ENG2023-0566_SEWER AVAILABILITY APPLICATIONRECEIVED
Nov 03 2023
of ED%NO�
SECTION A
CITY OF EDMONDS
SEWER 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 — Sanitary Sewer Main.
Applicant Information
Contact/Applicant Name Christian Gladu
Phone Number 541-325-6164
Email christian@gladudesign.com
Address 8509 Ferncliff Ave NE
Citygainbridge Island
State WA
Zip 98110
Property • •
Project Name Martin O'Leary
Address 717 Walnut Street
City Edmonds
State WA
Zip 98020
Parcel No. 00434209103300
Does the property currently have sewer service? es (City of Edmonds sewer) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
One 2,768 SQ FT SFR to be demolished and a new 2,906 SQ FT single story SFR to replace it
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: 9*1 G DATE: 11-03-2023
APPLICANT PRINTED NAME: Christian Gladu
Form Updated 3/28/2023