ENG2023-0389_Application_7.28.2023_10.03.13_AM_3694649CITY OF EDMONDS M BuildingPermit.com
Utilities Application #1354781 -Sue Delsignore
Applicant
First Name Last Name Company Name
Aaron Palmen Roto Rooter Service Company
Number Street Apartment or Suite Number E-mail Address
6321 7th Ave S. aaron.palmen@rrsc.com
City State Zip Phone Number Extension
Seattle WA 98108 (253) 405-7765
Contractor
Company Name
ROTO ROOTER SERVICES CO
Number Street Apartment or Suite Number
6321 7th Ave S
City State Zip Phone Number Extension
Seattle WA 98108 (253) 405-7765 (253) 568-7100
State License Number License Expiration Date UBI # E-mail Address
ROTORSC122BR 4/7/2024 F61 D57.1R1 aaron.palmen@rrsc.com
Project Location
Number Street Floor Number Suite or Room Number
1028 CASCADE LN
City Zip Code County Parcel Number
EDMONDS 98020 00548900001405
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Susan Delsignore
Number Street Apartment or Suite Number
1028 CASCADE LN
City State Zip
EDMONDS WA 98020
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 7/28/2023 Submitted By: Aaron Palmen
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1354781 -Sue Delsignore
Project Contact
Company Name: Roto Rooter Service Company
Name: Aaron Palmen Email: aaron.palmen@rrsc.com
Address: 6321 7th Ave S. Phone #: (253) 405-7765
Seattle WA 98108
Project Type Activity Type Scope of Work
Single Family Residential Utility Modification Partial Line Replacement
Project Name: Sue Delsignore
Description of Work: Emergency spot repair on existing side sewer. Up to 4' in length. All work on
private property
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
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