ENG20170162-SS.pdfor
E6
CITY OF EDMONDS
1215TH AVENUE NORTH - EDMONDS, WA 98020'
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBS TE*
STATUS: ISSUED ENG20170162
StD E SEWER PERM tT (I -Single Family)
Permit Number: ENG20170162 Expiration Date: 05/10/2018
Job Address: 21238 80TH AVEW, EDMONDS
PRIDE VENTURES PRIDE VENTURES
42 X
PO BOX 429 PO BOX 9
EDMONDS WA 98020EDMONDS, WA 98020
(425)422-0053
LICENSE #: PRIDEVL890R2 EXP: 01/15/2018
Y' REPAIR N "PROPOSE TORIgJSELATERAL LIDNUMBER:
N GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER N DRAINAGE"
INSTALL SIDE SEWER
ENIENT IN FO
NiPROJECT CROSSES OTHER 'PRIVATEPROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
IADEMATTY 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 of its departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
allorney fees by reason ofgranting,this permit,
CALL DIAL-A-DIG (1-800-424-5555) BEFORE ANV EXCAVATION
CALL FOR INSPECTION (425) 771-0220'EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS'
APPLICATION A1113ROVAL
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:_Wednesdii ,,Ma IO 2017
RELEASED BY DATE
KINIECOPY ❑ INSPECTOR COPY APPLICANT COPY
STATUS: ISSUED
• Refer to City of Edmonds Side SewerInfc
• A 6" cleanout with 12" locking cast iron
• Maintain 10' separation between the sani
• A separate, right-of-way construction pei
• Condition of the existing lateral to be ver
Sewer Division at 425-771-0235.
Condition ofthe existing sanitary side se
to be submitted to City for review.
• Easement and/or permission from adjacei
• Applicant shall repair/replace all damage,
caused by or occurs during the permittee
• Owner/Contractor to provide Side Sewer
• Sound/Noise originating fromtemporary;
of ECC Chapter 5.30 only during the houi
Sundays and Federal Holidays. At all otl
noise limits` of Chanter 5.30. unless a vagi
is required for work within the City right-of-way.
I by the City's Public Works Dept, to obtain approval for reuse. Contact Edmonds
to be verified prior to obtaining approval for reuse. TV inspection required. Video=
roperty owner is required prior to entry/work within adjacent property.
rtilities or frontage improvements in City right-of-way per City standards that is
)ject.
uilt at final inspection. See City Standards for requirements.
struction sites as a result of construction activity are exempt fromthe noise limits
f7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon Saturdays, excluding
rimes the noise originating from construction sites/activities must comply with the
has been eranted pursuant to ECC 5.30.120.
• E -Sanitary Side Sewer Inspection
PARTIALINSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: