ENG2024-0293_Utility_Application_6.12.2024_11.03.07_AM_4316941RECEIVED
of EDA40NO�
SECTION A
WATER AVAILABILITY APPLICATION
Jun 12 2024
CITY OF EDMONDS
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 Matthew Radach (Designs Northwest Architects)
Phone Number 360-629-3441
Email matt@designsnw.com
Address26915 102nd Dr. NW Suite 201
City Stanwood
State WA
Zip 98292
Property • •
Project Name Feasey-Bryant Residence
Address 1041 B Ave S.
City Edmonds
State WA
Zip 98020
Parcel No. 00619400300702
Does the property currently have water service? :X Yes (City of Edmonds water) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Existing SFR to be Demolished and replaced with 3 Story SFR
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
V Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable: BLD2024-0323
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 SIGN.
APPLICANT PRINTED
Matthew Radach
NWA
DATE: 6-12-24
Form Updated 3/28/2023