ENG2025-0008_Utility_Application_1.10.2025_1.56.49_PM_4706206RECEIVED
of EDA40NO�
SECTION A
WATER AVAILABILITY APPLICATION
Jan 10 2025
CITY OF EDMONDS
DEVELOPMENT SERVICES
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 — Water Main.
Applicant
Contact/Applicant Name Nicole Larsen / Insight Engineering Co.
Phone Number (425) 303-9363
Email nicole@insightengineering.net
Address PO Box 1478
City Everett
State WA
Zip 98206
Property
Project Name646 Alder
Address 646 Alder St
City Edmonds
State WA
Zip 98020
Parcel No. 00434209401500
Does the property currently have water service? 9 Yes (City of Edmonds water) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Proposing two detached accessory dwelling units. Exsiting home to remain for a total of 3 units.
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
V Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable: DRC2024-0036
SECTION B
Exemptions from Utility Availabilit
units or less with combo water/fire
residence; 2) Multi -family project of four
7ision (four single-family lots or less). Please
IR 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.
VA 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 SIGN.
DATE: 01 /10/2025
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NOTctorle Larsen
NNtPREUQNUESTII LNLG_ASTUDY Form Updated 3/28/2023