ENG2023-0146+City_Application+3.21.2023_3.20.57_PM+3434704SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Johnson and Sons Construction
Company Address: 6618 MARINE VIEW DR
6618 MARINE VIEW DR
City: Edmonds WA Zip:98026
State License # JOHNSSC921 KZ
Expiration Date: 05.09.24
PROPERTY INFORMATION:
Site Contact: Vic Johnson
Phone #: 425.308.2961
Email #: JASCONSTNW@GMAIL.COM
City Business License # #NR-026046
Address: 7121 Sealawn Drive, Edmonds WA 98026
Owner's Name:
Ken Armstrong
Phone #:
FULL LINE REPLACEMENT POT REPAIR ❑PIPE BURST RELINE (PERMALINE ONLY)
Lm-jDESCRIPTION OF PROPOSED WORK (Be Specific): This application is associated with the building permit application
for an interior remodel and 183SF addition at an existing single family residence (BLD2023-0102). Engineering review comments
state that a new cleanout shall be installed on the existing side sewer within 2' of the new addition. This side sewer permit
application is for the purpose of installing that new cleanout.
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.
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Contractor or Agent Ap"41M Gt'
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE