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WATER AVAILABILITY CERTIFICATE ENG2023-0209WATER AVAILA�BIL,IT.'.A.PPLICn ION Complete and submit this form through I%I)uIIIdingPerm it.com.Submit asa new application using the following prompts: Application Type — Utilities, Activity Type — Utility Availability, Scope of Work — Water Main. SECTION A A1)p1I(-,mt Information Contact/Applicant Name M t -t.w l tA `tA 1,w Ew VII.4 4N4 A.r, -; % M: I1 Ga Z' N L Phone Number Email 0 8 8 .,: (, t o �-• Address City r4W State �,,� zip 1Z&Zu Information Project Name ps St're •c T G•+r1ti.NS Address 56MAs-'J STa�tT City — O M.. NOS 1 State 1.1A zip Parcel No. 6,0 Lf. 3'f. Z 1 2. 00 X 500 Does the property currently have water service? Xyes (City of Edmonds water) o No Describe project (number of buildings, number of units, number of stories per building): Z SSo J- 6 S S 2. SR6t'f . 6 uw*-, Studv is reaulred for new commercial buildina at 558 Main St. In what phase is the project? ❑ Design Review *9 Building Permit ! Nf at (iwQl•�Y • ^ ❑ Preliminary Plat ❑ Rezone or Other Associated permit application number(s), if applicable: 3 L. C'> Zo 7-1— 00O3 SECTION B EIVED APR 18 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Exemptions from Utility Availability Study: i) Single-family residence; 2) Multi -family project of four units or less with combo water/fire lines; 3) Short plat subdivision (four single-family lots or less). Please check one of the following: Y A utility availability study IS NOT requested/required. The applicant certifies that this project xempt from needing a study as described above and is not requesting a full t:tility availability study at this time. Please sign below and submit this form through �\ \\ \\ .1V1\ BijildingPermit.com. X A utility availability study IS requested/required for the project, and associated fees will be due. Please submit the complete application through I\ 111111di11gPe_I'm itrom. Study is required for new commercial buil ng at 558 Main Si. ``JJ APPLICANT SIGNATURE: DATE: 7^ ��^�3 APPLICANT PRINTED NAME: _e4,_C Form Updated 3/28/2023 SECTION C 1. ❑✓ a. Water will be provided by service only to an existing 12" Ductile Iron (size) water main that is 25 (feet) from the site. OR ❑ b. Water service will require an improvement to the water system of: ❑ W. feet of water main to reach the site; and/or ❑ (2). The construction of a distribution system on the site; and/or ❑ (3). Other (describe) 2. ✓❑ a. The water system is in conformance with a City approved water comprehensive plan. OR ❑ b. The water system improvement will require a water comprehensive plan amendment. (This will cause a delay in permit issuance and approval.) 3.❑ 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. 4. ✓❑ a. Water is/or will be available at the rate of flow and duration indicated below at no less than 20 psi - Measured at the nearest fire hydrant 10 feet from the building/property (or as marked on attached map) Rate of Flow Duration ❑ Less than 500 gpm. (approximate] gpm) ❑ Less than one (i) hour ❑ 500 to 999 9Prn ❑ One (1) to two (2) hours ❑ 1500 gpm or more ❑ Two (2) hours or more ❑ Flow test of _gpm ❑ Other ❑ Calculation of 4574 _gpm (Commercial building permits require flow test or calculation) OR ❑ b. Water system is not capable of providing fire flow. Water AgencZ Certification Comments/Conditions: Per model, static pressure is 95 psi Hydrant available flow is 4574 gpm Residual pressure at available flow is 92 psi 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 - Engineering Russell Lynch (Agency Name) (Signatory Printed Name Capital Projects Manager (Title) 4/27/2023 ' C (Si nature Date) Form Updated 3/28/2023