20180927142350.pdfCITY OF EDMO}{DS
121 5THA\IENLIENORTH - EDMONDS, WA 98020
PHONE: (425)77r-0220 - FAX: (425) 771-421
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED 8NG20180418
SIDE SEWER PERMIT I
Permit Nurnber: ENG20 1 804 1 8
Job Address: 18621 79TH PL W, EDMONDS
Expiration Date: 1 I 127 12018
CONTRACTORAPPLICANT
Best Plumbing
4129 Stone Way
Best Plumbing
4129 Stone Way
Seattle, Wa 98 103 Seattle, Wa 98103
(206) 930-0726
LICENSE #: best 73cd EXP: l2l3ll20l8
PROPOSETORzuSETATERAL
PROPOSETO RzuSE SIDE SEWER
LIDNUMBER
DRAINAGE
PROJECT CROSSES OTHER PRTVATE PROPERTY
\ÆRIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMMTY: The Applicant has sígned an application which states he/she holds the Citv of Edmonds hannless from injuries,
damnges or claims of any kind or description whatsoever,þreseen or unþreseen, that may be made against the City of Edmonds or
any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and
attomeyfees by reason of granting this permit.
CALL DrALA-DrG (1-800424-5555) BEFOREANYD(CAVATTON
CALL FOR TNSPECTTON (42s)7714220 D(T. 1326
24 HOUR NOTTCEREQUIRED FOR ALL INSPECTION REQUESTS
TE
Y N
N
REPAIR
CRINDERPT]MP N N
5 ft spot repair to install outside cleanout.
Possible liner.
N
N
JOB DESCRIPTION
EASEMENT INFORMA'TION
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY TTJE CIry ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
27 201 8Printed: Thum
APPLICATION APPROVAL
! rnuconv
BY
f nrsnEcroRcoPY I arulrcANTCoPY
SIDB SEWBR PBRM IT (l-Single Familv)
CONDtTlONS
STATUS: ISSUED ENG20180418
¡ Refer to City of Ednnnds Side Sewer Infornntion handout for approved pþe materials, inspections and other requirernents.o A 6" cleanout with 12" locking cast iron lanphole cover is required at the property line.o Maintain 10'separation between the sanitary side sewer and the water service line.¡ A separate right-oÊway construction permit is required for work within the City rþhtof-way.
. Condition of the existing lateral to be verified by the City's Public Works Dept. to obtain approval forreuse. Contact Ednronds
Sewer Division at 425-171-0235.
¡ Condition of the existing sanitary side sewer to be verìfied prior to obtaining approval for reuse. TVinspection required. \ïdeo
to be submitted to City for review.
¡ Easement and/orpermission frornadjacent property owner is required prior to entry/work within adjacent propefty.. Applicant shall repair/replace all danrage to utilities or frontage inprovenrents in City right-oÊway per City standards that is
caused by or occurs during the permitted project.. Or¡mer/C¡ntractor to provide Side Sewer asbuilt at final inspection. See City Standards for requirenænts.r SoundÀJoise originating fromtenporary construction sites as a result of construction activity are exenpt lÌomthe noise limits
ofECCChapter5.30onlyduringthehours of7:00amto 6:0þmonweekdays and l0:00amand 6:0ûpmon Saturdays,ercluding
Sundays and Federal Holidays. At all othertirrps the noise originating froûrconstruction sites/activities must conply with the
noise lùnits ofChapter 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 indemnift deîend and hold
harniless the City of Ednronds, Washington, its officials, enployees, and agents fromany and all claims for danrages of
whatever nature, arising directly or indirectly fromthe issuance of this permit. Issuançe of this permit shall not be deerned to
rndifr, waive or reduce any requirerrrcnts of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
r E- As-builto E- TV/Watertest
¡ E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION
PARTIAL INSPECTION
DATE:
DATE:
INITIAL:-
INITIAL:
I¡{ITIAL:_
NOTES:_
NOTES:_
FINALINSPECTIONAPPROVED DATE:
INSPECTIONS
SIDE SEWER
PERMIT APPLICATIOI{
CONTRACTOR INFORMATION:
Company Name:btç,Þ¿-,r*rr^: ô Site Contact, t[tt4e Kæ"tt to6 -?çt-oz
Company Address: q ?.1 w phone #z )oG _b3 l70o
Cittz fl¡*¿ t^JA z¡pr92\Ð\Email #:
State License # b¿VTf€L 9f .S c,L>Ciry Business License # AùA O?q ego
Expiration Date: l)-3 t- t6
PROPERTY INFORMATION:
Address: lgb at 1qþ P¿- r.^¡ ¿å¡16,os Lrn q 4O7Ø
owner's Name: naa+arrA C¿,JruçA
Phone #: {¡s -nq- ltTþ
n rur-l LrNE RErLAcEMENT Efror RErÀIR n prpr BURsr n nÈuxn (PERMALTNE oNLÐ
DESCRIPTION OF PROPOSED WORK (Be Specifìc), 5 çz_ Lo,> (a (Ðroz Pt'ÞÆL ï¡Ò
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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/THE CITY OF EDMONDS, IF REPAIR OF EXISTING SE-WER EXTENDS TO AN
ADJACENT
PROPERTY
OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
?-p? , sDATE
Agent
SIGNATURE
NO WORI( SHALL BEGIN PRIOR TO PERMIT ISSUANCE