20190315102302.pdfCITY OF EDMOI{DS
4c. I
I2I 5TH AVENTJENORTH. EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: APPLIED ENG2019 0092
SIDB SEWBR PERMIT (l-Single Family)
Permit Number: ENG20 I 90092 Expiration Date: 06 I 1 4 120 1 9
Job Address: I140 SEA VISTA EDMONDS
THE WAY COMPANY.SEAN HELLEREN CONST
3I7 ELM ST
EDMONDS, \¡/A
THE WAY COMPANY.SEAN HELLEREN CONST
3I7 ELM ST
EDMONDS, WA
(42s) 239-621 1
LICENSE # : WAYCOWC888P2 EXP: 10/29/2020
PROPOSE TO RzuSE LATERAL
PROPOSETO RzuSE SIDE SEV/ER
LIDNUMBER:
DRAINAG
PROJECT CROSSES OTHER PRIVA TE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMMTY: The Applicant has signed an application which staÍes he/she holds the City of Edmonds harmlessfrom injuries,
damages or claims of any kind or description whqtsoeyer, foreseen or unþreseen, lhaÍ ntay be made againsî the City of Edmonds or
any ofits departmenls or entployees, including but not limited to lhe defense ofany legal proceedings including defense cosÍs and
attorneyþes by reason of granting lhis permit.
CALL DIALA-DIG (l -800-424-5555) BU'ORE Ar\rY Ð(CAVÀTION
CALL FOR TNSPECTTON (425) 7 7 I -0220 t)(T. I 326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
RELEASED
APPLIC,ANT C]ONTRACTOR
Y N
N
REPAIR
CRINDERPUMP N N
Side sewer repair in rear of house
N
N
JOB DF^S(]RTPTION
EASEMT1T INFORMATION
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CÍTY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
March 1 201
SPACE PRO\4DF-ì')
Printed
,{PPLICATION APPROVAL
! rnncorv ! nsrrcroRcoPY f arnucANrcoPY
SIDE SBWER I'BIIM IT (l-Single Familv)
C]ONDN'IONS
STATUS: APPLIED 8NG20190092
¡ Referto Cþ ofEdmonds Side Sewerlnforrnation handout forapproved pþe materials, inspections and otherrequirements.¡ A 6" cleanout with 12" locking cast iron lamphole cover is required at the propeúy line.
¡ Maintain 10' separation between the sanitary side sewer and the water service line.r A separate rþht-oÊway construction permit is required for work within the Cify right-oÊway.
¡ Condition of the existing lateral to be verified by the City's Public Works Dept. to obtain approval for reuse. Contact Blmonds
Sewer Division af 425-771-0235.
. Condition of the existing sanitary s ide sewer to be verified prior to obtaining approval for reuse. TV inspection required. Video
to be submitted to City for review.
o Easernent and/or permission flom adjacent property owner is required prior to entry/work within adjacent properfy.. Applicant shall repair/replace all darnage to utilities or frontage inprovements in City right-of-way per City standards that is
caused by or occurs during the permitted project.¡ Ovwrer/ContractortoprovideSideSewerasbuiltatfinalinspection. SeeCþStandadsforrequirements.. Sound/1.{oise originating fromtemporary construction sites as a result ofconstruction activity are e>ampt 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, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must coqlly 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 City of klmonds, Washington, its ofücials, employees, and agents from any and all claims for damages of
whatever nature, arising directþ or indirectþ from the 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.
ÞSanitary Side Sewer Inspection
PARTIALINSPECTION
PARTIALINSPECTION
FINAL INSPECTION APPROVED
DATE:-
DATE'-
DATE
INITIAL:
INITIAL:
INITIAL:
NOTES:_
NOTES:
NSPTTTIONS