ENG2023-0374+City_Application+7.20.2023_4.57.09_PM+3680306DocuSign Envelope ID: 3E735AF9-2139-4B6B-BCC4-5220F2A3C3F4
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Aparicio Excavating, LLC Site Contact: Israel Aparicio
Company Address: 9010 Market Place PMB 311 Phone #: 425.323.8111
9010 Market Place PMB 311
City: Lake Stevens zip: 98258 Email #: aparicioexcavating@gmail.com
State License # APARIEL846PK City Business License # TBA
Expiration Date: 10/20/2024
PROPERTY INFORMATION:
Address: 310 Daley Street
Owner's Name:
HBRE Investments
Phone #:
W�ULL LINE REPLACEMENT SPOT REPAIR RIPE BURST RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific):
Install 6" side sewer for Unit C in a four unit townhouse project. '
Units A, B, C and D to share a common 6" side sewer along the northwest side of the units. A single Romac saddle connection to
the existing sewer main in Daley Street to the north is proposed for these four units per PLN2021-0074.
Townhouse C to be built under building permit BLD2022-1326 and civil site improvements to be built under PLN2021-0074.
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. oocus9nea by:
SIGNATURE Fdm!�Shks 1546WSLI DATE
Cont-6V6FEXftfff
7/20/2023
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE