ENG2008-0286 SIDE SEWER PERMITCITY ONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
. *PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20080286
SIDE SEWER
Permit Number: ENG20080286 Expiration Date: 7/17/2009
Job Address: 7805 218TH ST SW, EDMONDS
TAYLOR GREGORY BUTTERFIELD MONDAK CONSTRUCTION LLC
21911 76TH AVE W, SUITE 20 8522 144TH DR SE
MIKE ADAMS AL LARSON
EDMONDS, WA 98020 SNOHOMISH, WA 98290
425-773-3970
LICENSE k: MONDACL942LF EXP: 3/10/2010
Y
N
JOB DESCRIPTION
REPAIR FT —PROPOSE TO REUSE LATERAL LIDNUMBER:
GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER
RELOCATION OF SIDE SEWER
EAS ENIENTINFORINIATION
N
PROJECT CROSSES OTHER PRIVATE PROPERTY
N
I VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMATTY.• The Applicant has signed an application which states he/she holds the City of Edmonds harmlessfrom 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
attorney fees by reason ofgranting this permit.
CALL DIAL -A -DIG (1-800-424-5555) BFFOREANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERNVLVL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
A SPACE PROVIDED.
: Thursday. July 17.2008
FILE COPY E�NSPECTORCOPY APPLICANT COPY
STATUS: ISSUED
ENG20080286
• Call for locates of underground utilities prior to any excavation.
• Conform to approved working drawings and Traffic Control plan.
• Construction hours are Monday -Friday 7am-6pm and Saturdays l0am-6pm No work on Sundays or Federal Holidays.
• Three feet of clearance around fire hydrants, standpipes, P.I.V.'s, manholes, water meters, blowoffs, cleanouts and valves shall
be maintained.
• E-Sanitary Side Sewer Inspection
• &Engineering Final
PARTIAL INSPECTION DATE: INITIAL:
PARTIAL INSPECTION DATE: INITIAL:
FINAL INSPECTION APPROVED DATE: INITIAL:
NOTES:
NOTES: