20180927142350.pdf: 1.)
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CITY OF EDMONDS
121 5TH AM314UE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
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*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20180418
SIDE SEWER PERMIT (]-Single Family)
Pernift N mibcr: EN G20180418 Expiration Date: 11/27/2018
Job Address: 18621 79TH PL W, EDMONDS
APPLICANT CONTRACTOR
Best Plw-nbing Best Plumbing
4129 Stone Way 4129 Stone Way
Seattle, Wa 98103
Seattle, Wa 9 8103
(206) 930-0726
LICENSE #: bestl)gl973cd EXP: 12/31/2018
JOB DESCRIPTION
Y REPAIR NJPROPOSE TO REUSE LATERAL LID NUMBER--
N GRINDER PUMP N I PROPOSE TO REUSE SIDE SEWER F_N I DRAINAGE
5 ft spot repairto install outside cleanout.
Possible liner.
EASEMENT MFORMATION
N PROJECT CROSSES OTHER PRIVATE PROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
IADEMATTY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranting thispermit.
CALL DIAL -A -DIG (1-800424-5555) BEFDREANYEXCAVAITON
CALL FOR I[NSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALLINSPECTION REQUESTS
THIS APPLICATION IS NOT A PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PRO'ADED.
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El FILE COPY F-] INS PECTOR COPY F-] APPLICANT COPY
27.2018
STATUS: ISSUED
ENG20180418
• Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
• Maintain I O'separation between the sanitary side sewer and the water service line.
• A separate right-of-way construction pernit is required for work within the City right-of-way.
• Condition of the existing lateral to be verified by the City's Public Works Dept. to obtain approval for reuse. Contact Edmonds
Sewer Division at 425-771-0235.
• Condition of the existing sanitary side sewer to be verified prior to obtaining approval for reuse. TV inspection required. Video
to be subiriitted to City for review.
• Easement and/or pennission from adjacent property owner is required prior to entry/work within adjacent property.
• Applicant shall repair/replace all damage to utilities or frontage in4)rovements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Owner/Contractor to provide Side Sewer asbuilt at final inspection. See City 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 6:00pmon weekdays and 10:00amand 6:00pmon 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 indermify de'lend and hold
han-dess the City of Edmonds, Washington, its officials, employees, and agents firomany and all claim for damages of
whatever nature, arising directly or indirectly fromthe issuance of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
* E- As -built
* E- TV/Water test
* E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE:
PARTIAL INSPECTION DATE:
FINAL INSPECTION APPROVED DATE:
INITIAL: NOTES:
INITIAL. NOTES:
INITIAL
1% of EvAjo *-
Alc. 1890
CONTRACTOR INFORMATION:
SIDE SEWER
PERMIT APPLICATION
Company Name: k&T C-9 Site Contact: AkE k'�/4UE
Company Address: 'i 'E5YOk W A) Phone#: aO(o-(,O�� 1700
City: �=�ATTLE WIA Zip: Email #:
State License # �G q 73 C-b City Business License #
Expiration Date:
PROPERTY INFORMATION:
Address: Eb�s toq
Owner's Name:
Phone#: L
F] FULL LINE REPLACEMENT D<S-POT REPAIR E] PIPE BURST [:1 RELINE (PERmALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific): 6�
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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 WAR�,ANTftO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPY
PROPERTY. jjH T OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
SIGNATURE DATE
V- ej4Vrkoor,6r Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE