112 12TH AVE N.PDFiiiiiiiiii
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112 12TH AVE N
I
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
EASEMENT No . ......................... ................
NEW CONSTRUCTION REPAIRS E:)
--- -------- .......
-ER .......... ..............................
................................... PERMIT No.
OWN ........... . ......... CONTRACTOR ..................... .........
......................
ADDRE SS ------- N-A ..... ......................... . ....................... ......... ---------- --- " ... LEGAL -DESCRIPTION: LOT NO: - ------- .................. BLOCK No.
NAME OF ADDITION ......... EM ............................... .-HAX . .......................................................
............. ...... . .....
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`w CITY OF EDMONDS - SIDE SEWER PERMIT'
WATER -SEWER DEPARTMENT
STREET F
!LE „ PERMIT "4
rcall 7.76-1107 for side sewer inspections BEFORE covering any portion of the construction.1
\Inspection will be provided within 24 hours after request. NO Sat., San., or holiday inspections./
ADDRESS LOCATION OF CONSTRUCTION..............1g2.. Twelfth Avenue forth
--•---••--••--._... ._ .. ..
Lod 39 -----------------------------------•-•---------------
ROPERTY LEGAL DESCRIPTION ----------------------•--•----•-•._..._...._...__,___Emerald Fit 11 s Addi �10i1
............ ....... .....................
...............................................•--:....._.._.._.OWNER AND/OR BUILDER----.... H. Dean...Powel l
CONTRACTORS NAME & ADDRESS ........................ • -- -
. Lester Wear Tank Installatior�9 P. 0. Box* 1649 Lake S�ederls, (°dash.
- - ---------------- -
Permission is granted __.._._� `p '.1-. �� y?i-258 - •--------------•--------.----.. 19..7 - for repair and/or connection of a side sewer to the city sanitary sYst�n in accordance with City of Edmonds ordinances. Y sewer
Ar-,\ION IS CALLED TO THE FOLLOWING:
Nl_/ o. 1—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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit:
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2 q . No bends in
sharper than % will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition: -.Contractors shall be responsible grade
work which may develop within one year of completion, ponsible for failure due to improper
NOTE 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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED j� Date-.Y-Z.%.-- J
- ........... � �-•-- Date .................................... BY -------_-_--- Date ..............._.
APPROVED .................. . By Date... _... ............................ By..._._
. .._.... .............---------------------------------------
*......
Remarks:_...lJ.r.�.�C..x?.�t/..�[_..__...�.f.�C.l..t�3.......................•- -----------------------------------
•----------•---•..................9 p
BOTH Permi opies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection —
-----s uctio
Contractner of Con -- - .-- --- .n hereby certif that the side sewer installation constructed under this permit
ri ed in accordance with all governing ordinances of the City of Edmonds.
Dated this.__.,_. 9_..._......day of .........C�^ �J
J Check BEFORE you dig for: Water C], Gas Ej, Telephone
❑, Power p, Sewer 0, Other p J J
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E]
EASEMENT No . .................... ..., I
...................
. ....................................O . CONTRACTR_
OWNER ......... .................... .... . ......... I-e-,Y ........ .............................. PERMIT No...
v .... !4 ...... LEGAL DESCRIPTION: LOT No . .........
ADDRESS ..... 4 ............................. .......
...................... LOCK No. ......................................
NAME OF ADDITION ........ z ... <,.Jp .....
_ALoj11,c .........................................................
Ell
RFECEVVE.-D
APR 2 6 1973
C.
DATE...................... ....... ................ By .............. . ....... ...........
OF ED,yt
1 4'.'Un CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
E
E
S
R
STATUS: APPROVED ENG20130205
Permit Number: ENG20130205
Address of Public Use/Encroachment: 112 12TH AVE N, EDMONDS
PROPERTY ---------BUSINES-S OWNER
EMERALD HILLS HOA
112 12TH AVE N
EDMONDS, WA 98020
STREET USE/ENCROACHMENT
waterline for irrigation under 12th near Main St (originally permitted in 2002)
STREET USE: Placement of any temporary or movable objects in any portion of public space or City right-of-way shall
meet all code requirements as set forth in the following chapters of the Edmonds Community Development Code.
ENCROACHMENT. Permanent structures encroaching upon any portion of public space, City right-of-way or
easement area shall meet all Code Requirements as set forth in the following chapter of the Edmonds Community
Development Code.
CODE APPLICATION. Chapter 18.70, 17.65, and 17.70.040 of the Edmonds Community Development Code. All terms
of the adopted ordinance are incorporated herein as'if set forth in full and this permit therefore is subject to the terms of
those chapters.
FOR THE TERM IN WHICH THIS PUBLIC USEIENCROACHMENT IS IN EFFECT, THE OWNER SHALL COMPLY WITH
THE PERMIT CONDITIONS SET FORTH B Y THIS PERMIT.
NOTE: The issuance of this permit is understood by the owner to be of a temporary nature, shall vest no permanent right
and shall be issued and may in any case be revoked at the sole discretion of the City per ECDC 18.70.040. Applicant is
responsible to provide a copy of the insurance certificate to the City at the beginning of each calendar year, no later
than the 21st day of January.
INDEMNITY.• The Applicant understands and agrees to hold the City of Edmonds harmless from any injuries, damages
or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the
City of Edmonds, or any of its departments or employees, including but not limited to the defense of any legal
proceedings including defense costs, court cost, and attorney fees by reason of granting this permit. In addition, the
applicant understands that he/she shall provide and continually maintain during the term of the permit a certtfficate of
insurance naming the city as an additional insured, with respect to liability, and providing that it shall be primary as to
any other policy of insurance.
IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
BY
Printed:
DATE
2013
FILE COPY ❑ INSPECTOR COPY APPLICANT COPY
STATUS: APPROVED
ENG20130205
The proposal -will not adversely impact public space open to vehicular or pedestrian travel.
Architectural Design Board Approval has been granted or the process has been administratively
approved.
• The proposal will not unreasonably interfere with the rights of the public.
• The proposal either benefits the public interest, safety or convenience (e.g., supports or protects the city
street) or is an accessory structure such as fence normally associated with residential use of the property
as fully complies with the requirements of criteria above.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per
City standards that is caused by or occurs during the permitted project.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt
from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and
10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the
noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30,
unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify
defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from
any and all claims for damages of whatever nature, arising directly or indirectly from the issuance fo this
permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any
City ordinance not limit in any way the City's ability to enforce any ordinance provision.
INSPECTIONS
• None