ENG20180112-App & Permit.pdfOV L041r�
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121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20180112
SIDE SEWER PERMIT (I -Sin le F I
Permit Number: ENG20180112 Expiration Date: 05/13/2018
Job Address: 18707 OLYMPIC VIEW DID, EDMONDS
ROT ROOTER
4630 16TH ST E
ROTO ROOTER
4630 16TH ST E
FIFE, WA 98424 FIFE, WA 98424
(206) 396-3125
LICENSE; #: ROT'ORSCI22BR EXP
DESCRIPTIONJOB :
Y REPA IR N PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP N 1PROPOSETO REUSE SIDE SEWER N DRAINAGE
Excavate 34section approx 3'deep, install cleanout, near the structure..
PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
1NDEMATTY The Applicant has signed an application which states he/she holds the City ofEdmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the Cily ofEdmonds 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.
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THIS APPLICATION IS NO'T'A PERMITUN7II, SIGNED BY THE CITY ENGINEER OR HIS/HER DEPU"fY: AND FEES ARE PAID, AND RECEIPTTS ACKNOWLEDGED IN
SPACE PROVIDED,
SED BY
Printed: Tue.sdav, March 13, 2018
DATE
�� ''� COPY INS PECTOR COPY APPLICANT COPY
STATUS: ISSUED
ENG20180112
• 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 s ide sewer and the water service line.
• A separate right-of-way construction permit is required forworkwithin the City right-of-way.
• Condition ofthe existing lateral to he verified by the City's Public Work.- Dept. to oobtain approval for reuse. Contact Edmonds
Sewer Divis ion at 425-771-0235.
• Condition ofthe existing sanitary side sewerto be verified priorto obtaining approval for reuse. TV inspection required. Video
to be submitted to City for review.
• Easement and/orpernission fi•om adjacent property owner is required priorto entry/work within adjacent property.
• 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.
• Owner/Contractor to provide Side Sewer asbuilt at final inspection. See City Standards for requirements.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the 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 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 fromthe issuance ofthis 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.
• E-Asbuilt
• E Sanitary Side Sewer Inspection
PARTIAL INSPECT ION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: -........_ INITIAL:mm.. 'N(III�S:
FINAL INSPECTION APPROVED DATE: INITIAL: