ENG20170202-APPROVED PERMIT.pdf1 Is El
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Job Address: 1054 WALNUT ST, EDMONDS
ECHELBARGER INVESTMENTS LLC ` ECHELBARGER INVESTMENTS LLC
1054 WALNUT ST 1054 WALNUT ST
EDMONDS, .WA''98020 EDMONDS, WA 98020
(425) 673-1100
LICENSE 4:-ECHELIL905D6 EXP: 03/28/2018
,JOB DBCR[13T]ON
DESCRIPTION OF WORK:
Eoasting water meter to remain, install newwater service line fromwater meter on north property 'line to proposed house
METER SIM: 1 "
N NEW SERVICE FROM CITY MAIN TO PROPERTY LINE INSTALLATION FEE: $2,970.00
N ASPHALT/CONCRETE CUT CONNECTION FEE: $0.00
N FINAL PATCH BY CONTRACTOR STREET' CUT DEPOSIT: $0.00
OWNERNAME:
BILLING ADDRESS:
Y SFR N IRRIGATION N APARTMENT / CONDO - UNITS: 0
N DUPLEX N FIRE CONNECTION N MIXED USE -COMMERCIAL FLOORS: 0
N TRIPLEX N OTHER: RESIDENTIAL UNITS: 0
N COMBO FIREIDOMESTIC BACKFLOW A SSEMBLY REQUIRED
PUBLIC, WORKS INS,rALLATION—ITTILITY BILLINC
11 LOCI{® UNLOCK® PROJECT NUMBER:
METER NUMBER: LOCATE REQUEST #:
STYLE: DATE CALLED:
METER READING: AND '
MANUFACTURER'S #: REGISTER #:
METER LOCATION:,
SERVICE MATERIAL:PRESSURE:I GPM:0
DATE OF WORK: W ORK BYs
REMARKS:
* * *ATTACH DRAWING WHEN NECESSARY*
U/B ACCOUNTS ROUTE:
READ AFTER ADDRESS: WATER SUPPLIER:
ISSUED
WATER
METER
ENG2017O202
-STREET C UT
TYPE OF REPAIR
AREA REPAIRED REPAIR COST
Asphalt Roadway/Walkway
( Ft X
Ft) -
Sq. Yds,
{ Ft X
Ft) =
Sq. Yds
( Ft X
Ft) =
Sq. Yds
Concrete Sidewalk
( Ft X
Ft)
Sq. Yds
( Ft X
Ft) =
Sq. Yds
{ Ft X
Ft)
Sq. Yds
0 Concrete Curb
Lineal Ft
Lineal Ft
Lineal Ft
Total Repair Costs:
Less Street Cut Deposit: $0.00
Invoice/Refund: