ENG2024-0563+City_Application+12.10.2024_12.17.36_PM+4662301SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: SBI Construction
Site Contact: Brian Keller
Company Address: 6710 220th St SW Suite 2
Phone #: 206-718-1788
6710 220th St SW Suite 2
City: Mountlake Terrace ZiP: 98043
Email #: briank@sbiconstruction.com
State License # SCHILB1993NC
City Business License # UB1:602126986
Expiration Date: 8-3-2025
State Business License has City of Edmonds endorsement
PROPERTY INFORMATION:
Address: 326 Sunset Ave
Owner's Name:
Reid, Kevin and Carolyn
Phone #:
W�ULL LINE REPLACEMENT SPOT REPAIR
[]PIPE BURST RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific): New 6" side sewer to connect to existing 8" clay sanitary sewer line in alley.
Connect to existing sewer main via core drill with Romac Saddle or equal. Per City of Edmonds Standard Detail
SS-202
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 Milo Cuesta
SIGNATURE Milo C u esta Date: 2024.12.10 10:44:47-08'00' DATE 12/ 10/24
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE