ENG20160248-SIDE SEWER.pdft b t
UITY OF EDMOND'S
121 5TH A VENUE NORTH - EDM ONDS, WA 98020
tic 1 st PHONE: (425) 771-0220 - FAX: (425)771-0221
*PERMIT MUST BE POSTED ON JOBS TE*
STATUS: ISSUED ENG20160248
SIDE SEWER PERMIT (5 -City Project)
Permit Number: ENG20160248 Expiration Date: 02/02/2018
2505TH AVENUE'N
EDMONDS, WA 98020'
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 be 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 ofgranling this permit.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL,
THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY- AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED, IN '
SPACE PROVIDED,,
Printed: '.l izi,I r d!! , Februaa 02.201'
RELEA S Elb BY DATE
El FILE COPY F—] INSPECTOR COPY APPLICANT COPY
• 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.
• Aseparate` right-of-way construction pemtit 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 prior to obtaining approval for reuse. TVinspection required. Video'
to be submitted to City for review.
• Easement and/or permission from adjacent property owner is required prior to 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 ofthis pen -nit 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.
• &Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES,
PARTIAL INSPECTION DATE: INITIAL: NOTES;
FINAL INSPECTION APPROVED DATE: INITIAL: