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STATUS: ISSUED ENG20170052
Permit Number: ENG20170052 Expiration Date: 02/15/2018
Job Address: l 137 6TH AVE S, EDMONDS
APPLICANT CONTRACTOR
SELECT HOMES INC SELECT HOMES INC
16531 13TH AVE W STE A107 16531 13TH AVE W STE'A107
LYNNWOOD, WA98037LYNNWOOD, WA 98037
(425) 742-6044 `
LICENSE 4: SELECHI I 1 OKN EXP 12/31/2018
1: '
N REPAIRY PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP Y PROPOSE TO REUSE SIDE SEWER N DRAINAGE
ProjcO proposes to re -use a)dsting side sewer and lateral. If line is not in good condition, side sewerwill be replaced. Ife)asting
lateral is not in good condition or is smallerthan 6" the lateral will be replaced
EASEMENT
N PROJECT CROSSES `OTHER PRIVATE PROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY The Applicant has signed an application which stales 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 ofgranting;this permit.
CALL DIALrA-DIG(1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTTCEREQUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL
THIS APPLICATION IS NOTA PERNETUNTIL SIGNED BY THE CITY ENGINEER OR HISMERDEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED
- Printed: Wednesday,, Ferua!j, M2011
Rl3LEA" 1-0 BY 0 DATE
El FILE COPY INSPECTOR COPY ❑ APPLICANT COPY