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Engineering Permit Form
NEW COMMERCIAL PERMIT PERMIT ER City •EdmondsSEWER 121 :01 1 www.edmondswa.gov i Description: SEWER - NEW BATHROOMS AT MATHAY PARK ISSUED: 10/01/2024 Address: 24105 78TH PL W Edmonds WA 98026 EXPIRES: 03/30/2025 rmit Type: SEWER NEW COMMERCIAL Permit Subtype: Parcel Number: 27043100402800 I 11-14111 a i NAME TYPE NAME ADDRESS PHONE APPLICANT KYLE WOODS 700 MAIN ST, EDMONDS WA 98020 (425)599-3847 CONTACT CITY OF EDMONDS, PARKS AND REC 700 MAIN ST, EDMONDS WA 98020 (425)599-3847 CONTRACTOR ACCORD CONTRACTORS LLC 15405 SE 37TH ST 100, BELLEVUE WA 98006 (425)754-6759 OWNER EDMONDS CITY OF 250 5TH AVE N, EDMONDS WA 98020-3146 FEE INFORMATION DESCRIPTION AMOUNT PAID SEWER - NEW COM - 4.1.24 $264.00 $264.00 SEWER GFC - NEW COMMERCIAL $6,598.00 $6,598.00 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: 10/01/2024 Printed: Tuesday, October 01, 2024 6:50:39 AM 1 of 2 © SEWER NEW COMMERCIAL PERMIT City of Edmonds PERMIT NUMBE 121 5th Ave N, Edmonds WA 98020 ENG2024-0361 www.edmondswa.gov / 425.771.0220 CONDITIONS - INSPECTIONS INSPECTION DATECOMPLETE®ï¿½ 1 E-2 SIDE SEWER Printed: Tuesday, October 01, 2024 6:50:39 AM 2 of 2