ENG20170203-APPROVED PERMIT.pdft�
CITY OFEDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 -'FAX: (425)771-0221
*PERMIT MUST BE POSTED ON JOBSITE*'
STATUS: ISSUED ENG20170203`
SIDE SEWER PERMIT (I -Single Fami!y)
Permit Number: ENG20170203 Expiration Date: 08/22/2017
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 #`: ECHELIL905D6 EXP: 03/28/2018
JOB DESCRIPTION
N R PAIR N PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP- N I PROPOSE TO REUSE SIDE SEWER N DRA INA GE
New 6" sewer connection to existing cleanout near northwest corner of property
11
I LAS EMENT INFORMATION
MNN PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY The Applicant has'si signed an application which states he/she holds the City of Edmonds harmless from injuries,
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damages or claims ofany kind or description ivhatsoever, 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 `
FILE COPY F INSPECTOR COPY
E] APPLICANT COPY
FINAL INSPECTION APPROVED DATE: TMTIAL:
CONTRACTOR INFORMATION:
SDE SEWER
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Company Name: Echelbarger Investments, LLC
Site Contact: Todd Echelbarger Phone # 206.920.3673
Mailing Address: 4001 198th St. SW #2 Lynnwood 98036 Fax #:
..._ LIL •••••••••
State� _._ _•._...,_
License #: ECHE905D6
Expiration Date: 3/28/2018 Email #: Todd@Echelbarger.com
_ .... .._ill y _ _...... _ ........_...
City Business License #: ®Liabilit Insurance Bonded
PROPERTY II.F+(:)►RMATION:
Address: 1054 Walnut Street Edmonds 98020
.
Owner's
_........••... _ .., _...,.�...._... _. _.
Name:
Echelbarger Investments, LLC
Phone #: 425.673.1100
N Full Line Replacement ❑ Spot Repair ❑ Pipe Burst ❑ Reline (PermaLine Only)
DESCRIPTION OF PROPOSED WORK (Be Specific) :
sewer WWWe se cut and cap
the existing
emmmjust past the clean-out at the•••...
property line and demolish thetrigocThenwe will 1�tNca new home re -connect the existing
side sewer to the new home.
SIGNATURE
Contractor or Agent
DATE'5-3-1
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE