ENG2023-0013_Utility_Application_1.6.2023_1.32.28_PM_3302220l/0 pF EDA104/
INC. 13a0
SECTION A
RECEIVED
SEWER AVAILABILITY APPLICATION JAN 06 2023
Complete and submit this form through www.MyBuildingPermit.com.
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Applicant Information
Contact/Applicant Name Ryner Homes
Phone Number 425-328-5617
Email eric@rynerhomes.com
Address 4224 211 th Ave Se
city Snohomish
state WA
zip 98290
Property • •
Project Name Raman Project
Associated Permit Number
Address 1050 Walnut St
city Edmonds
state WA
zip 98202
Parcel No. 00434203501500
Does the property currently have sewer service? X Yes (City of Edmonds sewer) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Replace existing SFR with new SFR
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
X 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 SIGNA
APPLICANT PRINTED N
Eric Ryner
DATE: 1 /6/23
Form Updated 12/9/2021