20170214105805.pdf0,
t.JTY OF
EDMONDS/o�I ,a
t PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH A VENUE NORTH - EDMONDS, WA 98020
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*PERM.ITI MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170051
SID E S EWER PER M IT (I -Single Family)
Permit Number: ENG20170051 Expiration Date:04/14/2017
lob Address: 18335 81'STAVE W. EDMONDS
ROTO ROOTER ROTO ROOTER
10655 TUKWILLA INT BLVD 10655 TUKWTLLA'INT BLVD`
TUKWILLA, WAFIFE, WA 98424
(425) 346-0027
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 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°(1-80 0-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTTCEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA'PERMITUNTIL SIGNED BY THE
1TJV
INEERORHISMER DEPUTY: AND FEES ARE PAID, AND R
SPACE PROVIDED,
Printed:
a
I) r
❑' FILE COPY INSPECTOR COPY F APPLICANT COPY
• Refer to City of Edmonds SideSewer 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 he.
• Maintain 10' separation between the sanitary side sewer and the water service line.
•�. A separate right-of-way construction permit is required forwork 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 existing 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 fiomadjacent 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 ofconstruction activity are; exempt from the noise limits
ofECC Chapter 5.30 only during tthe 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 530.120.
• Applicant, on behalf ofhis 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 pen -flit. 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
• E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: