ENG2022-0589 SEWER PERMITSEWER PERMIT
PERMIT NU BE
City of • • .
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www.edmondswa.gov i
Description: SEWER - 10' SPOT REPAIR AND LINER ON PRIVATE PROPERTY
ISSUED: 12/09/2022
Address: 806 DAYTON ST EDMONDS WA 98020-3337
EXPIRES: 03/09/2023
Permit Subtype: PARTIAL LINE
Permit Type: SEWER Parcel Number: 00434207600100
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT CLIFF REILLY 20406 178TH PL. SE, MONROE WA 98272
(425)737-3659
CONTACT CLEARLINE SEWER REPAIR, LLC 20406 178TH PL. SE, MONROE WA 98272
(425)737-3659
CONTRACTOR CLEARLINE SEWER REPAIR, LLC 20406 178TH PL. SE, MONROE WA 98272
(425)737-3659
OWNER SUSAN MARIE LITTLE 806 DAYTON ST, EDMONDS WA 98020-3337
A FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
SIDE SEWER PERMIT - PARTIAL REPLACEMENT $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
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: WHJ DATE: 12/09/2022
Printed: Friday, December 09, 2022 8:56:55 AM 1 of 2
Printed: Friday, December 09, 2022 8:56:55 AM 2 of 2
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CONTRACTOR INFORMATION:
SIDE SEWER
PERMIT APPLICATION
Company Name: Clearline Sewer Repair, LLC
Company Address: 20406178th pl. se
20406 178th pl. se
City: Monroe, Wa Zip:98272
State License # Gist- 1i00 04�
Expiration Date: Ilk `bk ?A M
PROPERTY TNFORMATION:
Site contact: Ismael Garcia
Phone #:425-246-5407
Email #: Cliff@cleadinesewerrepair.com
City Business License # C terms j jgj60 ..
Address: 806 Dayton Street. Edmonds, Wa 98020
Owner's Name:
Susan Little
Phone #:
DULL LINE REPLACEMENT POT REPAIR RIPE BURST ❑✓ RELINE (PERMALINE ONLY)
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DESCRIPTION OF PROPOSED WORK (Be Specific):, 0. of 4" concrete replacement-68' of Cipp Liner 4' Liner. All on
private property. Thank you t
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 WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY.
SIGNATURE DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
CITY OF EDMONDS M BuildingPermit.com
Utilities Application #1240146 - Little
Applicant
First Name Last Name Company Name
Cliff Reilly Clearline Sewer Repair, LLC
Number Street Apartment or Suite Number E-mail Address
20406 178th pl. se cliff@clearlinesewerrepair.com
City State Zip Phone Number Extension
Monroe WA 98272 (425) 737-3659
Contractor
Company Name
CLEARLINE SEWER REPAIR LLC
Number Street Apartment or Suite Number
20406 178TH PL SE
City State Zip Phone Number Extension
MONROE WA 98272 (425)737-3659
State License Number License Expiration Date UBI # E-mail Address
CLEARSR7880L 9/13/2024 F;D4gr;g794 CLIFF@clearlinesewerrepair.com
Project Location
Number Street Floor Number Suite or Room Number
806 DAYTON ST
City Zip Code County Parcel Number
EDMONDS 98020 00434207600100
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Susan Marie Little
Number Street Apartment or Suite Number
806 DAYTON ST
City State Zip
EDMONDS WA 98020-3337
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 12/8/2022 Submitted By: Cliff Reilly
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1240146 - Little
Project Contact
Company Name: Cle rline Sewer Repair,
Name: Cliff Reilly Email: cliff@clearlinesewerrepair.com
Address: 20406 178th pl. se Phone #: (425) 737-3659
Monroe WA 98272
Project Type Activity Type Scope of Work
Single Family Residential Utility Modification Partial Line Replacement
Project Name: Little
Description of Work: 10' of 4" concrete line replacement 68' of 4" Cipp Liner Installation all work done
personal property
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Page 2 of 2