20180621113517.pdfCITY OF EDMO}üDS
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I2I 5TH AVENTIENORTH - EDMONDS, V/A 98020
PHONE: (425)771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED 8NG20180274
Permit Number: ENG20l 80274 Expiration Date: 07 l2l /201 I
Job Address:20703 81ST AVE W EDMONDS
The Drain Doctors, Inc.
2619 l30rh sr sE
The Drain Doctors, Inc.
2619 l30rh st sE
EVERETT, WA 98208 EVERETT, WA 98208
(42s) 426-4173
LICENSE #: DRAINDD9 I 2MH EXP:07/0812019
PROPOSE TO RzuSE LATERAL
PROPOSE TO RzuSE SIDE SEWER
LIDNUMBER:
DRAINAG
PROJECT CROSSES OTHER PzuVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMMTY: The Applicant has signed an applicafion which states he/she holds the City of Edmonds harmlessfrom injuries,
damages or claims of any kind or descriplion whatsoeter,foreseen or unþreseen, thaÍ may be made againsÍ the City of Edrnonds or
any ofits departments or employees, including bul not limifed to the defense ofany legal proceedings including defense costs and
atÍorneltfees by reason ofgranÍing this permit.
CALL DrALA-DIG (1 -8 0 0-42 4-5 5 55) Bu.Onn AWy Ð(CAVATION
CALL FOR INSPECTTON (425) 7 7 l-0220 Ð(T. I 326
24 HOUR NOTICEREQUIRED FOR ALL INSPDCTION REQUESTS
TE
)SIDB SEWER PERMIT t-s
APPLICANT CONTRACTOR
N N
N
REPAIR
G.INDERPUMP N N
from cleanout at the home to stub near right ofway. Add two cleanouts
N
N
.IOB DESCRIPTION
EAS EN,ITT{T NFO RMATION
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY TI]E CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PRO\4DED.
Printed:Thurs June 2l 201
,{PPLIC,{TION APPROVAL
f] rnrconv f nvsnncroRcoPY f ,lnrucANTCoPY
STATUS: ISSUED 8NG2018027 4
¡ Refer to City of Edmonds Side Sewer Infornration handout for approved pþe nraterials, inspections and other requirements.¡ 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 seruice line.¡ A separate right-oÊway construction permit is required forworkwithin the Cify rþht-oÊway.
. Condition of the existing lateml to be verified by the City's Public rù/ork Dept. to obtain approval for reuse. Contact Çdrnnds
Sewer Division at 425-771-0235.
. Condition ofthe existing sauitary side sewerto be verified priorto obtaining approval forreuse. TVinspection required. Video
to be submitted to City for review.
¡ Easement and/or permis s ion û'om adjacent propefty owner is required prior to entry/work within adjacent propeúy.. Applicant shall repair/replace all danrage to utilities or frontage improvements in City right-oÊway per City standards that is
caused by or occurs during the permitted project.o Owner/Contmctorto provide Side Sewer asbuilt at final inspection. See Cify Standalds for requirements.¡ Sound/llloise 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 7:00am to 6:00pm on weekdays and l0:00am 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 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 from the issuance of this permit. Issuance of this permit shall not be deemed to
rnodify, waive or reduce any requirements of any City ordinance not limit in any way the Cfy's abilþ to enforce any ordinance
provision.
¡ E-Sewer Asbuilt¡ &Sewer TV and Water test
¡ E-Sanitary Side Sewer Inspection
PARTIALINSPECTION DATE:INITIAL:NOTES:
PARTIALINSPECTION DATE:IN]TIAL:NOTES:
FINALINSPECTIONAPPROVED DATE:INITIAL:
SIDE SBWER PBRMIT (l-Single Family)
CONDITIONS
INSPE(]TIONS
lf your project is SOUTH of 220th St.
and/or \iVEST of Hwy 99, it may be in
Olympic View Water & Sewer District
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I
>-r1âr¡SIDE SE\ryER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
companyName: Gc b¿ar. Docr.¡¿. )nc-
Site'Contact:Phone #:4z<.4 'Tte .41]t1Kqvt
Mailing Address '2ç\q \#' 2,*-Fax #:
State License #: þfq rñùù ]tzM Ê
ExpirationDate: lltlt4 Email +t,nS € lyudrainc\osl¡rrs.n¿*
City Business License +: Ñ'ß -o-¿4y)5 þ r,iauility rnsurance þ Bonded
PROPERTY INFORMATION:
Address:zo1 t:? I1Sr A¡.1¿-r¡.'t ?ÁvmsvtÃ+ V$A 48ozt'
Ownerts Name:
Qtv ea 'Itpp
Phone #, 4.2ç . 4 rå .)a444 '
S rurr Line Replacement ç;fisp"t-R"p-l-I pipe Burst ! neUne (Permaline Only)
DESCRIPTION OF PROPOSED WORK (Be Specific) :
DATE
t
SIGNA
NO WORI( SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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