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BLD2023-1619+SEWER AVAIL.+12.18.2023_1.38.36_PM+3958826OLYMPIC VIEW WATER AND SEWER DISTRICT 8128 228" St SW, EDMONDS WA 98026 OLYMPIC VIEW (425) 774-7769 1W CERTIFICATE OF SEWER AVAILABILITY Section A: to be completed by Applicant Owner's Name: Shaun Leiser Phone Number: (206) 229-6038 Owner's mailing address: PO Box 60216, Shoreline, WA 98160 Circle one: New GaigstFuetee~ I Demolition/New Construction Other(Explain): Addition to an Existing Structure (garage) Proposed Use Home Office Address of Property: 121100 <S�"', AUe /1of? d � ; L'�A `sG2- Snohomish County Tax Assessor's Parcel Number: 00463302400203 DO NOT WRITE BELOW To be completed by Olympic View Water and Sewer District SECTION B: Sewer service will be provided at the edge of the public right of way adjacent to the property by connection to an existing � sewer main. OR ❑ Owner/Developer is required to enter into Extension Agreement with Olympic View Water and Sewer District to install a mainline facility extension of the Olympic View Water and Sewer District system to the property. OR ❑ Service will be provided at the edge of a nearby public right of way and will require construction of a private single or multi -owner side sewer to the property. AND/OR ❑ Other (describe): ❑ An easement exists on the property (describe)_ This is not an approval of sewer service to the site. A proper application must be filed with the District and all facility charges paid before sewer service can be provided. This certification is valid only for the referenced use and identified owner, and expires after one (1) year. Responsible"Official, Olympic View Water and Sewer District r� Date C:\Users\chriss\AppData\Local\Microsoft\WindowsUNetCache\Contetx.Outlook12H6AC51Q1$e,,ver Availability Form.Aoc OLYMPIC VIEW WATER AND SEWER DISTRICT 8128 228"' St SW, EDMONDS WA 98026 OLYMPIC VIEW (425) 774-7769 1W CERTIFICATE OF WATER AVAILABILITY Section A: To be completed by Applicant Owner's Name: Shaun Leiser Phone Number: (206) 229-6038 Owner's mailing address: PO Box 60216, Shoreline, WA 98160 Circle one: New G..__t_wetian Demolition/New Construction Other: (Explain) Addition to an Existing Structure (garage) Proposed Use: Home Office Address of Property: Z. 11 /y (f SW ,F 20- mo nd,C ., 1,A) A `?3Cx2-6 - Legal Description: (print or type, attach separate page if necessary): S.E. 1/4. S.W. 1/4 SEC. 31 TWP. 27N.. RGE. 4E.. W.M Snohomish County Tax Assessor's Parcel Number: 00463302400203 DO NOT WRITE BELOW THIS LINE SECTION B: To be completed by Olympic View Water and Sewer District Service will be provided by meter drop -in or water connection to an existing 2 size water main '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. M Other (Describe) -An s� uF?' spr �'�r�a, .40 cam';LL" 1ryu ,_ o %rr- n!f4 c':c ,sS�cn SE OR -J o 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 .'- feet away by vehicular travel. RATE OF FLOW ❑ Less than 1000 gpm ❑ 1000 to 1500 gpm `�B, More than 1500 gpm DETERMINED BY ❑ flow test of gpm ,a computer flow test of 3233 gpm DURATION ❑ Less than 1 hour ❑ 1-2 hours iY 2 or more hours 1Y 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. 0 Responsible Official, Olympic View Water & Sewer District �--)2 Date