Side_Sewer_Permit_(2014).pdfof EDM
CITY OF EDMONDS
1215TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSTTE*
STATUS: FINAL ENG20150213
SIDE SEWER PERMIT (I -Single Fa"ly)
Permit Number: ENG20150213 Expiration Date: 05/18/2016
Job Address: 19211 93RD PL W, EDMONDS
APPLICANT1 1•
ROTO ROOTER ROTO ROOTER
4630 - 16TH sT e 4630 - 16TH sT e
FIFE,wa 98426
FIFE,wa 98426
LICENSE #: ROTORSC122BR EXP:
N
N
1. DESCRIPTION
REPAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
CRINDER PUMP N I PROPOSE TO REUSE SIDE SEWER N DRAINAGE
Install cleanout at house
1
N
PROJEC"I CROSSES OTHER PRIVATE PROPERTY
N
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY 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 City 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.
CALL DIAL-A-DIG(1-800-424-5555) BEFORE ANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NO TIC E REQUIRED FOR ALL INSPECTION REQ UES TS
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.
❑ FILE COPY ❑ INSPECTOR COPY
Printed: Tuesday, May 19, 20
DATE
❑ APPLICANT COPY
STATUS: FINAL
ENG20150213
• 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.
• A separate right -0f --way construction permit is required for work within the City right-of-way.
• Condition of the existing lateral to be verified by the City's Public Works Dept. to obtain approval for reuse. Contact Edmonds
Sewer Division at 425-771-0235.
• Condition of the existing sanitary side sewer to be verified priorto obtaining approval for reuse. TVinspection required. Video
to be submitted to City for review.
•
Easement and/or permission fromadjacentproperty owner is required prior to entry/work within adjacent property.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right -0f --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 fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:OOpmon weekdays and 10:00amand 6:OOpmon 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 fromany and all claims for damages of
whatever nature, arising directly or indirectly fromthe 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.
• E -Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: