20190318103415.pdfCITY OF EDMONDS
I2I 5TH A\ÆNL]ENORIH - EDMONDS, WA 98020
PHONE: (425)77r-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSTIED ENG20190097
SIDB SEWBR PBRMIT I
Permit Nurnber: ENG2û 1 90097
Job Address: 848 PUGET WAY EDMONDS
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CONTRACTORAPPLICANT
DIGIT EXCAVATION
9IO I56TH ST NE
ARLINGTON,WA 98223
DIGIT EXCAVATION
9IO 156TH ST NE
ARLINGTON, WA 98223
(42s) 239 -7 449
LICENSE #: DIFITEl 999RC EXP:1213112019
PROPOSETO RzuSELATERAL
PROPOSE TO RzuSE SIDE SEWER
LIDNUMBER
DRAINAGE
PROJECT CROSSES OTHER PRTVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMMTY: The Applicant has signed an application which states he/she holds the City of Edmonds harmless from iniuries,
damages or claims of any kind or description whatsoever,þreseen or unþreseett, that may be made against the City of Edmonds or
any ofits departn'rcnts or employees, including but not limited to the defense ofany legal proceedìngs including defense cost.s and
attorney.fees b),reason of granting this permit.
CALL DrALA-DIG (1 -800 424-5555) BUORE ANY D(CAVATION
CALL FOR INSPrcTION (42s) 7 7 l-0220 Ð(T. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
7
DATE
N
NNNG.INDERPUMP
Y
SEWER LINE REPTACEMENT- HOUSE TO MAIN
N
N
JOB DESCRIPTION
EAS Ð\{D.{T INFO RMATION
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
March I 201
SPACE PROMDED
Printed: M
,\PPLICATION APPROVAL
f rnncorv I nsrncroRcoPY APPLICANTCOPY
SIDB SEWER PBRMIT (l-Single Family)
CONDITIONS
STATUS: ISSTIED ENG2019 0097
o Refer to City of Ednnnds Side Sewer Inforrnation handout for approved pþe materials, inspections and other requirenpnts.¡ A 6" cleanout with 12" locking cast iron lanphole cover is required at the property line.¡ Maintain 10'separation between the sanitary side sewer and the water seruice line.. A separate right-oÊway construction permit is required for wolk within the City rþht-oÊway.. Condition of the existing lateral to be verified by the City's Public Works Dept. to obtain approval for reuse. Contact Mnmnds
Sewer Division at 425-771-0235.
¡ Condition of the existing sanitary side sewer to be verified prior to obtaining approval for reuse. TV inspection requied. Mdeo
to be submitted to City for review.
¡ Easement and/or permission frorn adjacent property owner is required prior to entry/work within adjacent propefty.. Applicant shall repair/replace all darrage to utilities or fiontage inprovernents in City right-oÊway 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 requirenrents.r Sound/Noise originating fromtenporary construction sites as a result of construction activity are exerrpt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pmon weekdays and l0:00amand 6:00pmon Saturdays, e>rcluding
Sundays and Federal Holidays. At all other tirrìes the noise originating ÍÌom construction sites/activities must conply 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 orher spouse, heiß, assigns, and successors in interests, agrees to indennifz defend and hold
harrnless the City of Ednnnds, Washington, its officials, enployees, and agents fromany and all clains for darnages of
whatever nature, arising directly or indirectly fromthe issuance of this permit. Issuance of this permit shall not be deenred to
mdifi, waive or reduce any requirenænts of any Gty ordinance not limit in any way the City's ability to enforce any ordinance
provision.
E-Sanitary Side Sewer Inspectiona
PARTIALINSPECTION DATE:
PARTIALINSPECTION DATE:
FINALINSPECTIONAPPRO\1ED DATE:
INTTI,AL:-
INITIAL:
INITIAL:
NOTES:
INSPECTIONS
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name:
Company Address:
Çla /5€- -rT dlE
Site Contact:G*r( ,k(
Phone #:,.2
Email #:ìlexc
City Business
City:
State License #
zip:e¿r-
#
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Expiration Date -9t-
PROPERTY INFORMATION:
lrR - 2z?ò60
Address
Owneros Name:
31 (7
Phone #:7c,e. ?.z-\ol,
LrNE REpLAçEMENT f] spor REpATR n prpn BURST n nrr,rNn (PERMALINE ONLY)
', DESCRIPTION OF PROPOSED WORK (Be Specific):
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ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER
THAN THAT OWNED BYTHE SUBJECT PROPERTY OWNER.
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SAID V/ORK.
I REPRESENT AND WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY.
DATE 7-/8-
or Agent
SIGNATURE
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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