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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
Inc. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20130392
SIDE SEWER PERMIT
Permit Number: ENG20130392 Expiration Date: 09/26/2015
Job Address: 15500 75TH PL W, EDMONDS
APPLICANT CONTRACTOR
ROGER OLIN CONSTRUCTION
3528 102ND PL SE PO BOX 3216
EVERETT, WA 98208
EVERETT, WA 98203
(425)337-7622
LICENSE #: ROGER00088CN EXP: 02/28/2014
N
N
O. 1
REPAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
GRINDER PUMP N I PROPOSE TO REUSE SIDE SEWER N DRAINAGE
install pump and force side sewer
EASUNIENTINFOICNIATION
N
PROJECT CROSSES OTHER PRIVATE PROPERTY
N
IVERIFICATION 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 of any 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 of any legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Thursday. September 26. 2013
RELEASED BY
VF COPY ❑ INSPECTOR COPY 0 APPLICANT COPY
I
STATUS: ISSUED
ENG2O130392
• Call for locates of underground utilities prior to any excavation.
• Conform to approved working drawings and Traffic Control plan.
• Maintain erosion & sedimentation control. Keep street clean.
• Construction hours are Monday -Friday 7am-6pm and Saturdays 1 Oam-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.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
• 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:OOam to 6:OOpm on weekdays and 10:00am and 6:OOpm 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 from the issuance fo 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.
INSPECTIONS
• E-Sewer Clean -out (to Gravity)
• E-Sewer Pump
• E-Sewer Force Line
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL:
PARTIAL INSPECTION DATE: INITIAL:
FINAL INSPECTION APPROVED DATE: INITIAL:
NOTES:
NOTES: