ENG20170146-SS.pdfPe
JOl
CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
PRIDE VENTURES
320 DAYTON ST SUITE 108
EDMONDS,,WA 98020
lkvilllu Is�
;PRIDE VENTURES
320 DAYTON ST SUITE 108
EDMONDS WA 98020
(425)422-0053=
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 maybe made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney feesby 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 NOTWEREQUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL
THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER ORHISMERDEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED,;
Printed: Wednesd 10, 2017
ChI'�Jti�ra Wa yCahal 5-11,012017
RELEA SID BY DATE
Ki FILE"COPY
INSPECTORCOPY
APPLICANT COPY
all
caused by or occurs during the p
• Sound/Noise originating fromten
of ECC Chapter 5.30 only during t
Sundays and Federal Holidays. /
noise limits of Chapter 5.30, unles
• Applicant, on behalf of his or her
harmless the City of Edmonds, W
whatever nature, arising directly (
modify, waive or reduce any requ
provision.
E-Sanitary'Side Sewer Inst
PARTIAL INSPECTION
PARTIAL INSPECTION
FINAL INSPECTION APPROVED
ition handout for approved pipe materials, inspections and other' requirements.
)hole cover is required at the property line.
side sewer and the water service line.
itilities or frontage improvements in City right-of-way per City standards that is
rject.
struction sites as a result of construction activity are exempt fiomthe noise limits
177:00amto 6:00pmon weekdays and 10:00amand 6:00pmon Saturdays, excluding
Limes the noise originating from construction sites/activities must comply with the
e has been granted pursuant to ECC 5.30.120.
irs, assigns, and successors in interests, agrees to indemnify defend and hold
its officials, employees, and agents from any and all claims for damages of
fi•omthe issuance of this permit. Issuance of this permit shall not be deemed to
any City ordinance not limit in any way the City's ability to enforce any ordinance
INITIAL: NOTES:::.
TNTTT A T .• NOTES-