ENG20170117-APPROVED PERMIT.pdf4"II" ISD i
(._'11TY'OF EDMONDS
121 5TH A VENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG2017011`7
S 11) E S ENVER PER M IT (I -Single Family)
Permit Number: ENG20170117 Expiration Date: 06/26/2018
Job Address: 8822 218TH ST SW iEDMONDS
APPLICANT CONTRACTOR
SELECT HOMES INC SELECT HOMES INC
16531 13TH AVE W STE A107 16531 13TH AVE'W STE A107
LYNNWOOD_ WA 98037 LYNNWOOD, WA 98037
(425) 742-6044
LICENSE 4: SELECHII I''OKN EXP. 12/31/2018
C DESCRIPTION
N REPAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER N DRA INA GE
I
IN TA 11, SIDE SEWER FROM STUB AT PROPERTY LINE TO RESIDENCE
EASEMENT OR
N PROJECT CROSSES OTHER PRIVATE PROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
IADEMIV7TY 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 ofgranting this permit.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTTCEREQUIRED FOR ALL INSPECTION REQUESTS
_APPLI(_�_ATION APPROVAL
THIS APPLICATION IS NOTA PERMITUNTTL SIGNED BY THE CITY ENGINEER ORHISHER DEPUTY. AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED„
Printed: Mond22, June 26-2017
REC A SED BY DATE
FILECOPY INSPECTOR COPY APPLICANT COPY
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