ENG20170218-APPROVED PERMIT.pdfof, Et�.r
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
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PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: READY TO ISSUE ENG20170218
Permit Number: ENG20170218
Job Address: 1054 WALNUT ST, EDMONDS
C/O LINDA KAYECHELBARCER
1054 WALNUT ST
EDMONDS, WA 98020
to the construction of sfr,
Expiration Date: 08/22/2017
Location: Located in the northwest corner of property
ECHELBARGER INVESTMENTS LLC
C/O LINDA KAY ECHELBARGER:
1054 WALNUT ST
EDMONDS, WA 98020
(425)673-1100
LICENSE #: ECHELIL905D6 EXP: 03/28/2018'
ASSESSED VALUE: $0,;00 PROPERTY AREA: 0'
SIDEWALK: ( OXO) DURATION IN MONTHS: 0 FEE: $0,00STREET DISRUPTION TRENCH CUT: ('0 X 0 )
PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0,00 YEAR OF OVERLAY: 0. FEE: $0.00
ALLEY: ( 0X0,) DURATION IN MONTHS- 0 ' FEE $0„00
INDEMNITY 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 made against the City ofEdmonds 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.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD'OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OFTHEWORIC
Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer. Evelyflagger;must
be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their
possesion.
• Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved -
material prior to the end of the workday -NO EXCEPTIONS.
• Three sets of construction drawings of proposed work are required' with the pem'lit application.
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
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HERDEP
SPACE PROVIDED„
RELEASED (nI
❑ FILE COPY E] INS PECTOR COPY
Printed: RiLm
DATE
❑ APPLICANT COPY
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ROW PERMIT NO.: ENG 20I1—Z1 2
ISSUE DATE: OT12
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: o ,�; y kick V1 J4- CONTACT: TZ;'
CONTRACTOR: Phone #:
20 up°... °
Mailing Address:Fax
o� P �}� #:
Sr S�
State License #: Email #:
City Business License #:
ADDRESS OR INTERSECTION OF CONSTRUCTION:
❑ Liability Insurance ❑ Bonded
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial I Subdivision City Project Traffic Control (Only)
❑ Multi -Family P5 Single Family
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
❑ Other
❑ Yes ❑ No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
WAS STREET OVERLAYED WITHIN THE LAST
_.
FIVE (5) YEARS? YES ❑ NO [-] Year:
PAVEMENT CUT: R Yes ❑ No If yes, indicate size of cut:
CONCRETE CUT: R Yes ❑ No If yes, indicate size of cut: x