20180531100136.pdfCITY OF trDMONIDS
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121 5TH AVENUENORTH - EDMONDS, V/A 98020
PHONE: (425)771-0220 - FAX: (42s)771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG2018 0234
SIDE SEWER PERMIT
Permit Number: ENG20 I 8023 4
Job Address:7013 l80TH ST SW, EDMONDS
Exp iration Dafe: 06 I I 4 120 1 8
APPLIC,{NT CONTRACTOR
Best Plumbing
4129 Stone Way N
Best Plumbing
4129 Stone Way N
Seattle, WA Seattle, WA
(206) 633-1700
LICENSE#: BESTPGL9T3CD EXP:02/0412019
PROPOSE TO REUSE LATERAL
PROPOSE TO REUSE SIDE SEWER
LIDNUMBER:
DRAINACE
PROJECT CROSSES OTHER PRIVA TE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMMTY: The Applicant has signed an applicaÍion vhich sÍates he/she holds the Cily of Edmonds harmlessfrom injuries,
damages or claims of any kind or descriplion vthatsoerer,foreseen or unþreseen, ÍhaÍ may be made againsr the City of Edmonds or
any ofits deparfments or entployees, including but not limiled to the defense ofany legal proceedings including defense cosfs and
aflorneyfees by reason ofgranîing lhis permit.
CALL DrALA-DIG (r -800-424-5555) BB.ORE ArW D(CAVATION
CALL FOR INSPECTION (425) 7 7 I -0220 D(T. I 326
24 HOUR NOTICEREQUIRH) FOR ALL INSPECTON REQUESTS
RELEA
Y N
NNN
REPAIR
CRINDERPUMP
Spot repair approx 5'against foundation and install cleanout
N
N
JOB DESC-RIPTION
FASEMM{T INFORMATION
THIS APPLICATON IS NOT A PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PRO\4DED.
-t 201Printed:
{PPLIC.{TION APPROVAL
f rrmcorv ! nsrrcroRcoPY ! aruucANTCoPY
SIDE SBWER PBRMIT (l-Single Family)
CONDITIONS
STATUS: ISSUED 8NG20180233
r Refer to Cify of Edmonds Side Sewer Information handout for approved pipe nraterials, inspections and other requirements.
o A 6" cleanout with 12" locking cast iron lamphole cover is required at the properfy line.
¡ Maintain l0'separation between the sanitary side sewet and the water service line.
¡ A separate right-oÊway construction permit is required forworkwithin 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 aI 425-771-0235.
. Condition of the existing s anitary s ide sewer to be verified prior to obtaining approval fbr reus e. 'l'V inspection required. Vìdeo
to be submitted to City for review.
¡ Easement and/or pelmission fi'om adjacent propefty owner is required prior to entry/work within adjacent propeffy.
. Applicant shall repair/replace all darnage to utilities or frontage improvements in City right-oÊway per Cify standards that is
caused by or occurs during the permitted project.
o Orvner/Contractorto provide Side Sewer asbuilt at final inspection. See City Standards for requirements.
¡ Sound/Ì.{oise originating fromtemporary construction sites as a result of construction activity are e)cmpt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and l0:00am and 6:00pm on Saturdays, e>aluding
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 indemnifr defend and hold
harmless the City of &lmonds,'Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directþ or indirectþ from the issuance of this permit. Issuance ofthis pemit 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-Sanitary Side Sewer Inspection
PARTIALINSPECTION
PARTIALINSPECTION
FINAL INSPECTION APPROVED
DATE:-
DATE:-
DATE:
INITIAL:NOTES:_
NOTES.-IMTIAL:
INITIAL:
INSPE(-TIONS
lf your project is SOUTH of 220th St.
and/or l /EST of Hwy 99, it may be in
Olympic View Water & Sewer District
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CONTRACTOR INFORMATION:
SIDE SE\ilER
PERMIT APPLICATION
Company Name:pg"r^øv,l (z
Site'Contact: tVCù<f l<çn,¡ç-Phone #, >.OL _(.Z7-I7OO
Mailing Address:
State License #: B¿Sf06¿
Expiration Date:
City Business License #tNR O^Aq Ð
PROPERTY INFORMATION:
Address: TOlg \€Cl4 êT
Fax #:)oç -lolz -Q2&-
Email#:
Insurance
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owner's Name: glrie lyJ'rL4stì4tÀ
Phone #:
I fun Line Replacement E+lot Repair n pipe Burst n Reline (Permaline only)
DESCRIPTION OF PROPOSED WORI( (Be Specifïc) : ¡fft, ?-Kep4p¿ñ\ÞP,f¿€F
Ag&\)s
C)-ça'YtoOT ,
SIGNATTIRE DArE ç-31 . /g
Contractor or Agent
NO WORI( SHALL BEGIN PRIOR TO PERMIT ISSUANCE