APPLICATION Side Sewer Permit 546 ParadiseSIDE SEWER
PERMIT APPLICATION
546 Paradise Lane
CONTRACTOR INFORMATION:
Company Name: Regent Construction, Inc.
Site Contact: Rob Michel
Company Address: 7305 Soundview Drive
Phone #: 206-930-2445
City: Edmonds Zip: 98026
Email #:
State License # 1REGENC1891 K5
City Business License # BL-010892
Expiration Date: 5/25121
PROPERTY INFORMATION:
Address:
546 Paradise Lane
Owner's Name:
PARDISE HEIGHTS HLD LLC
Phone #:
❑ FULL LINE REPLACEMENT ❑ SPOT REPAIR
❑ PIPE BURST ❑ RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific):
Install side sewer from 4 unit condo to main line
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 3/2/21
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE