Engineering Permit FormSTREET USE PERMIT
PERMIT NUMBER
of Edmonds
121 Sth Ave N, Edmonds WA 9802 - ENG2023-0532
kLCity
www.edmondswa.govi
Description: STREET USE -CLINE JEWELERS SIGNS AND AWNINGS BLD2023-1075
ISSUED: 10/24/2023
Address: 100 5TH AVE N EDMONDS WA 98020-3145
EXPIRES: 10/18/2024
PS mit Subtype: COMMERCIAL STREET
Permit Type: STREET USE Parcel Number: 00434202103100
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT KRISTEN CLINE 100 5TH AVE N, EDMONDS WA 98020 (206)491-6832
CONTACT CLINE JEWELERS 100 5TH AVE N, EDMONDS WA 98020 (206)491-6832
CONTRACTOR RAINIER INDUSTRIES LLC 18375 OLYMPIC AVE S, TUKWILA WA 98188 (425)372-7766
OWNER CAMWEST INC 1404 GOATTRAIL LOOP RD, MUKILTEO WA 98275
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
STREET USE PERMIT $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
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: NED DATE: 10/24/2023
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