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121 5TH A VENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220'- FAX: (425)'771-0221
*PERMIT MUST BE POSTED ON JOBS
STATUS: ISSUED ENG20170060
SIDE SEWER PERMIT (2-M ulti-Family)
Permit Number: ENG20170060 Expiration Date: 04/21 /2017
Job Address: 21701 80TH AVE W, EDMONDS
APPLI(',A.NT CONTRACTOR
North West New Construction & Excavating North West New Construction & Excavating
PO 1214 Stanwood PO 1214 Stanwood
Stanwood WA 98282 Stanwood, WA 98282
(360) 310-0357'`
LICENSE # NORTHNC90ODK EXP 03/07/2018
JOB DESCRIPTION
Y REPAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP N IMPOSE TO REUSE SIDE SEWER N DRAINAGE
RentoVe section of sewer line were plugged and install cleanout. Sewer is in property to the south, within aprivate easement. Another'
cleanout installed at bend. Two cleanouts total.
EMSEMENT INFORMATION
N' PROJECT; CROSSES' OTHER PRIVATEPROPERTY
N VERIFICATION OF RECORDED 'EASEMENTS 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 (1-800-424.5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION'(425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL' NSPECTION REQUESTS
APPLICATION APPROVAL
THIS APPLICATION IS NOT,A PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY; AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED,
Printed: Tuesday,Febhlaa 21 201
FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
• Refer to City of Edmonds Side Sewer Infonnation 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,pennit 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.
• Conditionof the"e)asting 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 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/Contractorto provide Side Sewer asbuilt at final inspection. See City Standards for requirements.
• Sound/Noise originating fromtemporary 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 530, 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.
INSPECTIONS
•; E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:,
PARTIAL INSPECTION DATE: INITIAL; NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL;