ENG2022-0552_Utility_Application_11.15.2022_11.47.17_AM_3220714RECEIVED
Nov 15 2022
SEWER AVAILABILITY APPLICATION
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Complete and submit this form through www.MyBuildingPermit.com.
SECTION A
Applicant Information
Contact/Applicant Name Fedje Properties LLC
Phone Number (206) 240-0236
Email lferkingstad@hotmail.com
Address 11404 239th PI SW
City Woodway State WA Z'P 98020
Property • •
Project Name Fedje Short Plat
Associated Permit Number PLN2021-0077
Address 157xx 72nd Ave W
City Edmonds
State WA Zip 98020
Parcel No. 00513300002217
Does the property currently have sewer service? ❑ Yes (City of Edmonds sewer) V No
Describe project (number of buildings, number of units, number of stories per building):
Three, two-story, single-family homes.
In what phase is the project?
❑l Design Review
KJ Preliminary Plat
❑ Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable: PLN2021-0077
SECTION B
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.
❑ For all other permit types, a utility availability study is required and associated fees will be due. Please
submit the complete application through www.MyBuildingPermit.com.
APPLICANT SIGNATURE: DATE: 6/1 /22
APPLICANT PRINTED NAME: Linda Ferkingstad
Form Updated 12/9/2021