1184_001.pdfCITY OF'EDMOI{DS
121 sTH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (42s)771-0n1
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSIIED 8NG20190161
SIDB SE\ryER PERMTT (I F
Permit Number: ENG20 1 90 1 6 1
Job Address:639 2ND AVEN EDMONDS
Expiration Date 0 5 D0 /2A20
AI'PLICAN'I-CONT'Ri{C-TOR
DELAP CONSTRUCTION
330 DAYTON ST #6
EDMONDS, WA 98020
LICENSE #: EXP
PROPOSETORzuSELATERAL
PROPOSE TO RzuSE SIDE SEWER
LIDNUMBER:
DRAINAG
PROJECT CROSSES OTHER PRIVA TE PROPERTY
VERIFICATION OF RECORDED EA SEMENTS COM PLETE
INDEMMTY The Applicant has signed an application which states he/she holds the City of Edmonds harnilessJiom iniuries,
damages or claims if any kind or description whatsoever, foreseen or unþreseen, thaf nwy be made against the City of Ednronds or
ony oji* departments or employees, inclucling but not limited to lhe defense of any legal proceedings including defense cosÍs attd
attorneyfees by reason ofgranling thís permit.
CALL DIALA-DIG (I -S00 -424-ss5s) BmoRE At{Y Þ(CAVATION
CALL FOR INSPECTION {42s) 7 7 l -0220 Ð(T. 1 326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
SED DATE
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REPAIR
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ALLSIDESEWER
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.IOB DISC]RIPTION
EAS EN|F¡,JT lN FORMATION
THIS APPLICATON IS NOTA SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE P AID,,AND RECEIPT IS ACKNOWLEDGED IN
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SP-ACE PRO\,'IDED.
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APPI,IC,{'TION APPRO\/AI,
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SIDE. SE\ME,R
PERMIT APPLICATION
CONTRÄ.CTOR INFORMATION:
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Email #: Ne fcitv: AJ6IEï-. Vl¡- zip:J 3 2ø8
stateLicens"# CC *¿ITOC q7 OEL City Business License # ¡frR - 6ZG 8S=
Expiration Date: 2 /L /ZpZt
PROPERTY INFORMATION:
Address: 639 2nd Ave W Edmonds, WA 98020
Owner's Name: Jim and Sally Wassall
Phone #:
n rull LINE REpLÄcEMENT L] spor REPAIR n plpn BURsr n nsr-rnn GERMALINE oNLY)
, DESCRIPTION OF PROPOSED WORK (Be Specifìc):
Connect new side sewer from new house to existing sewer
lateral connecting to an 8" concrete main in Caspers St.
The existing sewer lateral should be capped during construction at the property line and the
new side sewer will be constructed from the property line.
ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHF,R
THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER.
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SAID WORK.
I REPRESENT AND WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPERTY,I }IAVE OWNERS EXPRESS PERMISSION TO PERFORM V/ORK ON THAT ADJACENT
PROPERTY.
SIGNATURE
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NO WORK SHALL BEGIN PRIORTO PERMIT ISSUANCE