ENG2024-0117_Utility_Application_3.21.2024_8.32.51_AM_4148033RECEIVED
Mar 21 2024
of EDA40NO�
SECTION A
CITY OF EDMONDS
WATER AVAILABILITY APPLICATION DEVE DOPMENT
EPARTMENRVICES
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
Contact/Applicant Name Mark X. Plog
Phone Number 206-420-7130
Email mark@plogengineering.com
Address P.O. Box 412
City Ravensdale
State WA
Zip 98051
Property
Project Name Garrett Short Plat
Address 9014 218th St SW
City Edmonds
State WA
Zip 98026
Parcel No. 00380300100200
Does the property currently have water service? [D Yes (City of Edmonds water) [:]No
Describe project (number of buildings, number of units, number of stories per building):
2 lot short plat with existing home to remain on one of the lots.
In what phase is the project?
❑ Design Review
4 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:
residence; 2) Multi -family project of four
7ision (four single-family lots or less). Please
4 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.
Mark Plog Digitally signed by Mark Plog
APPLICANT SIGNATURE: g Dete: 2024.03.21082055-07'00' DATE: 3/21/24
APPLICANT PRINTED NAME: Mark X. Plog
Form Updated 3/28/2023