ENG2024-0317+City_Application+6.24.2024_7.36.27_AM+4338003SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Ryner Homes
Company Address: 4224 211th Ave SE
4224 211 th Ave SE
city: Snohomish
State License # RYNERHL947J8
Expiration Date: 4-1-2025
PROPERTY INFORMATION:
Site Contact: Eric Ryner
Phone #: 425-328-5617
Zip: 98290 Email #: eric@rynerhomes.com
City Business License # 0-031-470-994
Address` 1050 Walnut Street, Edmonds, WA 98020
Owner's Name:
Jessica &Erik Raman
Phone #:
W�ULL LINE REPLACEMENT SPOT REPAIR []PIPE BURST RELINE (PERMALINE ONLY)
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', DESCRIPTION OF PROPOSED WORK (Be Specific): Side sewer replacement due to demo and replacement of existing 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 6/24/24
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE