20180827160608.pdfCITY OF EDMOI{DS
I21 5TH A\ENUENORTH - EDMONDS, V/A 98020
PHONE: (425)771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSI]ED ENG20180380
Permit Number: ENG20 I 80380 Expiration Date: I 112712018
Job Address:22522 73RD PL W EDMONDS
Southwest Plumbing
2401 SW Alaska St
Southwest Plumbing
2401 SW Alaska St
Seattle, WA 98106 Seattle, WA 98106
(206) 498-4480
LICENSE #: SOUTHWPOT I C6 EXP 0410112019
PROPOSE TO RzuSE LATERAL
PROPOSE TO RzuSE SIDE SEWER
LIDNUMBER:
DRAINAGÐ
PROJECT CROSSES OTFIER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMMTY: The Applicant has signed an applicaÍion which states he/she holds the City of Edmonds harmless from injuries,
danmges or claims of any kind or description v,halsoever,foreseen or unforeseen, Íhal ntay be made against the City ofEdrnonds or
any ofits departments or employees, including but not limiÍed to fhe defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranÍing fhis permit.
CALL DIALA-DIG (1 -800-424-5555) BU'ORE Ar\rY Ð(CAVATION
CALL FOR TNSPECTTON (425) 7 7 1 -0220 D(T. I 326
24 HOUR NOTICEREQUIRE]D FOR ALL INSPECTION REQUESTS
SIDB SEWB,R PERMIT l-s
APPI,ICANT CONTRACTOR
Y N
N
REPAIR
G.INDERPLA4P N N
Replacing up to 4'of concrete line at back of building.
N
N
.IOB DE.SCRIPTION
EASEJUM{TINFORMATION
THIS APPLICATION IS NOTA PERM.ITUNTIL SIGNED BY THE CIry ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PRO\4DED,
27 2018Printed:Mon A
APPLICATION APPROVAL
! rnncorv INSPECTORCOPY ! *nucANTCoPY
SIDE SEWBR PERMIT (l-Single Family)
CONDITIONS
STATUS: ISSUED ENG20180380
r Referto City of Rlmonds Side Sewerlnfonnation handout forapproved pipe nraterials, inspections and otherrequirements.¡ A 6" cleanout with 12" locking cast iron larnphole 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 City right-oÊway.
. Condition ofthe existing lateral to be verified by the City's Public Work Dept. to obtain approval for rcuse. Corrtact Rlmonds
Sewer Division at 425-771-0235.
. Condition ofthe existing sanitary side sewerto be verified priorto obtaining approval forreuse. TVinspection required. Video
to be submitted to City for review.
r Easement and/or pemis s ion û'om adjacent property owner is required prior to entry/work within adjacent property.. Applicant shall repair/replace all damage to utilities or fiontage improvements in City right-oÊway per City standards that is
caused by or occurs during the permitted project.
r Owner/Contlactor to provide Side Sewer asbuilt at final inspection. See City Standalds for requirements.
. Sound/Ìrloise originating 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 10:00am and 6:00pm on Saturdays, excluding
SundaysandFederalHolidays. Atallothertimesthenoiseoriginatingffomconstructionsites/activitiesmustcompþwiththe
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 indemni$ defend and hold
harmless the City of klmonds, Vy'ashington, its offìcials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectþ ÍÌom the issuance of this permit. Issuance of this perrnit shall not be deemed tci
modify, waive or reduce any requirements of any City ordinance not limit in any way the Cify's ability to enforce any ordinance
provision.
E-Sanitary Side Sewer Inspectiona
PARTIAL INSPECTION DATE:
PARTIALINSPECTION DATE:-
FINALINSPECTIONAPPROVED DATE:
INITIAL:NOTES
NOTES
ÍNITTAL:
¡NSPFCTIONS
SIDE SE\MER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name:,*L-*F ?t",, U'Site Contact::L N/L.,,.3
Company Âddress: ZrtO\ Sr,O ,&t^e S Phone #, ZOç - 4q(- 4r-\(ô
city: g o^*YL-._zip:1/ lo<o Email #:
State Licens. # SO,;t¡1q ç? ø_l \ L U City Business License U NqZøZS S Zq
Expiration Date:
PROPERTY INFORMATION:
Address:zzs'LZ,I3-) Pt r^)E),^.,-^Jt ¿A I OZG
Ownerts Name: r. I r ì(.'?r^r.\ f'\t¡sc-l-ta
Phone *,( \t-5 ) líZ - t t -1Ð !
n null LrNE REILACEMENT Ssnor RErATR n prpu BURsr n nnr,rxn (PERMALTNE oNLY)
DEScRIPTIoNoFpRoposEDwoRK(Bespecific), ,.oLn._ é up {- L{' o.g
(þv\¿-!e*>eu' t .*e-"^L
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ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER
THAN THAT OV/NED BY THE SUBJECT PROPERTY OWNER.
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SAID WORK.
I REPRESENT AND WARRANT TO IF OF EXISTING SE'WER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE RM V/ORK ON THAT ADJACENT
PROPERTY
' oor" g z1
or Agent
SIGNATURE
NO WORK SHALL BEGIN PRIORTO PERMIT ISSUANCE
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