ENG20160517.pdf'CITY" OF EDMONDS
1215TH AVENUE NORTH - EDMONDS, WA 98020
boa
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUE
*PERMIT MUST BE POSTED ON JOBS TE*
ENG20160517
Job Address: 20226 MAPLEWOOD, DR, EDMONDS
SNOHOMISH COUNT
P.O. BOX H
EVERETT,,WA 98206
clearances have been met, No T
Location: 20226 MAPLEWOOD DR
C/O MARY MCALLISTER
P,O, BOX 1107
EVERETT, WA 9206'
(425)670-3216
T.I('FNCF #- FXP
111 r.
has been inspected and all
ASSESSED VALUE: $0.00 PROPERTY AREA: ` 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE $0„00 STREET DISRUPTION TRENCH CUT. ( 0 X 0 )
PARKING: ( 0X0) DURATION IN MONTHS 0FEE: $0,,00 YEAR OF OVERLAY: 0 FEE: $0,00
ALLEY: ( 0X0 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 whalsoever, 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
altorneyfees by reason ofgranting thispermit.
THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND: MATERIALS FOR PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THE W ORK
• Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer. Every Bagger 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.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICERFQVIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERNflTUNTIL SIGNED `BY THE CITY ENGINEER OR HIS/HER DEPUTY AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACEPROVIDED,
Printed: Fftda i January 1 201 ”
Chl-Jtina Wa loll 1/13/2017
RELEASED BY DATE
E] FILE COPY INSPECTOR COPY ❑ APPLICANT COPY
STATUS
• 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.
• Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control Keep street clean.
• Call for required inspections as noted'.
• Traffic Control per approved plan and'MUTCD. Refer to City of Edmonds traffic control requirements.
• Applicant shall 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 7:00amto 6:00pmon weekdays and'10:00am and'6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all 'othertimes the noise originating from con stru ct ion 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 ofthis permit. Issuance of this pemut 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.
INSPECTIONS
• 11Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL, NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
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