20180904115003.pdfCITY OF EDMO}{DS
I2I 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX:(425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED 8NG20180384
Permit Number: ENG2OI 80384 Expiration Date: I 1105/2018
Job AddressiT616 234TH ST EDMONDS
Bob Oates
600 W. Nickerson St
Bob Oates
600 W. Nickerson St.
Seattle, WA 981 19 Seattle, WA 981 l9
(206) 472-0302
LICENSE #: BOBOAOS899L4 EXP:06/2412019
PROPOSE TO RzuSE LATERAL
PROPOSE TO RzuSE SIDE SEWER
LIDNTJMBER:
DRAINACÐ
PROJECT CROSSES OTHER PRIVA TE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMMTY: The Applicant has signed an application which sf ates he/she holds the City of Edmonds harmless from injuries,
damages or claims of any kind or description v,halsoever,foreseen or unforeseen, lhaf nmy be made againsÍ the City ofEdmonds or
any ofits departments or employees, including but not limited lo the defense ofany legal proceedings including defense costs and
atÍorneyfees by reason ofgranÍing this permit.
CALL DrALA-DIG (r -80 0-4 2 4-5 5 5 5) BB'ORE ArW UCAVATION
CALL FOR INSPFCTION (425\ 7 7 t -0220 D(T. I 326
24 HOUR NOTICEREQUIRH) FOR ALL INSPECTION REQUBSTS
REt,EA
SIDB SEWER PERMIT t-s
APPLIC,{NT CONTRACTOR
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REPAIR
GRINDERPLA4P N N
Spot repair approx 4' long on east side of the home. Existing cleanout in place.
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JOB DESCRIPTION
EASEMB{T INFORMATION
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Tu 2018
.{PPLIC,{TION APPROVAL
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SIDE SEWER PERMIT (l-Single Family)
CONDITIONS
STATUS: ISSUED 8NG20180384
¡ Refer to City of Edmonds Side Sewer Information handout for approved pipe nraterials, inspections and other requirements.¡ A 6" cleanout with 12" locking cast iron lamphole cover is required at the propefty line.
¡ Maintain l0'separation between the sanitary side sewer and the water service line.¡ A separate rþht-oÊway construction permit is required for work within the City right-oÊway.
. Condition of the existing lateral to be verifìed by the City's Public Works Dept. to obtain approval for reuse. Contact Rlnnnds
Sewer Division at 425-771-0235.
. Condition ofthe existing sanitary side sewer to be verified prior to obtaining approval for reuse. TV inspection required. Video
to be submitted to City for review.
¡ Easement and/or permission fiom adjacent property owner is required prior to entry/work within adjacent property.
. Applicant shall repair/replace all darnage to utilities or frontage improvements in City rþht-oËway per Cþ standards that is
caused by or occurs during the permitted project.
o Owner/Contractor to provide Side Sewer asbuilt at final inspection. See Cþ Standards for requirements.
¡ Sound/Noise 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 7:00amto 6:00pm on weekdays and l0:00am and 6:00pm on Saturdays, ercluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction 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 Cþ of Edmonds, 'Washington, its offìcials, employees, and agents from any and all claims for danrages of
whatever nature, arising directþ or indirectþ from the issuance ofthis permit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the Cify's ability to enforce any ordinance
provision.
a E-Sanitary Side Sewer Inspection
PARTIALINSPECTION DATE:INITIAL:NOTES:
PARTIALINSPECTION DATE:INITIAL:NOTES:
FINALTNSPECTIONAPPROVED DATE:INITIAL:
INSPEI]TIONS
SIDE SE\MER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name:eü Lî Site Contact, û\^îu^J Ulf
Company Address: áøO tJ
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ìc$rrJ.} r.-.. 1r Phone #: 7 o 1 Õ s
City:zip ll Email #Je <)
State License #City Business #ô
Expiration Date:
PROPERTY INFORMATION:
Address:16/f Z:{tn 5l- 5-r
Ownerts Name:5 + e.¡e
Phone #:ro-3q
n ruu, LINE REpLACEMENT É' spot REpATR n prpr BURST n nnr,rNn 8ERMALTNE oNLÐ
DEScRIPTION oF PROPOSED woRK (Be Specific)r f?"+ f.e'È.ì .¡. O
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ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO V/ORK ON ANY PROPERTY OTHER
THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER.
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SATD V/ORK.
I REPRESENT AND V/ARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SE'WER EXTENDS TO AN
ADJACENT PROPERTY,I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY,
DATE (-¿t-/Þ
or Agent
SIGNATURE
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE