Engineering Permit Form_1SEWER NEW RESIDENTIAL PERMIT
PERMIT NUMB
City of Edmonds
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www.edmondswa.gov i
Description: SEWER CONNECTION FOR NEW SFR BLD2022-0381 ISSUED: 04/29/2024
Address: 919 CEDAR ST EDMONDS WA 98020-3327
EXPIRES: 04/29/2026
Permit Type: SEWER NEW RESIDENTIAL Permit Subtype: Parcel Number: 00371900100700
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NAME TYPE NAME ADDRESS PHONE
APPLICANT SELECT HOMES 8325 212TH ST SW, EDMONDS WA 98026 (425)742-6044
CONTACT SELECT HOMES 8325 212TH ST SW, EDMONDS WA 98026 (425)742-6044
CONTRACTOR SELECT HOMES INC 8304 212th ST SW, EDMONDS WA 98026 (425)742-6044
OWNER SELECT HOMES 8325 212TH ST SW, EDMONDS WA 98026 (425)742-6044
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $40.00
SEWER GFC - NEW SFR
$4,417.00 $4,417.00
SIDE SEWER PERMIT - NEW RESIDENTIAL $110.00 $110.00
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: 04/29/2024
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NEW RESIDENTIAL PERMIT
PERMIT
City •EdmondsSEWER
A
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www.edmondswa.gov • •
CONDITIONS
CONDITION TYPE
It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in
DAMAGE TO FRONTAGE
City right of Ways or Easements to City Standards caused by or occurring during the permitted
IMPROVEMENTS
project.
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
ESC REQUIREMENTS
REQUIREMENTS.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to
indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and
agents from any and all claims for damages of whatever nature, arising directly or indirectly from the
HOLD HARMLESS
issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any
requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
SEWER AND WATER
MAINTAIN 10 FEET OF SEPARATION BETWEEN THE SANITARY SIDE SEWER AND THE WATER SERVICE
SEPARATION
LINE.
Owner/Contractor to provide Side Sewer asbuilt at final inspection. See City Handout E71 for
SEWER ASBUILT
requirements.
All utilities shall be located prior to any excavation. New locates shall be called for if at time of
UTILITY LOCATES
excavation, original locates are no longer identifiable.
INSPECTIONS
INSPECTION TYPE
DATE
RESULT
COMPLETE
E-2 SIDE SEWER
X-2 ENGINEERING FINAL"
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