Engineering Permit FormSEWER NEW RESIDENTIAL
PERMIT
PERMITNUMBER,
of Edmonds
hLCity
www.cityofedmonds.gov
Description: HOY: SIDE SEWER FOR NEW SFR
ISSUED: 02/02/2021
Address: 8051 184th ST SW EDMONDS WA 98026
EXPIRES: 08/01/2021
Permit Type: SEWER NEW RESIDENTIAL Permit Subtype:
Parcel Number: 27041800103800
W
NAME TYPE NAME
ADDRESS
PHONE
APPLICANT WAYNE SHARP CONSTRUCTION
PO BOX 1478, SNOHOMISH WA 98291
(206)931-7745
CONTRACTOR WAYNE SHARP CONSTRUCTION
20012 HWY 2 SUITE F , MONROE WA 98272 (206)931-7745
OWNER HOY GREGORY & OKA MIDORI
8051 184TH ST SW, EDMONDS WA 98020 (206)696-2967
FEE INFORMATION
DESCRIPTION
AMOUNT
PAID
ENGINEERING INSPECTION FEE
$220.00
$220.00
SEWER GENERAL FACILITY CHARGE - NEW SFR
$4,417.00
$4,417.00
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
RELEASED BY DATE
Printed: Wednesday, February 03, 2021 10:54:36 AM 1 of 2
SEWIMEW
RESIDENTIAL PERMIT
PERMIT NUMBER
City of Edmonds
..• •ENG2020-0456
www.cityofedmonds. ov/425.771.0220
CONDITIONS
CONDITION TYPE
10' SEPARATION WATER AND
Maintain 10 feet of horizontal separation between the sanitary sewer and the water service line.
SEWER
ESC REQUIRED
Maintain erosion & sediment control per city standards.
SIDE SEWER ASBUILT
Owner/Contractor to provide side sewer asbuilt at final inspection.
UNDERGROUND UTILITY
Call for locates of underground utilities prior to any excavation.
LOCATES
INSPECTIONS
INSPECTION TYPE
DATE
RESULT
COMPLETE
E-2 SIDE SEWER
E-9 SEWER ASBUILT
E-7 SEWER LATERAL
Printed: Wednesday, February 03, 2021 10:54:36 AM 2 of 2