SIDE SEWER PERMIT ENG2021-0082SEWER
PERMIT
PERMITNUMBER,
City of Edmonds
-008
www.cityofedmonds.gov
Description: MIKES PLUMBING SPOT REPAIR AND CLEANOUT BEHIND CONDO
ISSUED: 03/11/2021
Address: 623 MAIN ST 1 EDMONDS WA 98020-3066
EXPIRES: 06/11/2021
Permit Subtype: PARTIAL LINE
Permit Type: SEWER
Parcel Number: 00629000000100
REPLACEMENT
CONTACTS
NAME TYPE NAME
ADDRESS
PHONE
APPLICANT Mikes Plumbing & Drain Cleaning
PO Box 1535, Edmonds WA 98020
(206)423-3955
CONTRACTOR Mikes Plumbing & Drain Cleaning
PO Box 1535, Edmonds WA 98020
(206)423-3955
OWNER NAKAMA RANCE K & VANDER YACHT
623 MAIN ST #1, EDMONDS WA 98020
LISA
FEE INFORMATION
DESCRIPTION
AMOUNT
PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00
$40.00
ENGINEERING REVIEW FEE
$110.00
$110.00
SIDE SEWER PERMIT - PARTIAL REPLACEMENT
$110.00
$110.00
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
3/11 /2021
RELEASED BY DATE
Printed: Thursday, March 11, 2021 2:12:10 PM 1 of 2
SEWER PERMIT
PERMIT NUMBER
City of Edmonds
www.cityofedmonds.gov•
CONDITIONS
CONDITION TYPE
NOTES
It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in
DAMAGE TO FRONTAGE
City right of Ways or Easements to City Standards caused by or occurring during the permitted
IMPROVEMENTS
project.
ESC REQ
Maintain erosion and sedimentation control per City and SWMMW standard requirements.
INSP PRIOR TO BACKFILL
Call for all required inspections. All work shall be inspected prior to backfill.
Owner/Contractor to provide Side Sewer asbuilt at final inspection. See City Handout E71 for
SEWER ASBUILT
requirements.
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.
INSPECTIONS
INSPECTION TYPE
DATE
RESULT
NOTES
COMPLETE
E-2 SEWER PRESSURE
E-2 SIDE SEWER
E-9 SEWER ASBUILT
X-2 ENGINEERING FINAL"
Printed: Thursday, March 11, 2021 2:12:10 PM 2 of 2
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CONTRACTOR INFORMATION:
SIDE SEWER
PERMIT APPLICATION
Company Name: MP)i N co 2RA I Site Contact: 12y A N A 661 t4s
_Company Address: Phone #: 20� 779 4. ,7S 13
Po 130x 1535
City: EPMONr,>s Zip: 9502-0 Email#: a,in.cDM
State License # M I KE5 PG�q D K-M City Business License #
Expiration Date:
PROPERTY INFORMATION:
Address:
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❑ FULL LINE REPLACEMENT XSPOT 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 WA TO THE CITY OF EDMONDS. 1F REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPER I W ERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY.
SIGNATURE DATE D3 ,-2Oal
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE