ENG2022-0278+City_Application+6.3.2022_7.57.09_AM+2909108SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Complete Excavating, LLC Site Contact: Justin Spears
Company Address: P.O. Box 1235 Phone #: (425) 330-1580
P.O. Box 1235
City: Lake Stevens zip: 98258 Email #: stevens1043@comcast.net
State License # COMPLEL82205 City Business License #
Expiration Date: 10/10/2022
PROPERTY INFORMATION:
Address: 1400 9th Ave S Edmonds, WA
Owner's Name:
Genet Solomon and Desta Getachew
Phone #:
✓FULL LINE REPLACEMENT SPOT REPAIR []PIPE BURST RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific): Installation of a new 6" side sewer line for the construction of a single
family residence. The sewer line is 33 lineal feet in length.
i
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.
SIGNATURE DATE 06/03/2022
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE