ENG2023-0598_Utility_Application_11.21.2023_10.01.42_PM_3914491RECEIVED
of EDA40NO�
SECTION A
CITY OF EDMONDS
WATER 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 — Water Main.
Applicant Information
Contact/Applicant Name Christopher Kiel
Phone Number 425-923-5414
Email chrisklphomes@gmail.com
Address 14019 52nd Ave W #A
City Edmonds
state Wa
zip 98026
Property • •
Project Name Maplewood Estates Lot B
Address 8817 194th St Sw
City Edmonds
State Wa
zip 98026
Parcel No. 27041800313900
Does the property currently have water service? 8 Yes (City of Edmonds water) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Build 1 new construction sfr 2 story home
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
Exemptions from Utility Availabilit
units or less with combo water/fire
check one of the following:
BLD2023-1474
residence; 2) Multi -family project of four
7ision (four single-family lots or less). Please
,11"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: DATE: 11 /21 /23
APPLICANT PRINTED NAME: Christopher Kiel
Form Updated 3/28/2023