ENG2023-0013+Utility_Application+1.6.2023_1.32.28_PM+3302220-LFRECEIVED
SEWER AVAILABILITY APPLICATION JAN 06 2023
Complete and submit this form through www.MyBuildingPermit.com.
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
SECTION A
Applicant Information
Contact/Applicant Name R ner Homes
Phone Number 425-328-5617
Email eric nerhomes.com
Address 4224 211 th Ave Se
City Snohomish
State WA
zip 98290
Property Information
Project Name Raman Project
Associated Permit Number
Address 1050 Walnut St
City Edmonds
State WA
zip 98202
Parcel No. 00434203501500
Does the property currently have sewer service? XYes (City of Edmonds sewer) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Rpnlarp px0stinn SFR with npw SFR
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
IN Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
X Applicant certifies that this project is a single-family residence, multi -family project of four units or
less, or short plat subdivision (four single-family lots or less), in which case completion of a full utility
availability study shall not be required. Please sign below and submit this form through
www.MyBuildingPermit.com.
❑ For all other permit types, a utility availability study is required and associated fees will be due. Please
submit the complete application through www.MyBuildingPermit.com.
APPLICANT SIGNATURE: DATE: 1 /6/23
APPLICANT PRINTED NAME: Eric Ryner
Form Updated 12/9/2021