BLD2023-0582_Other_1.23.2025_2.53.40_PM_4726210OLYMPIC VIEW WATER AND SEWER DISTRICT
1�IC NiA a12S 22i'h St SW, EDMONDS WA 93026
(425) 774.7769
` CERTIFICATE OF SEWER AVAILABILITY
Section A• to be completed by Applicant
Owner's Name: S Phone Number: 3 ee) 30_1 H, 4 w fav
Owner's mailing address:
;Select one: ❑New Construction ❑ Demolition/New Construction
Other(Explain): al Yl9 )4 Stan k- wr'on
91
Proposed Use: l:,Av4 mAA-t
Address of Property: 2Z41 l !o Q; Pl �l� • %��"'--�'"'� :��— �`'��
Snohomish County Tax Assessor's Parcel Number:
DO NOT WRITE BELOW
ro 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
FIService 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): Corn n .A o Y-► Atp ec; s t n- e,�•u o n
bLJ
ElAn 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
Water and Sewer District
Date
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