ENG2024-0107+City_Application+3.13.2024_4.21.48_PM+4129150SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Classic Remodeling NW Inc
Company Address:
Site Contact: Ward Hampson
Phone #:425-224-2004
City: Everett ziP:98208 Email #: info@classicremodelingnw.com
State License # CLASSRN916MZ
Expiration Date: 9/14/2025
PROPERTY INFORMATION:
Address` 21916 93rd Place West
Owner's Name:
Victor & Stephanie Martinez
Phone #:
City Business License #
DULL LINE REPLACEMENT SPOT REPAIR []PIPE BURST RELINE (PERMALINE ONLY)
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DESCRIPTION OF PROPOSED WORK (Be Specific):
Install 25' of new side sewer from new rear house addition, connecting to existing PVC side sewer. a
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.
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SIGNATURE Victor Martinez NO3,°,6,82"' DATE04-13-24
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE