ENG20170156-SS.pdf1,041,13
,V ED
CITY 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` ENG20170156
SIDE SEWER PERMIT (]-Single Family)
Permit Number:ENG20170156 Expiration Date: 05/10/2018
Job Address: 21236 80TH AVE W, EDMONDS'
APPLI(.ANT 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 DFSCRIPTION
Y REPAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER EK]DRAINAGE
1NS'FA I,L SIDE SEWER
LAS EMENT INFORMATION
N PROJECT CROSSES OTHER PRIVATE PROPERTY
N'' VERIFICATION OF RECORDED EASEMENTS COMPLETE
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 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) 771-0220EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS''
APPLICATION APPROVAL
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY= AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGJINSPACE PROVIDED,Printed: Wed eW ,M�1 1
Ulkfttika WayGa I&Y V1012017
2017
RELEASED BY DATE
�*ILCCOPV�
❑ INSPECTOR COPY
❑ APPLICANT COPY
STATUS: ISS
ENG20170156
NEENNOWNW, laus
• 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 7:00amto 6:00pm on weekdays and '10:00am and 600pm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes 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 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
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.
INSPECTIONS
• E -Sanitary, Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: