ENG2022-0506 Sewer Availability Certificatel LU,Vv
SEWER AVAILABILITY APPLICATION
Complete and submit this form through www.MyBuildingPermit.com.
SECTION A
Applicant Information
Contact/Applicant Name Brady Berriman
Phone Number 206.556.1615
Email Brady@latitude-48.com
Address 600 1 st Ave
city Seattle
state WA zip 98104
Property I• •
Project Name Edmonds 222
Associated Permit Number PRE2022-0003
Address 222 3rd Ave S
city Edmonds
state WA zip 98020
Parcel No. 270323-004-095-00
Does the property currently have sewer service? We. (City of Edmonds sewer) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Construct (5) townhouses in (2) three-story buildings with (2) two -car garages and
(1) one -car garage and associated site improvements.
In what phase is the project?
if Design Review
❑ Preliminary Plat
❑ Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable: PRE2022-0003
SECTION B
RECEIVED
OCT 17 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
❑ Applicant certifies that this project is a single-family residence, multi -family project of four units or
less, or short plat subdivision (four single-family lots or less), in which case completion of a full utility
availability study shall not be required. Please sign below and submit this form through
www.MyBuildingPermit.com.
VFor all other permit types, a utility availability study is required and associated fees will be due. Please
submit the complete application through www.MvBuildingPermit.com.
APPLICANT SIGNATURE: DATE: 10.06.2022
APPLICANT PRINTED NAME: Brady Berriman
Form Updated 12/9/2021
SECTION C
1. a. Sewer service will be provided by side sewer connection only to an existing 8„ concrete
size sewer main that is 0 feet from the site.
OR
❑ b. Sewer service will require an improvement to the sewer system of:
❑ (1). feet of sewer main to reach the site; and/or
❑ (2). The construction of a collection system on the site; and/or
❑ (3). Other (describe)
2. a. The sewer system is in conformance with a City approved sewer comprehensive plan.
OR
❑ b. The sewer system improvement will require a sewer comprehensive plan amendment.
(This will cause a delay in permit issuance and approval.)
3. V a. The proposed project is within the corporate limits of the City, or has been granted
Boundary Review board approval for extension of service outside the City, or is within the City approved
service area of a private water purveyor.
OR
❑ b. Annexation or Boundary Review Board approval will be necessary to provide service.
Sewer X�,encv Certification
Comments/Conditions:
Connection can be made to existing 8" concrete gravity main located along
west edge of 222 3rd Ave S.
I hereby certify that the above information is true. This certification shall be valid for one year from the date of signature.
City of Edmonds
Russell Lynch
(Agency Name)
(Signatory Printed Name)
Associate Engineer
/�\ � 111112 Z-
(Title)
nature Date)
Form Updated 09/02/2021