Side Sewer Permit ApplicationOF EDA,10
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INC. 1 B90
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
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Company Name: Regent Construction, Inc. Site Contact: Rob Michel
Company Address: 7305 Soundview Drive Phone #:
206-930-2445
City: Edmonds Zip: 98026 Email #: rwmichei@nwlink.com
State License # REGENCI891K5 City Business License # BL-010892
Expiration Date: 5/25/2021
1
PROPERTY INFORMATION:
Address:
7305 SOUNDVIEW DRIVE, EDMONDS, WA 98026
Owner's Name:
ROBIN MICHEL
Phone #: 206.930-2445
FZI FULL LINE REPLACEMENT ❑ SPOT REPAIR ❑ PIPE BURST ❑ RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific):
REROUTE SIDE SEWER THROUGH NEW EASEMENT TO NEW LATERAL ON
SOUNDVIEW LANE 3-LOT SHORT PLAT PLN20130020 SEE ATTACHED PLAN
ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER
THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER.
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SAID WORK.
I REPRESENT AND WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY. 111 0_1�
SIGNATURE DATE 7/16/2019
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE