The pipe that carries everything out of a house is easy to forget until it stops doing its job. In Seattle, that line is usually called the side sewer, and it runs from the house out to the public main, often under a yard, a driveway, or a planting strip with a mature tree in it. Property owners are generally responsible for it, which surprises people the first time something goes wrong.
The signs that something is off underground
Trouble in the side sewer tends to show up in the lowest drains first. A basement floor drain that bubbles when the washing machine empties, a toilet that gurgles after a shower, or water coming up in a downstairs tub are all classic hints. A sewer smell in the yard after heavy rain, or a patch of lawn that stays greener and softer than the rest, can point to a leak.
When several fixtures back up at once, the issue is almost never a single sink. It is somewhere in the shared line, and plunging individual drains will not reach it.
Why older lines here fail the way they do
Many houses in the city were built with clay or concrete sewer pipe laid in short sections. Over decades, roots from street trees and hedges find their way into the joints, the ground shifts on sloped lots, and sections settle or crack. Wet winters keep the soil saturated, which makes small gaps worse. Cast iron sections inside the house can corrode from the bottom up, and older repairs sometimes joined mismatched materials that have since separated.

Camera first, then decisions
Guessing about a buried pipe is expensive. A camera inspection lets the plumber see exactly where roots have entered, where a section has sagged into a belly that holds water, or where pipe has broken. If you have never watched one, reading about what a camera inspection usually turns up helps you ask better questions when you see the footage yourself. Ask for a copy of the video and a note of where the problem sits relative to the house.
Repair options, from simple to major
Root intrusion caught early can sometimes be cleared with a cable machine or water jetting, buying time while you plan a lasting fix. That is maintenance, not repair, and the roots will return if the joint stays open.
For a damaged line, the choice usually comes down to lining or replacing. Trenchless methods can work well when the pipe still holds its shape and there is reasonable access at both ends, and they spare driveways and landscaping. When the pipe has collapsed, has a deep belly, or simply is not a good host for a liner, digging and replacing the section is the honest answer. Weighing trenchless lining versus digging is worth doing with the camera footage in hand rather than in the abstract.
Work on a side sewer generally goes through the city's permit and inspection process, and a reputable contractor will handle that as part of the job.
Shared lines and denser buildings
Things get more complicated where several units share one connection. Townhouse rows, older duplexes, and buildings with shops below apartments can have lines that serve more than one owner, and figuring out responsibility can take longer than the repair. In denser parts of the city, access is tighter too, with sidewalks, neighbouring foundations, and business hours to work around. For owners in that situation, Plumbing in Belltown's Mixed-Use Buildings: What Owners and Managers Run Into is a useful look at how those shared-system headaches play out downtown.
Keeping the line healthy afterward
Once the line is sound, a little care goes a long way. Keep grease, wipes, and paper towels out of drains. Know where your cleanout is so a plumber can reach the line without pulling a toilet. If roots were the problem and the pipe was not replaced, a periodic camera check lets you catch regrowth before it turns into another backup.