ENG20170193-APPROVED PERMIT.pdft
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uITY OF EDMONDS
121 5TH AVENUE NORTH-`EDMONDS, WA 98020 °
enc t s PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSI'1 E
STATUS: ISSUED ENG20170193
SIDE SEWER PERMIT (1-ShIgle FwWy)
Permit Number: ENG20170193Expiration Date: 06/05/2018
Job Address:19205 OLYMPIC VIEW )R, EDMONDS
�APPLICANT CONTRACTOR
PETERSON CUSTOM HOMESINC
330 DAYTON ST STE 6 2114 120TH PL SW #B
EDMONDS, WA 98020 LYNNWOOD, WA 98046
LICENSE #: EXP:'i
N REPAIR' N PROPOSE TO REUSE LATERAL LIDNUMBER
N GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER N DRAINAGE
New 6" side sewerto be installed'near southwest comer ofthe property
EASEMENT'
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 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
attorney fees by reason ofgranting this permit.
CALL DIAL -A -DIG (1-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE REQUIRED .FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT A'PERMTUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED,
Printed: Mon da, June 05, 2017
RELEASED BY DATE
*!ILECOPY ❑ INSPECTOR COPY' L,JU`; APPLICANT COPY
Restore ROW to City: standards
• Restore Landscape to like or better conditions.+
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses priorto work start.
• Conform to approved working drawings and Traffic Control plan.
Public utilities maintain 5"separation from City Utilities.
+� Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Call for required inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
• 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 fromthe noise limits
of ECC Chapter 5.30 only, during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times ;the noise originating from construction s ites/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 from the 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.
j. E -Sanitary Side SewerInspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL. NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: