ENG2020-0481 APPROVED SEWER PERMITSEWER PERMIT
PERMIT NUMBER
City of Edmonds
-0481
www.cityofedmonds.gov
Description: STEVES PLUMBING LINER THROUGH SEWER ISSUED: 09/01/2021
Address: 20903 78TH AVE W EDMONDS WA 98026-7137
EXPIRES: 11/30/2021
Permit Type: SEWER Permit Subtype: PARTIAL LINE Parcel Number: 00595700001600
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT STEVE'S PLUMBING LLC 2125 196TH ST SW SUITE 126, EDMONDS WA 98026 (425)774-0483
CONTRACTOR STEVE'S PLUMBING 2125 196TH ST SW SUITE 126, LYNNWOOD WA 98036 (425)774-0483
OWNER HUGHES TYLER J & JACQUELINE C 20903 78TH AVE W, EDMONDS WA 98026-7137
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
SIDE SEWER PERMIT - PARTIAL REPLACEMENT $110.00 $110.00
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.
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
U11 tv 09/01 /2021
RELEASED BY
DATE
Printed: Wednesday, September 01, 2021 1:01:02 PM 1 of 2
SEWER PERMIT
PERMIT NUMBER
City of Edmonds
www.cityofedmonds.gov•
CONDITIONS
CONDITION TYPE
NOTES
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 REQ
Maintain erosion & sediment control per city standards.
SEWER ASBUILT
Side sewer as built required prior to final of permit.
UTILITY LOCATES
Call for locates of underground utilities prior to any excavation.
INSPECTIONS
INSPECTION TYPE
DATE
RESULT
NOTES
COMPLETE
E-2 SIDE SEWER
E-2 TV AND WATER TEST
X-2 ENGINEERING FINAL"
Printed: Wednesday, September 01, 2021 1:01:02 PM 2 of 2
of LDA10
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CONTRACTOR INFORMATION:
Company Name:
Company Address: 2! 2S 1ciG�
SIDE SEWER
PERMIT APPLICATION
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PROPERTY INFORMATION:
Site Contact:
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Email #:
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❑ FULL LINE REPLACEMENT ❑ SPOT REPAIR ❑ PIPE BURST [RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific):
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ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER
THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER.
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SAID WORK.
I REPRESENT AND WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY.
SIGNATURE all DATE I Z o
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE