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Signed23423Highway_04_Water and Sewer Review and Agency List_9.14.23_Fillable (2)SNOHOMISH COUNTY44Q HEALTH DEPARTMENT Water and Sewer Review Form Fill out this form if you are connected to city water and/or sewer services or are planning on having an on -site septic system. Facility name: Foodies Canteen Site address: 23423 Highway 99 City: Edmonds State: WA ZIP: 98026 Contact name: Nos Narin Phone: 2063224323 Email: permit@catchstudio.com Proposed number of seats: 0 ❑ Yes ❑✓ No Are you a newly constructed facility? ❑✓ Yes ❑ No Are you making changes to an existing facility? ❑✓ Yes ❑ No Do you have an approved grease interceptor in your facility? Your local water/sewer district may require an approved grease interceptor to be installed in the facility. We recommend contacting your local water/sewer agency for information regarding grease interceptor installation. WATER SYSTEM This section should be completed by contacting your local public water system official (if different from sewer) and informing them of the scope of your project and proposed new facility address. If necessary, a letter of availability may be provided for new construction. Name of Public Water Utility Provider: City of Edmonds Full Name of Water System Official Michele (Mike) De Lilla Signature of Water System Official: Mike De Lilla WASTEWATER SYSTEM Phone: 425-754-5491 Digitally signed by Mike De Lilla Date: 2024.05.24 13:40:13-07'00' Date: 5/24/2024 Which type of wastewater system will your facility be connected to? ❑ Public Sewer System ❑ On -site Septic System (Initial) On the next page: Fill out the Public Sewer System section if you are planning on being connected to a public sewer system. Fill out the On -site Septic System section if you are planning on being connected to an on -site septic system. Environmental Health Division 3020 Rucker Avenue, Suite 104 0 Everett, WA 98201-3900 0 fax: 425.339.5254 0 tel: 425.339.5250 Public Sewer System This section should be completed by contacting your local public sewer system official and informing them of the scope of your project and proposed new facility address. A letter of availability may be provided for new construction. Name of Public Sewer Utility Provider: City of Edmonds Full Name of Sewer System Official: Michele (Mike) De Lilla Phone: 425-754-5491 Mike De Lilla Digitally signed by Mike De Lilla 5/24/2024 Signature of Sewer System Official: Date: 2024.05.24 13:40:51 -07-00- Date: On -site Septic System If your facility will be connected to an on -site septic system, your application will also need to be reviewed for approval by the Snohomish County Health Department Land Use team. ❑ New ❑ Existing Is your septic system new or existing? After your initial review by the Land Use team, you may be approved, or you may be required to complete some or all of the following: • Hire a licensed septic system designer or engineer to evaluate the existing on -site septic system and proposed operational/menu changes, and submit one of the following to the Snohomish County Health Department: A statement of adequacy, with reasoning, of existing on -site septic system to support proposed operational/menu changes, or ■ An application for a redesign of the on -site septic system. • Complete a satisfactory Operation and Maintenance (O&M) septic inspection less than 1 year old. For a list of septic service companies to complete inspection, visit our website at: https://www.snohd.org/687/Find-a-Septic-Contractor • Provide the Snohomish County Health Department with a signed monitoring and maintenance agreement, specific to your on -site septic system, between the owner of the on -site septic system and a certified contractor. Environmental Health Division 3020 Rucker Avenue, Suite 104 0 Everett, WA 98201-3900 0 fax: 425.339.5254 0 tel: 425.339.5250 AGENCY LIST: Water and Sewer Agencies Contact Alderwood Water and Wastewater 425-787-0220, www.awwd.com District Lake Stevens Sewer District 425-334-8588, www.lkstevensseswer.org Silver Lake Water and Sewer District 425-337-3647, https://slwsd.com/ Building Departments Arlington Building Department 360-403-3551 https://www.arlingtonwa.gov/243/Building-Permits Bothell Building Department 425-806-6400 http://www.ci.bothell.wa.us/337/Permit-Center Darrington Building Department 360-436-1131 https://townofdarrington.com/Departments/building-and-planning/ Edmonds Building Department 425-771-0220 http://www.edmondswa.gov/2011-08-03-22-54-45/building-divsion- home.html Everett Building Department 425-257-8810 https://everettwa.gov/169/Permit-Services Gold Bar Building Department 360-793-1101 https://cityofgoldbar.us/city-services/permits/permit-applications/ Granite Falls Building Department 360-691-6441 http://ci.granite-falls.wa.us/?page id=854 Lake Stevens Building Department 425-622-9400 https://www.lakestevenswa.gov/158/Permit-Center Lynnwood Building Department 425-670-5400 https://www.lynnwoodwa.gov/Services/Apply-for-a-Permit/Building- and-Construction-Permits/Commercial-Permits Marysville Building Department 425-363-8100 https://www.marvsvillewa.gov/109/Permit-Services Mill Creek Building Department 425-551-7254 https://www.cityofmillcreek.com/city government/public works and development services/building Monroe Building Department 360-863-4501 http://www.monroewa.gov/93/Permitting Mountlake Terrace Building 425-744-6267 Department https://www.cityofmlt.com/177/Buildinq-Permits Mukilteo Building Department 425-263-8075 https://mukilteowa.gov/departments/planning- development/permits/?cn-reloaded=1 Snohomish Building Department 360-282-3156 https://www.snohomishwa.gov/661 /Permitting Stanwood Building Department 360-629-2181 https://stanwoodwa.org/205/Buildinq-Permitting Sultan Building Department 360-793-2231 https://www.ci.sultan.wa.us/171/Buildinq 9.14.231t Environmental Health Division 3020 Rucker Avenue, Suite 104 0 Everett, WA 98201-3900 0 fax: 425.339.5254 0 tel: 425.339.5250