ENG20170250-ISSUED PERMIT.pdf'-'4
uITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
ve
11
PHONE: (425) 771-0220'- FAX: (425)771-0221
*PERMIT MUST BE POSTED ON JOBSIT *
STATUS: ISSUED ENG20,170250
F SIDE SEWER PERMIT (]-Single Family)
Permit Number: ENG20170250 Expiration Date: 07/26/2017
Job Address: 1015 12TH AVE N, EDMONDS
CONTRACTORAPPLICANT :
BEST PLUMBING BEST PLUMBING
4,129 STONE WAY 4129 STONE WAY
SEATTLE, WA 98103- SEATTLE, WA 98103-
(206) 633-1700
8103-(206)633-1700
LICENSE #: BESTPGL973CD EXP: 02/04/2019
DESCRIPTIONJOB
Y IREPAIR I N 1PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP " [E PROPOSE TO REUSE SIDE SEW ER" N DRAINAGE`
2 spot repairs. May have to install liner if customer approves. 'Location of repair, is behind home.
LAS EMENT INFORMATION
NPROJECT CROSSESOTHER PRIVATE PROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
1NDEMATTY 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 whatsoeiw, 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 NOTICEREQUHRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA'PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED,
Printed: Monday,June 20., 201'
RELEASED BY DATE
❑ FILE COPY ❑ INSPECTOR COPY APPLICANT COPY