ENG2024-0304+Application+6.17.2024_11.49.02_AM+4326695CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1499536 - DRT 212th Side Sewer
Applicant
First Name Last Name Company Name
Lauren Golembiewski DRT Holdinqs LLC
Number Street Apartment or Suite Number E-mail Address
7509 212th ST SW LMiles(aglacierenviro.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 355-2826
Contractor
Company Name
GLACIER ENVIRONMENTAL SRVC INC
Number Street
Apartment or Suite Number
7509 212th ST SW
City
State Zip
Phone Number Extension
Edmonds
WA 98275
(425) 355-2826
State License Number
License Expiration Date
UBI # E-mail Address
GLACIES108C7
1/14/2026
601225417 LMiles(aD_glacierenviro.com
Project Location
Number Street
Floor Number Suite or Room Number
7509 212TH ST SW
City
Zip Code
County Parcel Number
EDMONDS
98026
00566900400600
Associated Building Permit Number
Tenant Name
BLD2022-1556
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Last Name or Company Name
DRT HOLDINGS, LLC
Number Street Apartment or Suite Number
7509 212TH PL SW
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application.
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 6/17/2024 Submitted By: Lauren Golembiewski
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1499536 - DIRT 212th Side Sewer
Project Contact
Company Name: DIRT Holdings LLC
Name: Lauren Golembiewski Email: LMiles@glacierenviro.com
Address: 7509 212th ST SW Phone #: (425) 355-2826
Edmonds WA 98026
Project Type Activity Type Scope of Work
Nonresidential New Side Sewer Connection
Project Name: DIRT 212th Side Sewer
Description of Connect new 6" side sewer to the main in an existing manhole. Follow the same path and
Work: the now decommissioned side sewer. Plans and details are shown in the Plan Set with
associated permit 2022-1556
Project Details
Project Information
Connection to City sewer service
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