20180619104200.pdfCITY OF EDMONIDS
c. 18
I21 5TH AVENI.IENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSTJED 8NG20180270
SIDB SEWER PERMIT t-s
Permit Number: ENG20 I 8027 0
Job Address: 560 l2TH AVE N EDMONDS
Exp iration Date : 0 6 I 1 9 120 I 9
CONTRACTORAPPLIC,A,NT
PRICOR TECHNOLOGIES
2825SI54THST
SEATTLE, WA 98188
PRICOR TECHNOLOGIES
2825 S I54TH ST
SEATTLE, WA 98I88
(206) 2s8-s2'70
LICENSE #: PRICOTLS65KZ EXP:0510912020
PROPOSE TO RzuSE LATERAL
PROPOSE TO RzuSE SIDE SEWER
LIDNUMBER:
DRAINAGE
PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMMTY: The Applicant has signed an applicaÍion which stafes he/she holds the City of Edmonds harmlessfrom iniuries,
damages or claims ofany kind or description u,hatsoever, foreseen or unforeseen, lhaÍ may be made againsl the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranting fhis permit-
CALL DrALA-DIG (1 -800 -42 4-5555) Bff'ORE ANY D(CAVATION
CALL FOR INSPECTION (425) 7 7 l-0220 D(T. I 326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION RBQUESTS
Y N
NNN
REPAIR
RINDERPUMP
5' repair with clean out installation
N
N
.IOB DES(-RIPTION
EASEMS{T INFORMATION
THIS APPLICATION IS NOTA PERMITUNTÍL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
Printed:Tues June 201 8
SPACE PRO\4DED.
APPLIC,{TION APPROVAL
RELEASEDBY DATE
f rn-ncorv ! nsnncroRcoPY ! rruucANTCoPY
STATUS: ISSUED ENG2018 027 0
¡ Refer to City of Eclmonds Side Sewer Information handout for approved pipe nraterials, inspections and other requirements.r 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 forworkwithin the Cify right-oÊway.¡ Condition of the existing lateral to be verified by the City's Public Works Dept. to obtain approval for reuse. Contact Rlmonds
Sewer Division at 425-771-0235.t Condition of the existing s anitary s ide sewer to be verified prior to obtaining approval for rcus e. TV inspection required. Video
to be submitted to City for review.. Easement and/or pemission fi'om adjacent propefty owner is required plior to entry/work within adjacent property.. Applicant shall repair/replace all darnage to utilities or fiontage improvements in City right-oÊway per City stãndàrds that is
caused by or occurs during the permitted project.r Owner/Contractorto provide Side Sewer asbuilt at fìnal inspection. See Cþ Standalds for requirements.. Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt 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, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must compþ with tlie
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 indemnify defend and hold
harmless the City of Edmonds, Washington, its offìcials, employees, and agents from any and all claims for damages of
whatever nature, arising directþ or indirectþ fromthe issuance ofthis permit. Issuance ofthis permit shall not bJdeemed to
modify, waive or reduce any requirements of any Cify ordinance not limit in any way the City's ability to enforce any ordinance
provision.
a E-Sanitary Side Sewer Inspection
PARTIALINSPECTION
PARTIALINSPECTION
FINA L INSPECTION A PPROVED
DATE:-
DATE:-
DATE:-
INITIAL:NOTES
INITIAL:
INITIAL:
SIDE SBWER PBRMIT (l-Single Family)
CONDITIONS
TNSPECTIONS