................................. ....................................
................................................................. I ......................... ........ ............... ................................................................................
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 ' toile ' t ' Jixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities' will not harm the action of the septic tank and
disposal field.