ENG20170155-SS.pdfg
CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
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PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170155
SID E S EWER PER M IT (I -Single Family)
Permit Number: ENG20170155 Expiration Date: 05/10/2018
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PRIDE VENTURES PRIDE VENTURES
320 DAYTON ST SUITE 108 320 DAYTON ST SUITE 108
EDMONDS, WA 98020 EDMONDS, WA 98020
(425) 422-0053
LICENSE 4: PRIDEVL890R2 EXP: 01 fl 5/2018
Y
REPAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER N DRAINAGE'
INSTALL SIDE SEWER
EASEMENT INFORMATION_
N I PROJECT CROSSES OTHER PRIVATE PROPERTY
N VERITiCA3ION OF RECORDED EASEMENTS COMPLETE
INDEMATTY 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 ofils departments or employees,, including, but not limited to the defense ofany legal proceedings including defense costs and
attorney 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 PERMTUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER
SPACE PROVIDED,
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RELEA SED BY
Printed: Wedneslllt 1
DATE
K141"Ir” COPY ❑ INSPECTOR COPY 0'' APPLICANT COPY
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• 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 by or occurs during the permitted' 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 7:00am to 6:00pm on weekdays and 10 00am and 6 OOp_m__ 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•om the 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..
INSPUCTIONS
• E -Sanitary Side Sewer Inspection ,
PARTIAL INSPECTION DATE: INITIAL: NOTES.
PARTIAL INSPECTION DATE: INITIAL: NOTES;
FINAL INSPECTION APPROVED DATE: INITIALS„�