20091123131839071.pdfOP E D/It
CITY OF EDMONDS
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121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
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*PERMIT POSTED O
STATUS: ISSUE Ir0. ,�
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ENG20090365 ExpirationD. 1 Im
Job Address: 15806 75TH PL, W, EDMONDS
PUGET SOUNDSOUND
13330 Stone Ave N PO BOX 2579
Location:
Seattle, WA • WA "•:
LICENSE 4: EXP:
DESGRIPTIQN>
Adjacent• 15806 - 75 PI W: Relocate• to avoid • •ming city fi-ontage improvements.
ASSESSED VALUE:
SIDEWALK: (OXO)
PARKING: ( 0X0 )
ALLEY: (0X0)
$0.00 PROPERTY AREA: 0
DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
DURATION IN MONTHS: 0 FEE: $0.00
INDEMNITY- The Applicant has signed an application ivhich states he/she holds the City ofEdmonds harmless from injuries,
damages or claims ofany hind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds 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.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYFAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THE W O RIS
• Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must
be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their
possesion.
• Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved
material prior to the end of the workday- NO EXCEPTIONS.
• Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1800-424-5555) BEFOREANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NO TIC EREQ UIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATIONrcNOT''A`PEI NIIT"TIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
7 SPACE PROVIDED.
Printed: Monday. November
( ) l ,
RELEASED BY DATE
FILE COPYINSPECTOR COPY APPLICANT COPY
STATUS: ISSUED
ENG2009O365
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Public utilities maintain 5'separation from City Utilities.
• Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Construction hours are Monday -Friday 7am-6pm and Saturdays l0am-6pm. No work on Sundays or Federal Holidays.
• Call for required inspections as noted.
• 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 pemnitted project.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon Saturdays, excluding
Sundays and Federal Holidays. At all other tones 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 fromany and all claims for damages of
whatever nature, arising directly or indirectly fromthe 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.
• EEngineering Final
PARTIAL INSPECTION
PARTIAL INSPECTION
FINAL INSPECTION APPROVED
INSPECTIONS
DATE: INITIAL:
DATE: INITIAL:
DATE: INITIAL:
NOTES:
NOTES: