ENG2023-0466 SIDE SEWER PERMITSEWER PERMIT
PERMIT NU
of EdmondsBE
City
1 1 . .
www.edmondswa.gov i
Description: SEWER - SPOT REPAIR WITH LINER ISSUED: 09/12/2023
Address: 23405 75TH AVE W EDMONDS WA 98026-8520
EXPIRES: 12/11/2023
Permit Subtype: PARTIAL LINE
Permit Type: SEWER Parcel Number: 00488800300401
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT DIRT SEWER
2617 RUSSELL WAY, EVERETT WA 98204
(425)512-9652
CONTACT DIRT CHEAP INC
2617 RUSSELL WAY, EVERETT WA 98204
(425)512-9652
CONTRACTOR DIRT CHEAP INC
2617 RUSSELL WAY, EVERETT WA 98204
(425)512-9652
OWNER MATTHEW T TTEE & VANH
22804 45TH PL W, MOUNTLAKE TERRACE WA 98043 (206)992-6776
VANHORN
FEE INFORMATION
DESCRIPTION
AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
SIDE SEWER PERMIT- PARTIAL REPLACEMENT $126.00 $126.00
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
co I
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: 09/12/2023
Printed: Tuesday, September 12, 2023 9:34:35 AM 1 of 2
CITY OF EDMONDS M BuildingPermit.com
Utilities Application #1373989 - VanDoren
Applicant
First Name Last Name Company Name
Dirt Sewer Dirt Cheap Inc
Number Street Apartment or Suite Number E-mail Address
2617 Russell Way office@dirtcheapinc.com
City State Zip Phone Number Extension
Everett WA 98204 (425) 512-9652
Contractor
Company Name
DIRT CHEAP INC
Number Street Apartment or Suite Number
2617 Russell Way
City State Zip Phone Number Extension
Everett WA 98204 (425) 512-9652
State License Number License Expiration Date UBI # E-mail Address
DIRTCCI836BT 1/30/2025 RunR7911 office@dirtcheapinc.com
Project Location
Number Street Floor Number Suite or Room Number
23405 75TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00488800300401
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
Matthew T Ttee & Vanhorn Aglika C Vanhorn
Number Street Apartment or Suite Number
22804 45TH PL W
City State Zip
MOU NTLAKE WA 98043
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: 9/11/2023 Submitted By: Dirt Sewer
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1373989 - VanDoren
Project Contact
Company Name: Dirt Cheap Inc
Name: Dirt Sewer Email: office@dirtcheapinc.com
Address: 2617 Russell Way Phone #: (425) 512-9652
Everett WA 98204
Project Type Activity Type
Single Family Residential Utility Modification
Project Name: VanDoren
Description of Work: Side sewer repair with CIPP liner
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Scope of Work
Partial Line Replacement
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