20180727155400.pdfCITY OF EDMONDS
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STATUS: ISSIJED
I21 5THAVENUENORTH- EDMONDS, WA 98020
PHONE: (42s) 77 t -0220 - FAX: (42s) 77 | -0221
*PERMIT MUST BE POSTED ON JOBSITE*
8NG20180332
SIDE SEWER PERMIT I
Permit Nunrber: ENG20 1 80332
Job Address: 18714 80TH AVE V/EDMONDS
Expiration Date : I 0 I 29 I 20 1 8
APPLICANT CONTRACTOR
Sposari Inc. dba Mr. Rooter
2000 s. I I 6th sr
Seattle, rla 98168
Sposari Inc. dba Mr. Rooter
2000 s. I I 6rh sr
Seattle, wa 98 I 68
(206) 979-t831
LICENSE #: MRROOP*022NE EXP 08/19/2020
PROPOSE TO RzuSE TATERAL
PROPOSE TO RzuSE SIDE SEWER
LIDNT]MBER:
DRAINAGE
PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLE"TE
INDEMMTY The Applicant has signed an applicationwhich states he/she holds the CiÍy of Edntonds harmlessfrom injuries,
damages or claims of any kind or description whatsoever, foreseen or unþreseen, that may be nrude against rhe City of Ednonds or
any of its depaltments or entployees, including bul not limited lo the defense of any legat proceedings including defense cosfs and
attorneyfees by reøson of granting this permit.
CALL DIALA-DIG (l -800 -424-5555) BU'ORE ANry D(CAVATTON
CALL FOR INSPECTTON (425) 7 7 l-0220 Ð(T. I 326
24 HOUR NOTICEREQTIIRH) FOR ALL INSPECTION REQUESTS
Y N
N
REPAIR
GRINDERPUMP N N
Spot repair approx 4', install cleanout
N
N
JOB DESCRIPTION
EASM{M{T II{FORMATION
ERMIT UNTIL SIGNED BY THE C]ry ENGINEER OR HiS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED INTHIS APPLICATON IS NOT A P
27 2018
SPACE PRO'VIDED.
Printed:
APPLICATION API'IìOVAL
TE
FILECOPY INSPECTORCOPY APPLICANTCOPY
SIDE SEWER PERMfT (l-Singlc Family)
COND¡TIONS
STATUS: ISSTIEI)8NG20180332
¡ Refer to City of Edmonds Side Sewer Information 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 l0' separation between the sanitary side sewer and the water service line.
¡ A separate right-oÊway construction pemit is required forworkwithin the City right-oÊway.
¡ Condition ofthe eisting lateral to be verified by the City's Public V/orlcs Dept. to obtain approval forreuse. Contact Edmonds
Sewer Divis io n af 425-7 1 I -023 5.
¡ Condition ofthe existing sanitary side sewerto be verified priorto obtaining approvalforreuse. TVinspection required. Mdeo
to be submitted to City for review.
¡ Easement and/or permission ÍÌom adjacent property owTler is required prior to entry/work within adjacent property.
. Applicant shall repair/replace all damage to utilities or frontage improvements in City right-oÊway per City standards that is
caused by or occurs during the permitted project.
o Or¡mer/Contractorto provide Side Sewerasbuilt at final inspection. Sce City Standards forrequirements.
o SoundÀ.loise orþinating fromtemporary construction sites as a result of construction activity are exernpt 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 other times the noise originating from construction s ites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been gmnted 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, Vy'ashington, its offrcials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance of this permit. Issuance of this permit 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.
a E-Sanitary Side Sewer Inspection
DATE:PARTIALINSPECTION
PARTIALINSPECTION DATE:
FINALINSPECTIONAPPROVED DATE:
INITIAL:
IMTIAL:
INITIAL:
NOTES
NOTES
INSPECTIONS
oçE
SIDE SEWER
PERMIT APPLICATIOT{
CONTRACTOR INFORMATION:
Company N Site Contacf:e S
Company Address:Phone #:
ct'v'.R?a{*L?'zip'qgJbß Email #:
State License #*City Business License #
Expiration Date:
PROPERTY INFORMATION:
Address: ß-\tq Sfl ftve vrl nJ¡nm'Ås h,tk Qïoz-t-
Owner's Name:f3
Phone #:
f] rur,l LrNE REPLAcEMENT t*orREpArR n prpn BURsr n npr.rNn GERMALTNE oNLÐ
DESCRIPTION OF PROPOSED WORK (Be Specific):
ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO ÏVORK ON ANY PROPERTY OTHER
THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER,
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SAID WORK.
I REPRESENT AND WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SE\ryER EXTENDS TO AN
ADJACENT
PROPERTY
, I HAVE PERMISSION TO PERFORM WORK ON THAT ADJACENT
nnnHJ:J8SIGNA
NO \ryORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE