ENG2023-0215_Utility_Application_4.18.2023_3.15.37_PM_3490531RECEIVED
of EDAgDNO�
SECTION A
Apr 18 2023
CITY OF EDMONDS
SEWER AVAILABILITY APPLICATION 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
Contact/Applicant Name Brian Kalab / Insight Engineering Co.
Phone Number (425) 303-9363
Email brian@insightengineering.net
Address PO Box 1478
City Everett
State WA
zip 98206
Property
Project Name Kappler SP
Address 18306 88th Ave W
City Edmonds
State WA
Zip 980826
Parcel No. 27041800203000
Does the property currently have sewer service? &(Yes (City of Edmonds sewer) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
The proposal is to subdivide the parcel into 2 lots for the construction of 1 new single-family home. The existing home is to remain,
for a total of 2 houses.
In what phase is the project?
❑l Design Review
NJ Preliminary Plat
❑ Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable: PLN2022-0093
SECTION B
Applicability
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:
NJ 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.
❑ 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.
APPLICANT SIGNATURE: UF2z�� ilakl� DATE: 04/18/2023
APPLICANT PRINTED NAME: Brian Kalab
Form Updated 3/28/2023