20181004115727.pdf^ffi,^CITY OF EDMONDS
I2I 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425)771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSTIED 8NG20180450
SIDE SE\ilER PERMIT (l-Single Family)
Permit Number: ENG20 I 80450 Exp iration Date: 0l I 0 4 120 I 9
Job Address:710 TTFI AVE EDMONDS
All County Seuer
1509 l43rdPl SW
Lynnwood, WA 98087
All County Sewer
1 509 I 43rd Pl SW
Lynnwood, WA 98087
(206) ss4-9992
LICENSE # : ALLCOCSS25OM EXP:09/14/2020
PROPOSE TO RzuSE LATERAL
PROPOSETO RET]SE SIDE SEWER
LIDNUMBER:
DRAINAGE
PROJECT CROSSES OTHER PzuVA TE PROPERTY
TION OF RECORDED EASEMENTS COMPLETE
INDEMMTY The Applicanl has signed an applicaÍion which states he/she holds the City of Edmonds harmlessfrom injuries,
damages or claims ofany kind or description whatsoeyer,foreseen or unforeseen, fhal may be made againsÍ the City ofEdmonds or
any ofits departments or entployees, including buf noÍ limited to the defense ofany legal proceedings including defense cosls and
atÍorneyfees by reason ofgranting lhis permiî.
CALL DIALA-DrG (r -800 -424-55ss) BU'Onn ArW D(CAVATTON
CALL FOR TNSPECTTON (42s) 7 7 I -0220 D(T. I 326
24 HOUR NOTICERBQUIRED FOR ALL INSPECTION REQUESTS
tb
BY DATE
APPLICANT CONTRACTOR
Y N
N
REPAIR
G.INDERPT]MP N N
Sewer repair along south side of house to edge of easement. Cleanouts to be installed out of house and by kitchen
N
N
SS easement along westem easement
.IOB DESCRIPTION
EASEMÐ\T TNFORMATION
THIS APPLICATION IS NOT A PERMITUNTÍL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PRO\¡IDED.
Printed: Thurs October 201
.{PPLICATION APPROVAL
! ru.rcorv f nsnncroRcoPY APPLICANTCOPY
SIDE SEWBR PBRMIT (l-Single Family)
L^ONDTTIONS
STATUS: ISSUED 8NG20180450
o Refer to City of Edmonds Side Sewer Infonrntion handout for approved pipe nraterials, inspections and other requirements.¡ A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
¡ Maintain l0' separation between the sanitary side sewet and the water seryice line.¡ A separate right-oÊway construction permit is required forworkwithin the Cþ right-oÊway.r Condition of the existing lateral to be verifìed by the City's Public Work Dept. to obtain approval for reuse. Contact Edmonds
Sewer Divis io n a| 425-7 7 1 -0235.
. Condition ofthe existing sanitary side sewerto be verified priorto obtaining approval forreuse. TVinspection required. Vdeo
to be submitted to City for review.
¡ Easement and/or permission f,'om adjacent property owner is required prior to entry/work within adjacent plope¡ty.. Applicant shall repair/replace all danmge to utilities or frontage improvements in City right-oÊway per Gty standards that is
caused by or occurs during the permitted project.o Owner/ContÍactor to provide Side Sewer as built at final ins pection. See Cþ Standards for requirements .¡ SoundÀtroise originating fromtemporary consttuction 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 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 indenmify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatevernature, arising directþ or indirectþ fromthe issuance ofthis permit. Issuance ofthis pennit shall not be deemed to
modifi, waive or reduce any requirements of any Cify ordinance not limit in any way the City's ability to enforce any ordinance
provision.
r E- As Built¡ DSanitary Side Sewer Inspection
r E-Engineering Final
PARTIALINSPECTION
PARTIALINSPECTION
FINAL INSPECTION APPROVED
DATE:
DATE:-
DATE:-
INITIA
TNTTIA
IN]TIA
NOTES:
NOTES:_
INSPECTIONS
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
companyName: AU- (ocorr* çt fr,uU Site Contact:
Company Address:
1 SÞt lLt",rö(. (t- ç l,O LD G-9 S q
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City: l_
State License #'-
Expiration Date:
PROPERTY INFORMATION:
Address:
k=-1zof'.A fwta..
City Business License * ¡1/ fL OLf?6.f
Zipz Email #:
owner's Name:
,a-a*/n z #e /L¿ Y
Phone #:
n null LINE REpLAcEMENT n spor REpATR n prpn BURST
DESCRIPTION OF PROPOSED WORK (Be Specific):
eP
n neuxo (PERMALTNE oNLY)
/.
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 WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEV/ER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY ñre/DA
Contractor or Agent
SIGNATURE
NO \ryORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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