ENG2022-0399 SEWER +City_Application+7.22.2022_4.18.32_PM+3007585SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: HD Partners, LLC Site Contact: Nick Hansen
Company Address: 1141 NW 53rd St Phone #: 206-729-5797
1141 NW 53rd St
City: Seattle zip: 98107 Email #: nick@hdpartners.net
State License # HDPARPL790NQ City Business License # 603 396 393
Expiration Date: 08/16/2023 City Endorsement Expires October 31, 2022
PROPERTY INFORMATION:
Address: 755 Daley St Edmonds, WA 98020
Owner's Name:
Gretchen Pawling & James Bailey
Phone #:
✓FULL LINE REPLACEMENT SPOT REPAIR []PIPE BURST RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific): Install 30 LF 6"SDR-35 side sewer in right of way and install
25 LF 6" PVC side sewer pipe on private property.
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 07/22/2022
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE