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�� <br /> ��� � �'� e�Y3 F <br /> CITY OF ':'V�RGTT "� y`"`� <br /> _' _ -- - __.. <br /> City Hall � <br /> Everett� Washington PHOI�'E: NLpine 9-7101 <br /> iA'.SPECTIOI�'. DEFARTIIlNT � '� " � � � <br /> LOT APPROVAL SHCGT � .,n.� r5�' <br /> � / / �:5'3 �,l -. <br /> I2AtdE ,C-.�'iv �� JfA l'. /7 t'r: ADDR�SS ;o n � --, � <br /> .,� / 7 - <br /> i�DDIt�Ss OF YkOPOSED BUILDInG_i�i;�� �' ��r �� ;✓�v-� <br /> I�GAL D�SCRIFTIOP: LQ '.T.1r,-�BIACK /G� ADDITIOI; �zf���„+,.�.,,��' j��A�. ,C� . <br /> TYPE OF US�� I�G. CP L�LDROOiiS i _�IZS OP LO^t -,"rf ;' <br /> SOURCG OF DRIhKIk'G l•IA;�R: YUBLIC SUYPLY /� YRIVIT� '!CLL <br /> A. SURPAC� DNAIl?AGli <br /> 1, Is disposal field site �rell drained?��` e /,•�•+ �+' <br /> 2, An,y ti�ater course (stream, drainage ditcli� =tc.�thr ugh site?_ _��r/ <br /> }3. TOPUGftA; HY <br /> 1. Any naavy slopes in field areu; = <br /> 2. Ylill prese�it topsoil in field area 'e removed or @raded Uefore field tiles are <br /> installed? �,.- <br /> 3, ?dil.l 4ny fill r�aterial be used in t:�e dispoaal field site?�y,.lf yes� how much <br /> C. SOIL CCI�'DITIOI�S <br /> 1, Has a hole at least 4 feet deep been dug in tl:e dis;•os:l Pield area to determine <br /> the typo oi soil presentY �r- <br /> 2, After hole is dug record the coil conditiens at the Folloiaing depths. <br /> (itecord as sand� gravel� clay, pncked saiid, ].oasn, etc,) <br /> 12 inches ��rJ, �n;� �83� inches_, {�6y�T;a n <br /> 18 iuches�-'—�,,,/ 3n inclles�fj/� .�-�� <br /> 24 inches c % 4� inches <br /> 3, An`� ground �!ater ei;coun red bei ore reaching a deptli of /, feet? '�� <br /> lf so� at ialiat depth; <br /> D. '!�;T�R T��T <br /> ,: simn'e ;rater test iri11 shotr how irell. this soil ��i17 drnin or percolatc �aater. <br /> io periorm tliis te,t: <br /> 1. Dig n hole at least 36 inches deep. Use a shovel or post hole dip,ger; <br /> size of hole :�alcus no difference - only depth, <br /> 2, FS11 hole �ritli irater. P'o�r let all i!ater run ou: �!' hole, P1•is soaks t?�e <br /> �ro•,u�d and vill give a nore accurate reading. <br /> 9, :�guin pour �iater in hole to a hei�lit oi 12 incLes fro:� tii� botto��,. Let <br /> water run out un'il there is just h incFes £ro�n bottom laft in hole, <br /> ,i. IQete hot; �ia,�y minutes it tal:es for this lect 6 ir.ches to �eep aus,y. .2�w+ , <br /> 5, Divide tLis time Uy 6 to ohtain t�ie rai.e . er itich. � 9re..�. _ <br /> C-, Date rmter test iaa; rerforred. ��.1��3 - t '+ <br /> , � <br /> I i�ereby certif}� the abovc ir£or:�atioi: +o he ca�rect �n�l the � ovc �.:c�is •�ere per- <br /> forr.ed U�• rae as prescril�ed, <br /> Signed '-,�U. �.�.n. <br /> i.ddre:s S3 3-, ;.�t sr _�.•�_�l�/-!`�• <br /> I�CTL: ri se;?tic tar.k ��crmit i; iss_�.ad on `he or.sir of the aUove inCormltion. L <br /> there are an}� chan�+e;, or elt.eratione in i�he aUove etute3 scil co�.c'.i.tions� it map <br /> re�ult i�. tli� :ir.stall,�tini: ' einr rcl�`cted at ihe ti::e o:' i�:,;,ect:on. <br />