ENG20170145-SS.pdfOV Lta o
CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
nI PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT'MUST BE POSTED ON JOBS:TE*
STATUS: ISSUED ENG20170145
Permit Number:>ENG20170145
Job Address: 21296 80TH AVE W
PRIDE VENTURES
320 DAYTON ST SUITE 108
EDMONDS, WA 98020
Y REPAIR N PROPOS
N GRINDER PUMP N I PROPOS
INSTALL SIDE SEWER
TE
VERIFICA
ZR PERMIT (I -Single Family) 1�
Expiration Date: 05/10/2018
CONTRACTOR3
`•
PRIDE VENTURES
320 DAYTON ST SUITE 108
EDMONDS, WA 98020
(425)422-0053
LICENSE #: PRIDEVL890R2 EXP 01/15/2018
.JOB DESCRIPTION
E LA TERA L LID NUMBER:
E SIDE SEWER [= DRAINAGE
iEMENT INFORMATION
IADEMATTY 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.
CALLDIAL-A-DIG(1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NO TIC EREQ UIRED FOR ALL 'INSPECTION REQUESTS
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APPLICATIONAPPROVAL
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED„
Printed: Wednesd ,Mn 10 ,20171
Chni�a a ' 5/10/2017
RELEASED BY DATE
�FILECOPY ❑ INSPECTOR COPY APPLICANT COPY
& i K
STA
70145
• 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' separation between the sanitary side sewer and the water service line.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused byor occurs during the permitted, project.
0 Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fi•omthe noise Emits`
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 fi•omthe issuance ofth'is 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 INSPECTIONAPPROVED DATE: INITIAL: