ENG20170028-SIDE SEWER.pdf4!6"�
CITY OF EDMONDS
1
PHONE: (425) 771-0220 = FAX: (425) 771-022121 5TH AVENUENORTH - EDMONDS, WA 98020
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG201.70028
SIDE SEWER PERMIT (I -Single Family)
Permit Number: ENG20170028 Expiration Date: 01 /30/2018
Job Address: 7524 180TH ST'S ",, EDMONDS
APPLICANT CONTRACTOR
919 25TH AVE S 12621 14TH AVE NE
SEATTLE, WA 98144 "MARYSVILLE, WA 98271
(425)232-2091
LICENSE #: ROWANC1981L4 EXP. 06/24/2018
.JOB DES( ,RIPTION
N IREPAIR RNPROPOSE
'PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP TO'REUSE SIDE SEWER N DRAINAGE
SIDE SEWER
LAS LMENT INFORMATION
N PROJECT CROSSES OTHER PRIVATE PROPERTY
N' VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY The Applicant has signed an application which stales he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany-kind or description whatsoever, foreseen or unforeseen, that may made against the City of Edmonds or
any ofils departments or employees, including but not limited to the defenserofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTIC EREQ UHtID FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMTUNTIL SIGNED BY THE CITY ENGINEER ORHIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGEDIN '-
SPACE PROVIDED„
Printed: Monda : Januai 30, 2017
RELEA SED BY DATE
FILECOPY F, INS PECTOR COPY
APPLICANT COPY
CA
Ic
ENG20170028
• Call for locates of underground utilities prior to any excavation.
• Refer to City ofEdmonds rSide 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' separation between 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.
• Owner/Contractorto provide Side Sewer asbuilt at final inspection.See City Standards for requirements.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt'fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 6:00pmon 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 fiom any and all claims for damages of
whatever nature, arising directly: or indirectly fromthe issuance ofthis,pemut. 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.
L INSPECTIONS
• E Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE:' INITIAL: NOTES:
PARTIAL INSPECTION DATE,: INITIAL: NOTES:,
FINAL INSPECTION APPROVED DATE: INITIAL: