20170202152640.pdfeta lid C. I SKIS
121 5TH AVR[ UENORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED
Permit Number: ENG20170041
Job Address: 524 MAIN ST, EDN
Mikes Plumbing Mikes Plumbing
PO Box 1535 PO Box 1535
Edmonds, WA 98020 Edmonds, WA 98020
(425)490-8490+'
LICENSE # ovikgsj) 9
JOB DESCRIPTION
Y REPAIR N PROPOSE TO REUSE LATERAL LID NI
N GRINDER PUMP M PROPOSE TO REUSE SIDE SEWER N I
Dig trench & repair 15'section of4" side sewer. Add 4" cleanout at outside of the home.
ENG20170041
Expiration Date: 04/02/2018
EXP:'05/11/2017
R:
AGE
[AS EN,]L"- INFORMATION
NPROJECT CROSSES OTHER PRIVATE PROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY- The Applicant has signed an application which stales he/she holds the City of Edmonds harmless from injuries,;
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may 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 (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220'EXT. 1326
24 HOUR NOTICEREQUHtED FOR ALL INSPECTION REQUESTS
APPLICATIONAPPROVAL
THIS APPLICATION IS NOT A PERMITUNTTL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED„
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Q FILE COPY ❑ INSPECTOR COPY �§ APPLICANT COPY
• Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, 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 at425-771-0235
* Condition of the a)dsting sanitary side sewer to be verified'' prior to obtaining approval for reuse. TV inspection required. Video
to be submitted'to City for review.
• Easement and/or permission from 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 of7 00amto 6:00pmon 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 fromthe issuance ofthis pern it. 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-As-built
• E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES;
FINAL INSPECTION APPROVED DATE: INITIAL: