ENG20160483-SIDE SEWER.pdfo E
uITYOF EDMONDS
1215TH AVENUE NORTH - EDMONDS, WA 98020'
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Ayy c l 8 9�6
*PERMIT MUST BE POSTED ON JOBS TE*
STATUS: ISSUED ENG20160483
SIDE SEWER PERMIT (I-Single Famil
Permit Number: ENG20160483 Expiration Date: 01 /24/2018
Job Address: 8721 218TH ST SWC EDMONDS
JAPPLICANT CONTRACTOR
SELECT HOMES SELECT HOMES
16531 13TH AVE W STE A107 16531 '13TH AVE W STE A107
LYNNWOOD, WA 98037 LYNNWOOD, WA 98037
(425)742-6044
LICENSE #: SELECHI I I OKN EXP:12/31/2016
N' REPAIR rNdPROPOSE
PROPOSETOREUSE LATERAL LID NUMBER:
N GRINDER PUMP TO REUSE SIDE SEWER N DRAINAGE
CONNECT TO SHORT PLAT STUB OUT AND CONNECT TO HOUSE.
LASEN"TINFORMATION
N I PROJECT CROSSES OTHER PRIVATE PROPERTY
N, VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY The Applicant has signed an application which slates he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
CALL DIAL-A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUn2ED FOR ALL INSPECTION REQUESTS
THIS APPLICATTON IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER ORHISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED' IN
SPACE PROVIDED
Printed: Tuesday, Jana 24,2017
RELEA SED BY DA"I ,
FILE COPY r—] INSPECTOR COPY ❑ APPLICANT COPY
1
• 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 10' separationbetween the sanitary side sewer and the water service line.
• A separate right-of-way construction permit is required for work within the City right-of-way.
*, Easement and/or permission from adjacent property owner is required prior to entry/work within adjacent property.
• 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.
• Owner/Contractor to provide Side Sewer as built at final inspection. See City Standards for requirements.
• ° 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 7:00amto 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 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 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 -Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: