20180827125743.pdfCITY OF EDMONDS
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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: ISSIJED 8NG20180379
Permit Number: ENG2OI 80379 Expiration Date : 08 127 120 1 9
Job Address:18317 SLINSET WAY, EDMONDS
MIKES PLUMBING AND DRAIN CLEANING
PO BOX 1535
MIKES PLUMBING AND DRAIN CLËANING
PO BOX 1535
Edmonds, Wa 98020 Edmonds, Wa 98020
(206)'794-7s18
LICENSE#: MIKESPC99OKM EXP:05/12/2019
PROPOSE TO RzuSE 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 application which states he/she holds the City of Edmonds harmlessfrom injuries,
damages or claims ofany kind or description v,halsoever,foreseen or unforeseen, thal may be made againsÍ the City ofEdmonds or
any ofits deparlments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
allorneyfees by reason ofgranting this permiÍ.
CALL DIALA-DrG (1 -800-424-55s5) BB'OREANy Ð(CAVATION
CALL FOR TNSPECTION (425) 7 7 I -0220 D(T. I 326
24 HOUR NOTTCEREQUIRH) FOR ALL INSPECTION REQUESTS
BY
SIDB SEWER PERMIT l-s
APPLIC.{NT CONTRACTOR
Y N
N
REPAIR
G.INDERPUMP N N
PVC repair on damaged concrete sewer pipe. Approx 6 of repair near property line at 4-6' deep
N
N
JOB DESCRIPTION
EAS EMB\.IT IN FO RMATION
TIIIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CIry ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PRO\4DED.
Printed:Mon A 27 2018
,{PPLICATION APPROVAL
! ru,rconv f nsrrcroRcoPY APPLICANTCOPY
SIDB SB\ilER PERMIT (l-Single Family)
CONDÍTIONS
STATUS: ISSUED ENG2018 037 9
¡ Referto Cify of&lmonds Side Sewerlnfonnation handout forapproved pipe materials, inspections and otherrequirements.¡ A 6" cleanout with 12" locking cast iron lanrphole cover is required at the propeffy line.
r Maintain l0'separation between the sanitary side sewer and the water seryice line.¡ A separate right-oÊway construction permit is required for work within the City right-oÊway.
. Condition of the existing lateral to be verified by the City's Public V/orks Dept. to obtain approval for reuse. Contact Edmonds
Sewer Division af 425-771-0235.
. Condition ofthe existing sanitary side sewerto be verified priorto obtainìng approval forreuse. TVinspection required. Video
to be submitted to City for review.
¡ Eas ement and/or pemission fi om adjacent property owner is required prior to entry/work within adjacent pr opefy.. 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.o Orvner/Contractorto provide Side Sewer asbuilt at final inspection. See Cify Standards forrequirements.
. SoundÀ{oise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 onþ during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
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 indemnify defend and hold
hannless the City of ftlmonds, W'ashington, its offìcials, employees, and agents from any and all claims fot damages of
whatevernature, arising directþ or indirectþ fromthe issuance ofthis permit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any Cify ordinance not limit in any way the Cify's abilify to enforce any ordinance
provision.
a E-Sanitary Side Sewer Inspection
PARTIALINSPEC|ION DATE:INITIAL:NOTES:
PARTIALINSPECTION DATE:INITIAL:NOTES:
FINALINSPECTIONAPPROVED DATE:INITIAL:
¡NSPECTIONS
SIDE SE\ryER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name:tv€s Plqvn b t Site Contact: I CLA H,)f)
Company Address: ¡?6 ß O X t <3-ç Phone #, ZO L- 1 cl4- 7 S ig
City: (j,t'.-.¿lJ'zip: I8OZ ,t Email #:
Stare Licens. # flA t \4¿ t to(1T1 tLlna,City Business License o 0 t O 3 i 4
Expiration Date:
PROPERTY INFORMATION:
Address:l8j 11 Sv^\( +
Owner's Name: I( arO {tn {N ¿nua.ctÂ
Phone #:
n pult LINE REpLACEMENT N/spor REpAIR n prpn BURST I nnlrun (pERMALTNE oNLy)
DESCRIPTION OF PROPOSED WORK (Be Specific):
Pv t1 Ò¡n¿tt(1 UYrc r<- K-e r{6
ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER
THAN THAT OWNED BY THE SUBJEC,T 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 SEWER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY
DArE qfzll't
or Agent
SIGNATURE
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE