20180522100032.pdfOV r")A,
PHONE: (425) 771-0220 - FAX: (425) 771-0221
CITY OF EDMONDS
121 5TH AVENUENORTH - EDMONDS, WA 98020
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20180226
SIDE SEWER PERMIT (I -Single Familly)
Pen -nit Number: ENG20180226 Expiration Date: 07/22/2018
Job Address: 19911 MAPLEWOOD DR, EDMONDS
Best Plumbing
4129 Stone Way N.
Seattle, Wa 98103
Best Plumbing
4129 Stone Way N
Seattle, Wa 98103
(206) 633-1700
LICENSE #: BESTPGL973CD EXP: 02/04/2019
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JOB DESCRIPTION
REPAIR TOREUSELATERAL LIDNUMBER:
GRINDER PUMP N I PROPOSE TO REUSE SIDE SEWER E—N I DRAINAGE
Spot repair in backyard. Approx 8ft in length.
LAS EMENT INFORMATION
N
I PROJECT CROSSES OTHER PRIVATE PROPERTY
NJ
VERIFICATION OF RECORDED EASEMENTS COMPLETE
IADEMA7TY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessftom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofils departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
atiorneyfees by reason ofgranting this permit.
CALL DIALA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERNHTUNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACEPROVIDED.
Printed: Tuesday. Mav 22.201
RELEASED
F FILE COPY F-1 INSPECTOR COPY F APPLJCANT COPY
STATUS: ISSUED
ENG20180226
• Refer to City of Edmonds Side Sewer In formation 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 forworkwithin the City right-of-way.
• Condition ofthe e)dsting lateralto be verified by the City's Public Works Dept. to obtain approval forreuse. Contact Edmonds
Sewer Division at 425-771-0235.
• Condition ofthe e)dsting sanitary side sewerto be verified priorto obtaining approval forreuse. TVinspection required. Video
to be submitted to City for review.
• Easement and/or permission fromadjacent property owner is required priorto 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 firomtemporary construction sites as a result ofconstruction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00amand 6:00pmon Saturdays, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must comply with the
noise limits ofChapter 5.30, unless avariance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalfofhis or herspouse, 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 ofthis pen -nit 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.
0 E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL- NOTES:
PARTIAL INSPECTION DATE: INITIAL: - NOTES: -
FINAL INSPECTION APPROVED DATE: INITIA I-
<4 of EDA40 41
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If your project is SOUTH of 220th St.
and/or WEST of Hwy 99, it may be in
Olympic View Water & Sewer District
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: bbo�-
SiteContact: X1'k
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(�f Phone#: 90(,-65?,-/700
Mailing Address: aT2X�— Fax #: S 3, C)
State License #: 4� E-S-T FrL, 'T 7 —'� C L)
Expiration Date -
City Business License #'VR OR pe?3 0
PROPERTY INFORMATION:
Address: 018 tto?61br "90
Owner's Name:
Phone #:
Fj Full Line Replacement -.t�Woot Repair
Email #:
f�J�ility Insurance f%J Bon ed
El Pipe Burst 0 Reline (PermaLine Only)
DESCRIPTION OF PROPOSED WORK (Be Specific): 5p.
ylj,�-Q af-r -n
SIGNATURE
DATE �S -d�4�
ractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE