APPROVED ENG2023-0202_Sewer_Availability_4.12.2023_8.20.06_AM_3478020RECEIVED
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SECTION A
SEWER AVAILABILITY APPLICATION
Apr 12 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Complete and submit this form through www.MyBuildingPermit.com. Submit as a
new application using the following prompts: Application Type — Utilities, Activity
Type — Utility Availability, Scope of Work — Sanitary Sewer Main.
Applicant Information
Contact/Applicant Name Steve Barnes
Phone Number (206) 550-9296
Email sbarnes@cornerstonearch.com
Address 6161 NE 175th Street, Ste 101
city Kenmore
State WA
zip 98028
Property • •
Project Name Greenwalk Park
Address 540 & 550 Edmonds Way
City Edmonds
State WA
zip 98020
Parcel No. 27032500308300 & 270325003084001
Does the property currently have sewer service? H Yes (City of Edmonds sewer) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Subdivide 2 residential lots into 16 residential lots.
In what phase is the project?
❑ Design Review
0 Preliminary Plat
❑ Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
PLN2022-0049 & 005
The subject sites are
considered to be an
Edmonds sewer customer,
but connection is to an
OVWSD owned sewer main.
The applicant has received
approval SD to
connect to their mainline.
Exemptions from Utility Availability Study: 1) Single-family residence; 2) Multi -family project of four
units or less; 3) Short plat subdivision (four single-family lots or less). Please check one of the following:
❑ A utility availability study IS NOT requested/required. The applicant certifies that this project
is exempt from needing a study as described above and is not requesting a full utility availability
study at this time. Please sign below and submit this form through www.MyBuildingPermit.com.
0 A utility availability study IS requested/required for the project, and associated fees will be
due. Please submit the complete application through www.MyBuildingPermit.com.
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Steve Barnes Sl.,be,�.@o,—baa,�om.
^�° 1G..,ON=B1e,� ENGINEERING DIVISION
APPLICANT SIGNATURE: Da11202310410151721-0P00' DATE: 4-10-23 APPROVED AS NOTED
APPLICANT PRINTED NAME: Steve Barnes 6/24/2023
Form Updated 3/28/2023