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HOY SEWEROF EDP SEWER NEW RESIDENTIAL PERMIT G PERMIT NUMBED! City of Edmonds www.cityofedmonds.gov425.771.0220 Description: HOY: SIDE SEWER FOR NEW SFR ISSUED: 02/02/2021 Address: 8051 184th ST SW EDMONDS WA 98026 EXPIRES: 08/01/2021 rmit Type: SEWER NEW RESIDENTIAL Permit Subtype: Parcel Number: 27041800103800 • i 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 HENDERSON WARREN T 18335 81ST W, 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: Tuesday, February 02, 2021 11:15:19 AM 1 of 2 OF EDP SEWER NEW RESIDENTIAL PERMIT � � G PERMIT NUMBE City of Edmonds Edmonds WA 98020 • 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: Tuesday, February 02, 2021 11:15:19 AM 2 of 2