ENG20170071.pdf,CITY OF EDMONDS
1215TH AVENUENORTH- EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSTE*'
Job Address: 9808 235TH PL SW, EDMONDS
ENG20170071
Expiration Date: 08/28/2017
Location: 9808 235TH PL SW
ATTN LYNNE DANIELSO
8128 228th St SW
EDMONDS, WA 98026
h] �rATTN: LYNNE'DANIELSON
8128 228th St SW
EDMONDS, WA 98026
(425) 774-7769;
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Move an aajust graoe of z existing water services. VW6 & yalU 2 -.JD 1 n rL �w
DISRUPTION INFORMATION
ASSESSED VALUE: $0,00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE $0,00 STREET DISRUPTION TRENCH CUT ( 0 x 0 )
PARKING ( OXO) DURATION IN MONTHS: 0 FEE,,, $0,00 YEAR OF OVERLAY: 0, FEE $0,00;
ALLEY: 0X0 1 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 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
atiorneyfees by reason ofgranting,thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD' OFONEYEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE W O RK
• 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.
CALL DLAL -A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION'
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUHZED FOR ALL INSPECTION REQUESTS
,APPLICATION APPROVAL
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HISHERDEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACEPROVIDED,
Printed: blond February 27,201 , 7
RELEASED BY DATE
El FILE COPY F-]INSPECTORCOPY El APPLICANT COPY
TUS: ISSUED
ENG20170071
0 Restore ROW to City standards
0 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
0 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 repair/replace all damage to utilities or fi•ontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Sound/Noise originating fromtemporary 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 6:00pm 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'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.
• E -Engineering Final
PARTIAL INSPECTION DATE: INITIA L, NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
E N 6 Qo 17-00-7 1
OLYMPIC VIEW WATER & SEWER DISTRICT
EDI' ONDS BLANKET PERMIT BEGINNING
NOTIFICATION
9808, 9810 235" PL SW EDMONDS WA
Move and adjust grade of two existing water services
Asphalt or Concrete Cut: NO
Olympic View Water & Sewer District
8128 228th st sw
Edmonds Wa 98026
Phone Number 425 774 7769
Fax Number 425 670 1856
Contact: Scott Dunn
E-mail: scottd@ovwater.com@ovwater.com
Start date 3/1/17
Olympic View Water & Sewer District
8128 228th st sw
Edmonds Wa 98026
Phone Number 425 774 7769
Fax Number 425 670 1856
Contact: Lynne Danielson
E-mail: lynned@ovwater.com
Traffic control shall be in accordance with the MUTCD.
o All flaggers shall be trained and certified as required by WAC 296-155-305.
• Restoration shall be in accordance with City of Edmonds standards.
All asphalt or concrete cut surfaces shall be patched with City of Edmonds
approved materials prior to the end of the day.
2 4 2017