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CITY OF EVERETI <br />City Hall PHONL: Ac.pcnc 'i-I1J1 / <br />Everett, Washington �1; <br />_INSPECTION DEPARTMENT LOT APPROVAL SHEET V <br />NME Pared k'4i5'/ar SWADDRESS /6 74 i <br />ADDRESS OF PFUFOSED BUILDING / %( -1 Yfd .4 Sw <br />LEGAL DESCRIPTION: <br />LOT-" <br />BLOCK — <br />ADDITION <br />S%i/Wcis <br />Gss f P/o� <br />TYPE OF USE Pta S, <br />NO. OF <br />BEDROOMS <br />3 <br />SIZE OF LOT <br />/9S X rd 9 <br />SOURCE OF DRINKING DATER: PUBLIC SUPPLY x=HIVATE BELL <br />A <br />1. Is disposal field site well drained? %'S <br />2. Any water course (stream$ drainage ditch, etc.) through site? /Vo <br />B. TOFOGRAPH'/ <br />1. Any heavy slopes in field area? Yes <br />2, Jill present topsoil in field area be removed or graded before field tiles are <br />installed? NO <br />3. Jill any fill material be used in the disposal field site?_&_6 If yes, how <br />much <br />C. XIL WNDITIONS <br />1. Has a hole at least 4 feet deep been dug in the disposal field area to determine <br />the type of soil present? <br />'. After hole is dug record the doil at the following depths: <br />(Record as sand gravel clay, packed sand, loam, etc.) <br />12 inches 2euni r ur.rus 30 inches .land+ 9ravr% <br />18 inches se«d+ice t/ 36 inches Sind vGnwr/ <br />24 inches 48 inches .So«.Irertvrl <br />:. Any ground water encountered before reaching a depth of 4 feet? M <br />If soy at what depth? <br />D. 0TER TEST <br />A siople water test will show how well this soil will drain or percolate water. <br />To perform this test: <br />1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger; size <br />of hole makes no difference - only depth. <br />2. Fill hole %:th water. Now let all water run out of hole. This soaks the <br />ground and will give a more accurate reading. <br />3. Again pour water in hole to a height of 12 inches from the bottom. Let <br />water run out until there is ,Just 6 inches from bottom left in hole. <br />4. Note how many minutes it takes for this last 6 inches to seep away. 3r-�'7%7 <br />5. Divide this time by 6 to obtain th rat perinch. ^3".S"i+...s./as/b,r�r�o4 <br />6. Date water test was performed. 7 <br />I hereby certify the above information to be correct and the -above tests were per- <br />formed by me "es . ad. %� r'"�•" <br />.auu �ev el,, Signed / c. d <br />Address /fr//9' .�r�t�i:✓i <br />WTE. A tic per i is issued on the basis of the above information. If <br />there ar ny c e or 1 erations in the above stated soil conditions, it may <br />result i e i atio eing rejected at the time of inspection. <br />