ENG2021-0010 SS LOT 3 21224-LFOF EDP
SEWER NEW RESIDENTIAL PERMIT
G
PERMIT NUMBEJ
City of Edmonds
Edmonds WA 98020
www.cityofedmonds.gov425.771.0220
Description: SEWER FOR NEW SFR ISSUED: 03/02/2021
Address: 21224 82ND PL W EDMONDS WA 98020
EXPIRES: 03/02/2022
rmit Type: SEWER NEW RESIDENTIAL Permit Subtype: Parcel Number: 00467400000600
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NAME TYPE NAME ADDRESS PHONE
APPLICANT SELECT HOMES INC. 16531 13TH AVE W SUITE A107, LYNNWOOD WA 98036- (206)963-3787
CONTRACTOR SELECT HOMES INC. 16531 13TH AVE W SUITE A107, LYNNWOOD WA 98036- (206)963-3787
OWNER SELECT HOMES INC. 16531 13TH AVE W SUITE A107, LYNNWOOD WA 98036- (206)963-3787
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $40.00
SEWER GENERAL FACILITY CHARGE - NEW SFR
$4,417.00 $4,417.00
SIDE SEWER PERMIT - NEW RESIDENTIAL
$110.00 $110.00
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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
Printed: Tuesday, March 02, 2021 10:50:40 AM 1 of 2
OF EDP
SEWER
NEW RESIDENTIAL PERMIT
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PERMIT NUMBE
City of Edmonds
Edmonds WA 98020
CONDITIONS
CONDITION TYPE
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.
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.
INSP PRIOR TO BACKFILL
Call for all required inspections. All work shall be inspected prior to backfill.
WATER AND SEWER
Maintain 10' of separation between the sanitary side sewer and the water service line.
SEPARATION
INSPECTIONS
INSPECTION TYPE
DATE
RESULT
COMPLETE
X-2 ENGINEERING FINAL"
Printed: Tuesday, March 02, 2021 10:50:40 AM 2 of 2