ENG2023-0085+City_Application+2.15.2023_11.31.24_AM+3370967SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: VOLK CONSTRUCTION COMP Site Contact: Mike Volk
Company Address: 2225 ROCKEFELLER AVE Phone #: 206-841-3011
2225 ROCKEFELLER AVE
City: Everett Zip: 98201 Email #: m.volk@comcast.net
State License # VOLKCCC904MW City Business License # pending
Expiration Date: 8/17/2024
PROPERTY INFORMATION:
Address: 15724 72nd Ave W.
Owner's Name:
Nathan & Callie Angle
Phone #:
DULL LINE REPLACEMENT SPOT REPAIR RIPE BURST RELINE (PERMALINE ONLY)
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DESCRIPTION OF PROPOSED WORK (Be Specific):
Connect side sewer to an existing stub at the NE corner of property;
Sewer connection starts at the north side of the residential building to E-One Grinder Pump then 135 LF
of 2" PVC Forcemain would be connected from it to the stub connection, maintaining 3' cover for the full length.
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.
Digitally signed by Forrest Murphy
ForrestMurphy — 20ure, CtF-r-t Murphy lure com, O=CAST 2/ 10/23
SIGNATURE DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE