ENG2023-0609_Utility_Application_11.28.2023_2.30.21_PM_3921786RECEIVED
Nov 28 2023
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 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 water service? ❑ Yes (City of Edmonds water) d 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
V 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:
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: 2F41yaza_�- DATE: 11/28/2023
APPLICANT PRINTED NAME: Brian Kalab
Form Updated 3/28/2023