20180807124317.pdfCITY OF EDMONTDS
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I2I 5TH AVENUENORTH - EDMONDS, V/A 98020
PHONE: (425)771-0220 - FAX:(425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED 8NG20180350
SIDE SEWER PERMIT (l-Single Family)
Permit Number: ENG20 1 803 50
Job Address:92} LOTH AVEN EDMONDS
Expiration Date : 08/07 l20l 9
APPLICANT CONTRACTOR
Pricor Technologies
2825 S 154rh Sr.
Seatac, WA 98 1 88
Pricor Technologies
2825 S. 154th St
Seatac, WA 98188
(2s3) s08-0460
LICENSE #: PRICOTLS65KZ EXP:05/09/2020
PROPOSE TO RzuSE LATERAL
PROPOSE TO RzuSE SIDE SEV/ER
LIDNIJMBER:
DRAINAG
PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EA SEMENTS COMPLETE
INDEMMTY: The Applicant has signed an applicafion which slates he/she holds the City of Edmonds harmless from injuries,
damages or claims of any kind or descriplion whatsoe't,er,foreseen or unforeseen, f haÍ may be made aga¡nsÍ the City of Edntonds or
any ofits departments or entployees, including but not limited to the deþnse ofany legal proceedings including defense cosls and
allorneyfees by reason ofgranting this permit.
CALL DrALA-DrG (1 -800-424-5555) BUORE ANY D(CAVATION
CALL FOR TNSPECTTON (425) 1 7 l-0220 D(T. I 326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUBSTS
Y N
N
REPAIR
CRINDERPUMP N N
5'spot repait install of cleanout.
N
N
JOB DESCRTPTION
EASEMü.{T INFORMATION
THIS APPLICATION IS NOTA PERM]TUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HERDEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED,
Printed: Tuesday, August 07,2018
APPLICATION APPROVAL
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RELEA-IEdBY únrÉ' -
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STATUS: ISSUED 8NG20180350
¡ Refer to City of Edmonds Side Sewer Information handout for approved pþe materials, inspections and other requirements.¡ A 6" cleanout with 12" locking cast iron lanphole cover is required at the property line.
¡ Maintain l0'separation between the sanitary side sewer and the water service line.¡ A separate rþht-oÊway construction permit is required forworkwithin the Cify rþht-oÊway.
. Condition of the existing lateral to be verified by the City's Public Work Dept. to obtain approval for reuse. Contact Ednronds
Sewer Divis io n at 425-77 1A35.
. Condition of the existing s anitary s ide sewer to be verified prior to obtaining approval for reuse. TV inspection required. Mdeo
to be submitted to City for review.
o Easement andlor permission fiom adjacent property owner is required prior to entry/work within adjacent propeffy.
. Applicant shall repair/replace all damage to utilities or fi'ontage improvements in City right-oÊway per Cþ standards that is
caused by or occurs during the permitted project.
. Owner/Contractorto provide Side Sewer asbuilt at final inspection. See Cþ Standards for requirements.
. Sound/lrloise 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
SundaysandFederalHolidays. Atallothertimesthenoiseoriginatingfiomconstructionsites/activitiesmustcomplywiththe
noise limits ofChapter 5.30, unless avariance 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 officials, employees, and agents from any and all claims for damages of
whatever nature, arising directþ or indirectþ ÍÌom the issuance ofthis permit. Issuance of this pemit shall not be deemed to
rnodify, waive or reduce any requirements of any Cify ordinance not limit in any way the City's ability to enforce any ordinance
provision.
. E-Side sewer as-built. ÞSanitary Side Sewer Inspection
PARTIALINSPECTION DATE:INITIAL:NOTES:
NOTES:PARTIALINSPECTION DATE:-
FINALINSPECTIONAPPROVED DATE:INITIAL:
SIDE SBWER PERMIT (l-Single Family)
CONDITIONS
INSPECTIONS
CONTRACTOR INFORMATION:
SIDE SEWER
PERMIT APPLICATION
Site Contact: ¡ /. ;â--''('Companv Namez /^ -, T. / / \ <ll I rL¿/ | (.'^D4ê¿1)t /:l phone *: AS j - \o t -o 460
Cityz ¿. 1)La t o¿'
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State Licens" # /ß I Cr,T/gl f ft Z City Business License o l,p - 0/ç2 t B
Expiration rur",
5 /1 /)o
PROPERTY INFORMATION:
Address: 4 )O U/1 fr,u /
Owner's Name: -"2 t ,
,,/c'rwe-J L,hl.r,
Phone #, 4 Z<-77 6- g,( T0
n null LrNE REPLAcEMENT frsyor RErATR n prpr BURSr n nnlrNn (rERMALINE oNLy)
DESCRIPTION OF PROPOSED WORK (Be Specific):
5 ,l'
ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK 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 V/ARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEV/ER EXTENDS TO AN
ADJACENT
PROPERTY
PROPERTY, I HAVE OWNERS S PERMISSION TO PERFORM WORK ON THAT ADJACENT
DATE
or Agent
SIGNATURE
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE