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_ ° CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
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PHONE: (425) 771-0220 - FAX: (425) 771-0221 ;!
*PERMIT MUST BE POSTED ON JOBSITE*,
STATUS: ISSUED ENG20130391
RIGHT OF WAY PERMIT (I-Shigle Family)
Permit Number: ENG20130391 Expiration Date: 09/26/2015
Job Address: 15500 75TH PL W, EDMONDS Location:
ROGER OLIN CONSTRUCTION
3528 102ND PL SE PO BOX 3216
EVERETT, WA 98208 EVERETT, WA 98203
(425) 337-7622
LICENSE #: ROGER00088CN EXP: 02/28/2014
NEW SFR DRIVEWAY, UTILITY CONNECTIONS
1
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: (OXO)
PARKING: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: (OXO) DURATION IN MONTHS: 0 FEE: $0.00
INDEMNITY. The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries,
damages or claims of any kind or description whatsoever, foreseen or unforeseen, 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
attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK.
• Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must
be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their
possesion.
• Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved
material prior to the end of the workday- NO EXCEPTIONS.
• Three sets of construction drawings of proposed work are required with the permit application.
THIS
FILE COPY
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
SPACE PROVIDED.
AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
Printed:
INSPECTOR COPY ❑ APPLICANT COPY
2013
STATUS: ISSUED
ENG20130391
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Public utilities maintain 5' separation from City Utilities.
• Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Construction hours are Monday -Friday 7am-6pm and Saturdays 10am-6pm. No work on Sundays or Federal Holidays.
• Call for required inspections as noted.
• Three feet of clearance around fire hydrants, standpipes, P.I.V.'s, manholes, water meters, blowoffs, cleanouts and valves
shall be maintained.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
• Install mailbox in location approved by post office.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:0'Opm 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 indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance fo 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-Driveway Form & Slope Ver.
• E-Pavement Subgrade
• E-Sewer Connection to Lateral
• E-Sewer Div App'l For Lateral Conn.
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: