Engineering Permit FormENCROACHMENT PERMIT
PERMIT '
City of • • .
.
121 Sth Ave N, Edmonds WA :0•7'
www.edmondswa.gov i
ML 4L. ____ ...
Description: ENCROACHMENT -FENCE GATE & DRIVEWAY ISSUED: 08/08/2023
Address: 1400 9TH AVE N EDMONDS WA 98020
EXPIRES:
Permit Subtype: RESIDENTIAL
Permit Type: ENCROACHMENT Parcel Number: 00608300000201
ENCROACHMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT
LEE MICHAELIS
6100 219TH ST SW SUITE 480, MOUNTLAKE TERRACE WA
(425)830-1046
98043
CONTACT
PUGET SOUND PLANNING, LLC
6100 219TH ST SW SUITE 480, MOUNTLAKE TERRACE WA
(425)830-1046
98043
CONTRACTOR
LEIF HELLEREN CONSTRUCTION INC
PO BOX 1764, EDM0NDS WA 98020
(206)533-8200
OWNER DESTA & SOLOMON GENET 1400 9TH AVE N, EDMONDS WA 98020 (206)954-4145
GETACHEW
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENCROACHMENT PERMIT $378.00 $378.00
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
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: 08/08/2023
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