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CITY OF EDMONDS
121 5THAVENUE NORTH -EDMONDS, WA 98020
o PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190244
SIDE SEWER PERMIT
Permit Number: ENG20190244 Expiration Date: 06/13/2020
Job Address: 18909 OLYMPIC VIEW DR, EDMONDS
STROBL DESIGN JOE MYERS CONSTRUCTION
POB 20764 JOE MYERS
4418 128TH PL SE
SEATTLE, WA 98102 EVERETT, WA 98026
(425) 328-7849 EXT: 42533
LICENSE #: JOEMYMC951PP EXP. 10/20/2019
Y
N
DESCRIPTION
REPAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER N DRAINAGE
INSTALL SS CLEAN OUT 2 FT FROM NEW STRUCTURE
LAS LMENT INFORMATION
N
PROJECT CROSSES OTHER PRIVATE PROPERTY
N
I VERIFICA TION OF RECORDED EA SEMENTS COMPLETE
INDEMNITY The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
CALL DIALrA-DIG (1-800-424-55 55) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
A,PPLICATION APPROVAL
THIS APPLICATION IS NOT A PEFMTUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED
Printed: Friday. June 14, 2019
RELEA SED BY
6/14/19
DATE
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG20190244
• Refer to City of Edmonds Side Sewer Information handout for approved pipe nuiterials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
• Maintain 10' separation between the sanitary side sewer and the water service line.
• A separate right-of-way construction permit is required for work within the City right-of-way.
• Condition of the existing lateral to be verified by the City's Public Works Dept. to obtain approval for reuse. Contact Edmonds
Sewer Division at 425-771-0235.
• Condition of the existing sanitary side sewerto be verified prior to obtaining approval for reuse. TV inspection required. Video
to be submitted to City for review.
• Easement and/or permission fiom adjacent property owner is required prior to entry/work within adjacent property.
• 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.
• Owner/Contractor to provide Side Sewer as built at final inspection. See City Standards for requirements.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
ofECC Chapter 5.30 only during the hours of 7:00amto 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 of 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.
• E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Joe Myers Construction, Inc
Company Address: 4418 128th PL SE
City: Everett Zip: 98208
State License # JOEMYMC951 PP
Expiration Date: 2020
PROPERTY INFORMATION:
Address: 18909 Olympic View Dr. Edmonds, WA 98020
Owner's Name: Matthew & Christi Mullet
Phone #:
Site Contact: Joe Myers
Phone #: 425-328-7849
Email #: joemyersconstruction@comcast.net
City Business License # nr-026228
❑ FULL LINE REPLACEMENT ❑ SPOT REPAIR ❑ PIPE BURST ❑ RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific): Houle addition Sewer has been replaced North side of home new
V4
ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER
THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER.
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SAID WORK.
I REPRESENT AND WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY.
SIGNATURE
Cont actor or Agent
DATE 05/13/2019
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE