BLD2023-0401+OVWSD Water_Availability_Certificate+9.19.2023_11.40.54_AM+3791514OLYMPIC VIEW WATER AND SEWER DISTRICT
8128 228" St SW, EDMONDS WA 98026
OLYMPIC VIEW (425) 774-7769
CERTIFICATE OF WATER AVAILABILITY
Section A: To be completed by Applicant
Owner's Name: Bernard Shen & Cathy Federman Phone Number: (206) 954-0855
Owner's mailing address: 417 NW 132"d Street / Seattle, WA 98177
Circle one: New Construction Demolition/New Construction
Other: (Explain)
Proposed Use: Single Family Residence
Address of Property: _ 23310 Humber Lane / Edmonds, WA 98020
Legal Description: (print or type, attach separate page if necessary):
LOT 10. BILK 1. SHERWOOD VILLAGE. SNOHOMISH COUNTY
Snohomish County Tax Assessor's Parcel Number: 00571300101000
DO NOT WRITE BELOW THIS LINE
SECTION B: To be completed by Olympic View Water and Sewer District
Servic,p will be provided by meter drop -in or water connection to an existing _ size water main
60 feet from site.
OR
❑ Service will require a system improvement involving:
❑ Owner/Developer required to enter into Extension Agreement with OVWSD to install a mainline facility.
❑ Other (Describe)
OR
❑ The proposed project is located within the water service area, however, service is not available.
Service Available
Water service is available at the rate of flow with a minimum of 20 p.s.i. residual. The nearest hydrant is
3CO" feet away by vehicular travel.
RATE OF FLOW
❑ Less than 1000 gpm
1000 to 1500 gpm
11' More than 1500 gpm
DETERMINED BY
❑ flow test of gpm �i•�
WN computer flow test of95 pm
DURATION
❑ Less than 1 hour
❑ 1-2 hours
X 2 or more hours
Comprehensive Plan
Other
This is not an approval of water service to the site. A proper application must be filed with the District and all
facility charges and meter fee paid before water service can be provided. This certification is valid only for the
referenced use and identified owner, and expires after one (1) year.
OLYMPIC VIEW WATER AND SEWER DISTRICT
8128 228" St SW, EDMONDS WA 98026
OLYMPIC VIEW (425) 774-7769
1W
Responsible Official, Olympic View Water & Sewer District