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ENG2023-0080 SEWER PERMITSEWER PERMIT PERMIT City of Edmonds' IE www.edmondswa.gov i Description: SEWER - SPOT REPAIR WITH CLEAN OUT ON PRIVATE PROPERTY ISSUED: 02/15/2023 Address: 8420 215TH ST SW EDMONDS WA 98026-7318 EXPIRES: 05/16/2023 Permit Subtype: PARTIAL LINE Permit Type: SEWER Parcel Number: 00555400001400 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT ANTHONY MCDANIEL 8228 234TH STREET SW, EDMONDS WA 98026 (206)499-1822 CONTACT MCDANIEL SEWER AND DRAIN 8228 234TH STREET SW, EDMONDS WA 98026 (206)499-1822 CONTRACTOR MCDANIEL SEWER AND DRAIN LLC 8228 234TH ST SW, EDMONDS WA 98026 (206)499-1822 OWNER GEORGE J PAPPAS 8420 215TH SW, EDMONDS WA 98026 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: GRN DATE: 02/15/2023 Printed: Wednesday, February 15, 2023 8:23:00 AM 1 of 2 Printed: Monday, February 13, 2023 1:35:12 PM 2 of 2 SIDE SEWER PERMIT APPLICATION CONTRACTOR INFORMATION: Company Name: McDaniel Sewer and drain Site Contact: Anthony Company Address: 8228 234th st sw Phone #: 206 499 1822 8228 234th st sw City: edmonds zip:98026 Email #: anthony@mcdanielseweranddrain. cor State License # 604544685 City Business License # N/A Expiration Date: 11 /30/2023 PROPERTY INFORMATION: Address: 8420 215th st sw Owner's Name: George Pappas Phone #: DULL LINE REPLACEMENT ®SPOT REPAIR [:]PIPE BURST RELINE (PERMALINE ONLY) �BBBBBBBBBBB�� a.a.a.a.a.a. . s r DESCRIPTION OF PROPOSED WORK (Be Specific): Installing dual cleanouts on property, with a depth of 3'. 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 2/13/23 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE CITY OF EDMONDS M BuildingPermit.com Utilities Application #1267998 - 12290 Applicant First Name Last Name Company Name Anthony McDaniel McDaniel Sewer And Drain Number Street Apartment or Suite Number E-mail Address 8228 234th Street Sw anthony@mcdanielseweranddrain.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 499-1822 Contractor Company Name MCDANIEL SEWER AND DRAIN LLC Number Street Apartment or Suite Number 8228 234TH ST SW City State Zip Phone Number Extension EDMONDS WA 98026 (206)499-1822 State License Number License Expiration Date UBI # E-mail Address MCDANSD813RB 12/2/2023 BD4544BR5 anthony@mcdanielseweranddrain.com Project Location Number Street Floor Number Suite or Room Number 8420 215TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00555400001400 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 George J Pappas Number Street Apartment or Suite Number 8420 215TH SW City State Zip EDMONDS WA 98026 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: 2/13/2023 Submitted By: Anthony McDaniel Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Utilities Application #1267998 - 12290 Project Contact Company Name: McDaniel Sewer And Drain Name: Anthony McDaniel Email: anthony@mcdanielseweranddrain.com Address: 8228 234th Street Sw Phone #: (206) 499-1822 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential Utility Modification Partial Line Replacement Project Name: 12290 Description of Work: spot repair with dual cleanout on property near house Project Details Structure Type Single Family Dwelling Project Information Repair Page 2 of 2