ENG20170148-SS.pdfCITY OF EDMONDS �
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT,MUST BE POSTED ON JOBSITE*
STATUS: ISSUED" ENG20170148
SIDE SEWER PERMIT _,.
Permit Number: ENG20170148 Expiration Date: 05/10/2018
Job Address: 21270 80TH AVE W, ;EDMONDS
PRIDE VENTURES PRIDE VENTURES
320 DAYTON ST SUITE 108 320 DAYTON ST SUITE 108
EDMONDS, WA 98020 EDMONDS, WA 98020
(425)422-0053
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
atlorney fees by 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 NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERWTUNTTL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED;
Printed: Wednesday, Ma 10, 2017
ChnklW Waylaid 5/10/2017
RELEASED BY DATE
,711L °;COPY ❑ INSPECTOR COPY E] APPLICANT COPY
• 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 ]0' 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 by or occurs during the permitted project..
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt fi•om the noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 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 'ofEdmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fi•omthe issuance ofthis permit. Issuance ofthis 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 INSPECTION; APPROVED DATE: INITIAL`.