ENG20170149-SS.pdfN Rd Ww I,
CITY OF EDMONDS
121 5TH A VENUE NORTH - EDMONDS, WA 98020;
,1PHONE: (425) 771-0220 - FAX: (425) 771-0221
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*PERMIT MUST BE POSTED ON JOBS E*
STATUS: ISSUED
SME SE"sVER PERMIT 0 -Single Family
Permit Number: ENG20170149 Expiratil
Tnh AAAracc• 7177,1 RO'M AVR AAA FT11VI(1NTlC
ENG20170149
n Date: 05/10/2018
PRIDE VENTURES
320 DAYTON ST `SUITE 108 320 DAYTON ST SUITE 108
EDMONDS, WA 98020 EDMONDS, WA 98020
(425)422-0053+
LICENSE #: PRIDEVI-890R2 _ _ EXP: 01/15/2018
JOB DESCRIPTION
YJREPAIR PN�
PROP
OSETOREUSELATERAL LID NUMBER:
N GRINDER PUMP PROPOSE TO REUSE SIDE SEWER N DRAINAGE
INSTALL SIDE SEWER
LASEMENTINFORMAT[ON
N PROJECT CROSSES OTHERPRIVATE PROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
IADEMATTE The Applicant has signed an application which states he/she holds the City ofEdmonds 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 DIA1,A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUHRM FOR ALL INSPECTION REQUESTS
APPROVAL�
THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED,,
Printed: Wednesday, May 10, 2017
CG�� IJ a Wa Canal 5/1012017
RELEASED BY DATE
IT.,E'COPY INSPECTOR COPY [:] APPLICANT COPY
• Refer to City of Edmonds Side Sewer Information handoutfor 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 by, or occurs during the permitted project.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt fiomthe'noise limits
of ECC Chapter 5.30 only during the hours of700amto 6;OOpm 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' of this 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.
INSPECTIONS
• E -Sanitary Side Sewer Inspection
PARTIAL INSPECTION - DATE: INITIAL: NOTES:.
PARTIAL INSPECTION DATE: INITIAL,. NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: