ENG2024-0416+City_Application+8.20.2024_7.01.37_PM+4453031SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Carter's Handy Services LLC
Company Address: 15606 GOLDBAR DR
Site Contact: Adrianna Carter
Phone #: 3607229037
15606 GOLDBAR DR
City: GOLD BAR, Zip: WA 98251 Email #: CartersHandyServices@gmail.com
State License # CARTEHS78008
Expiration Date: 10/04/2024
PROPERTY INFORMATION:
Address: 8302 218th st sw
Owner's Name: ANKLESARIA MINOO
Phone #:
City Business License #
[JULL LINE REPLACEMENT POT REPAIR []PIPE BURST RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific):The sewerline will need to be relocated and a clean out will need to be
located within 2' of thehouse. 11
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 �.
Contractor or Agent
DATE 8/20/2024
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE