Engineering Permit Form ENG2022-0497STREET USE PERMIT
PERMIT NUMBER
City of Edmonds
-0497
www.cityofedmonds.gov
Description: STREET USE - TABLE FOR 12 WALL SIGN ISSUED: 10/07/2022
Address: 320 5TH AVE S EDMONDS WA 98020-3401
EXPIRES:
PS mit Subtype: COMMERCIAL STREET
Permit Type: STREET USE Parcel Number: 27032300413000
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT RIAN COOL 320 5TH AVE S B, EDMONDS WA 98020 (206)375-4146
CONTACT GREAT LIFE PUBLISHING LLC 320 5TH AVE S B, EDMONDS WA 98020 (206)375-4146
CONTRACTOR HAIDER CONSTRUCTION 5607 244TH ST SW, MOUNTLAKE TERRACE WA 98043- (206)510-5300
OWNER VOLTSIS VENTURES LLC 320 5TH AVE, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
STREET USE APPLICATION FEE $110.00 $110.00
•
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 nnCLJMFNT IS NnT VAI ID UNTII FFFS ARF PAID AND THE CITY FNCINFFR nR HIS/HFR DEPUTY HAS SIGNED BELOW
C kkr,stiA'2 KaVSOV 10/7/2022
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