Engineering Permit FormOF WAY PERMIT
PERMIT NUMBER
City of Edmonds
AveRIGHT
9801 1 1 1
www.cityofedmonds.gov
Description: INSTALL UTILS, DW APPR, ROAD WIDEN WITH SFR BLD2020-0866
ISSUED: 03/19/2021
Address: 7115 174TH ST SW EDMONDS WA 98026-5229
EXPIRES: 03/21/2022
Permit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 00513100013804
NAME TYPE NAME ADDRESS PHONE
APPLICANT DAVE NOLAN 502 92ND ST SE, EVERETT WA 98208 (425)582-1016
CONTRACTOR HOME DEVELOPMENT COMPANY, BOW WA 98232-7232 (425)471-1054
INC.
OWNER HOME DEVELOPMENT COMPANY, BOW WA 98232-7232 (425)471-1054
INC.
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
ENGINEERING INSPECTION FEE $660.00 $660.00
RIGHT OF WAY STANDARD PERMIT FEE $330.00 $330.00
REQUIREMENTS
REQUIREMENT TYPE
NOTES
TRAFFIC CONTROL Traffic control and public safety shall be in accordance with City regulations as required by the City
Engineer. Every flagger must be trained as required by WAC 296-155-305 and must have certification
verifying completion of the required training in their posession.
RESTORATION 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
WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final
inspection and acceptance of the work.
INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM
24 HR NOTICE REQUIRED
INDEMNITY
The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims of
any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of its departments
or employees, including but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of
granting this permit.
RELEASED BY
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
DATE
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KIRRMF WAY PERMIT
PERMIT NUMBER
City of Edmonds
www.cityofedmonds.gov• •
CONDITIONS
CONDITION TYPE
Contractor/Owner shall be responsible for repair/replacement of all damage to utilities and/or
DAMAGE TO FRONTAGE
frontage improvements in city right of way per city standards that is caused by or occurs during the
IMPROVEMENTS
permitted project.
ESC REQUIRED
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to
indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and
agents from any and all claims for damages of whatever nature, arising directly or indirectly from the
HOLD HARMLESS
issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any
requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
ROW COMPACTION TEST
Right of way compaction tests required per City standards.
Sound/Noise originating from temporary construction sites as a result of construction activity are
exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:OOam to 6:OOpm on
SOUND OR NOISE
weekdays and 10:OOam to 6:OOpm on Saturdays, excluding Sundays and Federal Holidays. At all other
times the noise originating from construction sites/activities must comply with the noise limits of
Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
UNDERGROUND UTILITY
LOCATES
All utilities shall be located prior to any excavation. New locates shall be called for if at time of
UTILITY LOCATES
excavation, original locates are no longer identifiable.
•
INSPECTION TYPE
DATE
RESULT
COMPLETE
A-1 TESC AND MOBILIZE
E-7 DWY APPROACH
E-7 RESTOR LIMITS
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL"
E-7 PUBLIC ROAD
E-7 SEWER LATERAL
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