ENG20170175-APPROVED PERMIT.pdffie, 1 99
,UITY OF EDMONDS
121 5TH AVENUENORTH - EDMONDS, WA 198020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSTTE*
STATUS: ISSUED
Permit Number: iENG20171
Job Address': 8229 TALBO
'k 4nxTnQ
BEST PLUMBING BEST PLUMBING
4129 STONE WAY N 4129 STONE WAY N
SEATTLE, WA 98103SEATTLE, WA 98103
(206)930-0726
LICENSE 4: BESTPGL973CD EXP: 02/04/2019
.JOB DESCRIPTION
Y 'I F;PPAIR N . PROPOSE TO REUSE LATERAL LID NUMBER:
N ( GRINDER PUMP N I PROPOSE TO REUSE SIDE SEWER El DRAINAGE
2 spot repairs and 2 cleanoutinstallsto soil pipe ]-on south side approx 5ft in length and 1 -on east side approx 20 ft in length
LAS EMENT INFORMATION
N I PROJECT CROSSES OTHER PRIVATEPROPM17
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 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 PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE VMM, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED;;
Printed: Thurso a , May 04, 2017
RELEA SED BY DATE
FILE COPY F-] INSPECTOR COPY ❑ APPLICANT COPY