Engineering Permit Form-. 111 to] its, FIT'VENTOW&I V411i 1111111i'
Description: WALL ENCROACHMENT INTO SEWER EASEMENT AND NEW SEWER
MANHOLE
ISSUED: 05/10/2023
Address: 1214 11TH PL N EDMONDS WA 98020-2548
EXPIRES:05/04/2024
Permit Subtype: RESIDENTIAL
Permit Type: ENCROACHMENT Parcel Number: 00606600001600
ENCROACHMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT
HOWARD CHERMAK
1214 11TH PLACE NORTH, EDMONDS WA 98020
(206)605-8400
CONTACT
HOWARD CHERMAK
1214 11TH PLACE NORTH, EDMONDS WA 98020
(206)605-8400
CONTRACTOR
CHERMAK CONSTRUCTION
655 EDMONDS WAY, EDMONDS WA 98020
(425)446-1367
OWNER CHERMAK HOWARD & JUDITH
1214 11TH PL NE, EDMONDS WA 98020 (206)605-8400
LIVING TRUST
FEE INFORMATION
DESCRIPTION
AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
ENCROACHMENT APPLICATION FEE $330.00 $330.00
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.
77 INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM
24 HR NOTICE REQUIRED
INDEMNI
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: BAC DATE: 05/10/2023
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