Engineering Permit FormRIGHT OF WAY PERMIT
PERMIT NU '
City of • • .
• :i 1 1 1
www.edmondswa.gov i
Description: RIGHT OF WAY ISSUED:
Address: 10429 240TH PL SW EDMONDS WA 98020-5742
EXPIRES:
Permit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 00564900100500
NAME TYPE NAME ADDRESS PHONE
APPLICANT SELECT HOMES SELECT HOMES 8304 212TH ST SW, EDMONDS WA 98026 (425)742-6044
CONTACT SELECT HOMES, INC. 8304 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 INC 8304 212TH ST SOUTHWEST, EDMONDS WA 98026
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS - 4.1.24
$396.00 $396.00
ROW - STANDARD - 4.1.24 $396.00 $396.00
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:
DATE:
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