ENG20170153-SS.pdf10
CITY OF
EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
""sic. 18�I�5
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUEDENG20170153
SIDE SEWER PERMIT (I -Single Famiky)
Permit Number: ENG20170153 Expiration Date: 05/10/2018
Job Address: 21256 80TH AVE W, EDMONDS
APPLICA NT CONTRACTOR
PRIDE VENTURES PRIDE VENTURES
320 DAYTON ST SUITE 108 ' 320 DAYTON ST SUITE 108
EDMONDS, WA .98020 EDMONDS, WA ,98020
(425) 422-0053'
LICENSE #: PRIDEVL890R2 EXP: 01/15/2018
.JOB DESCRIPTION
Y IREPAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP . N PROPOSE TO REUSE SIDE SEWER N DRAINAGE'`
INSTALL SIDE SEWER'
FN --1 PROJECT CROSSES OTHER PRI VATEPROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY The Applicant has signed an application which stales he/she holds the City of Edmonds harmless from injuries,
damages or claims of any 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
allorneyfees by; reason ofgranling 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
APPLICATION APPROVAL
THIS APPLICATION IS NOT A PEFMT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
.:SPACE PROVIDED;
Printed: Wedne:5d; ME 10,'2017
RELEA SED BY DATE
FILE COPY ❑ INSPECTOR COPY
E] APPLICANT COPY
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STATUS: ISSUED ENG20170153
SIDE SEWER PERMIT (1 -Single Family)
CONDITIONS
0 Refer to City of Edmonds Side Sewer Infonnation 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 by or occurs during the pemvtted project.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fi•omthe 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 othertimes the noiseoriginating 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 ofhis 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
whatevernature, 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.
INSPECTIONS
• IsSanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL': NOTES: ---
PARTIAL INSPECTION
OTES:PARTIAL'INSPECLION DATE.INITIAL`. NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:�