ENG2024-0291_Utility_Application_6.12.2024_10.52.17_AM_4316867RECEIVED
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SECTION A
Jun 12 2024
SEWER AVAILABILITY APPLICATION CITY E
DEVELOPMM ENTT SSERVI ERVICES
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 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 sewer service? ❑ Yes (City of Edmonds sewer) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Demo of existing SFR Construction of new SFR .1.0nriPc
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
NJ Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable: BLD2024-0323
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: W'141� /eza�l DATE: 6-12-24
APPLICANT PRINTED NAME: Matthew Radach
Form Updated 3/28/2023