20180531100110.pdfCITY OF EDMOI{DS
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121 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425)771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSI]ED ENG2018 0233
SIDF], SEWER PERMIT l-s
Permit Number: ENG20l 80233
Job Address: 18403 74TH PL W, EDMONDS
Expiration Date: 06 I I 4 120 I 8
CONTRACTORAPPLICANT
Best Plumbrng
4129 Stone Way N
Best Plumbing
4129 Stone Way N
Seattle, WA 98103 Seattle, WA 98103
(206) 633-1700
LICENSE #: BESTPGL9T3CD EXP:0210412019
PROPOSE TO RzuSE LATERAL
PROPOSE TO RzuSE SIDE SEWER
LIDNUMBER:
DRAINACE
PROJECT CR.OSSES OTHER PzuVA TE PROPERTY
VERIFICA TION OF RECORDED EA SEI\4ENTS COMPLEÏE
INDEMMTY The Applicant has signed an applicalion vhich states he/she holds the City of Edmonds harmlessfrom injuries,
damages or claitns of any kind or description whatsoe'ver, foreseen or unforeseen, Íhal may be made againsÍ the City of Edmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reøson ofgranting this permit.
CALL DIALA-DIG (1 -800 -42 4-5555) BBORE ANIY D(CAVATION
CALL FOR INSPECTION (425) 7 7 I -0220 D(T. I 326
24 HOUR NOTICEREQUIRID FOR ALL INSPECTION REQUESTS
Y N
NNN
REPAIR
GRINDERPUMP
Spot repair of 9'ne* to foundation, install cleanout.
N
N
.IOB DESCRIPTION
FÁSEMtr{T INFORMATION
tt]IS APPLICATION IS NOTA PERM]TUNTIL SIGNED BY THE CITY ENGINEER OR HÍS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PRO\4DED.
Printed: Thursd 201M3t
APPLIC,{TION APPROVAL
! rnrcorv ! nvsnrcroRcoPY [ .rruucANTCoPY
SIDE SEWER PERMIT (l-Single Family)
CONDITIONS
STATUS: ISSUED ENG2018 0234
¡ Referto Cify ofRlmonds Side Sewerlnfornration handout forapproved pipe materials, inspections and otherrequirements.
¡ A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
. Maintain l0'separation between the sanitary side sewer and the water service line.
. A separate right-oÊway construction permit is required for work within the City rþht-oÊway.
. Condition of the existing lateral to be verified by the City's Public Work Dept. to obtain approval for reuse. Contact Edmonds
Sewer Division at 425-771-0235.
. Condition of the existing s anitary s ide sewer to be verified prior to obtaining approval for reus e. TV inspection required. Video
to be submitted to Cify for review.
¡ Eas ement and/or permiss ion fi om adjacent property owner is required prior to entry/work within adjacent propeffy.
. Applicant shall repair/replace all danrage to utilities or frontage improvements in Cþ rþht-oÊway per City standards that is
caused by or occurs during the permitted project.
o Owner/Contructorto provide Side Sewerasbuilt at final inspection. See City Standatds forrequirements.
¡ Sound/Noise originating fiomtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 onþ 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 othertimes the noise originating fromconstruction sites/activities must compþ with the
noise limits of Chapter 5.30, unless avanance 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 indennif defend and hold
harmless the City of Blmonds, Washington, its offìcials, employees, and agents from any and all claims for damages of
whatever nature, arising directþ or indirectþ fiomthe issuance ofthis permit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any Cify ordinance not limit in any way the City's abilify to enforce any ordinance
provision.
BSanitary Side Sewer Inspection
PARTIALINSPECTION DATE:INITIAL:NOTES:
PARTIALINSPECTION INITIAL:NOTES:
FINALINSPECTIONAPPROVED DATE:TN]TIAL:
DATE:-
INSPE(-TIONS
lf your project is SOUTH of 220th St.
and/or \ /EST of Hwy 99, it may be in
Olympic View Water & Sewer District
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CONTRACTOR INFORMATION:
SIDE SE\MER
PERMIT APPLICATION
company Name: ßrot Þr,r*,",r,
Site Contact: t.À\k€ ¡/Vg*g Phone #, er6ggg_rZso
Mailing Address:
^qState License #:
Expiration Date:
ñ, Fax#: ?*-Ggz - a7 6;'L
L
ziqh4 Email #:
city Business License +r ,r¡hdh Aq èO EhÍability rnsurance Ek3ınoeo
PROPERTY INFORMATION:
Address: t?+og a¿lL ?L t^J fu¡.r.ss wfr q&Øb
Owner's Name: ClSeu-re Ba^r_
Phone #:
tr fuU Line Replacement Ñ"epair n pipe Burst n neUne (Permaline Only)
DESCRIPTION OF'PROPOSED WORI( (Be Specific) : AÞp€Ð)/ A ,, L e/ü G
/ /-€./.t\\O(Ã,
DATEç 4I'I{
or Agent
SIGNATURE
NO WORI( SHALL BEGIN PRIOR TO PERMIT ISSUAi\TCE