ENG2023-0216_Utility_Application_4.18.2023_3.18.14_PM_3490553RECEIVED
of EDA40NO�
SECTION A
Apr 18 2023
CITY OF EDMONDS
WATER AVAILABILITY APPLICATION
DEVE DOPMENT
EPARTMENTVICES
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 — Water 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 98026
Parcel No. 27041800203000
Does the property currently have water service? AG Yes (City of Edmonds water) ❑ 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
Exemptions from Utility Availabilit
units or less with combo water/fire
check one of the following:
residence; 2) Multi -family project of four
7ision (four single-family lots or less). Please
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: 5t4C� /1CLial�_ DATE: 04/18/2023
APPLICANT PRINTED NAME: Brian Kalab
Form Updated 3/28/2023