REVIEWED BLD2021-1482+SS APP+2.21.2022_12.54.49_PM+2693048RESUB
Of fiotgo
-'A/C. 199Q
Feb 22 2022 BLD2021-1482
CITY OF EDMONDS
DEVELOPMENT SERVICES SIDE SEWER
DEPARTMENTMENT
CONTRACTOR INFORMATION:
PERMIT APPLICATION
Company Name: Ron Colwill Construction Inc. Site Contact: Ron Colwill
Company Address: 22224 98th Ave. W. Phone #: 206-795-3784
22224 98th Ave. W.
City: Edmonds Zip: 98026 Email #: ronwcolwill@gmaii.com
State License # CC RONCOCC815JS City Business License # 604424301 -001 -0001
Expiration Date: 04/10/2023
PROPERTY INFORMATION:
Address: 332 Sunset Ave. N.
Owner's Name: Chris & Lisa Burdett
Phone #: 206-715-9910
FULL LINE REPLACEMENT ❑SPOT REPAIR ❑PIPE BURST ❑RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific): Connect to existing side sewer at the southern property line within the alley.
Install 6" clean out and 28 LF of 4" PVC pipe at 2% connected to another clean out with pipe to continue to the proposed SFR.
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
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE