ENG2023-0501_Utility_Application_10.3.2023_2.19.39_PM_3818885RECEIVED
U1
WATER AVAILABILITY APPLICATION
Oct 03 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Complete and submit this form through www.MyBuildingPermit.com.
SECTION A
Applicant Information
Contact/Applicant Name Sarah Thompson / H2D Architecture + Design
Phone Number 206-542-3734
Email sarah@h2darchitects.com
Address 23020 Edmonds Way,
city Edmonds
State WA
zip 98020
Property Information
Project Name COCHRAN RESIDENCE
Associated Permit Number
Address 8475 Frederick Place
city EDMONDS
State WA
zip 98026
Parcel No. 00594400006402
Does the property currently have water service? ❑ Yes (City of Edmonds water) X No
Describe E� T11Nc6(ST8 RYf �ui dR g1l�lnumber
mb E M units
N�' number of stories per building):
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
IN Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
M Applicant certifies that this project is a single-family residence, multi -family project of four units or
less with combo water/fire lines, 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.
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APPLICANT SIGNATURE: Sarah Thompson a 2J060210�00CN 33-0SgOhTh mpsonH2O DATE: 06-02-2023
APPLICANT PRINTED NAME: Sarah Thompson
Form Updated 12/9/2021