ENG2023-0608_Utility_Application_11.28.2023_2.28.26_PM_3921767RECEIVED
Nov 28 2023
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SECTION A
CITY OF EDMONDS
SEWER AVAILABILITY APPLICATION DEVELOPMENTEPARTMENRVICES
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 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 Sprague Edmonds
Address 738 Sprague St
City Edmonds
State WA
Zip 98020
Parcel No. 00434208501400
Does the property currently have sewer service? ❑ Yes (City of Edmonds sewer) it No
Describe project (number of buildings, number of units, number of stories per building):
The proposal is to construct a single-family home. The exsiting garage is to be removed.
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
NJ Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
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: Aak. DATE: 11/28/2023
APPLICANT PRINTED NAME: Brian Kalab
Form Updated 3/28/2023