ENG2023-0173 WATER AVAILABILITY CERTIFICATE (2)DocuSign Envelope ID: 936FA480-7879-4443-852A-4A829E75B2A9
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WATER AVAILABILITY APPLICATION
Complete and submit this form through www.MyBuildingPermit.com.
INC. i S'�.)
SECTION A
Applicant Information
Contact/Applicant Name Interurban Investment Group, LLC
Phone Number
206.380.9989
Email
Augustus.Bukowski@cardinalfinancial.com
Address
222 3rd Ave S
City
Edmonds
State WA
Zip 98020
Property Information
Project Name 310 DALEY TOWNHOUSES
Associated Permit Number BLD2022-1329, BLD2022-1325, BLD2022-1326, BLD2022-1327
Address 310 DALEY STREET
City EDMONDS
State WA
Zip 98020
Parcel No. 004342-026-001-01
Does the property currently have water service? X Yes (City of Edmonds water) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
FOUR THREE-STORY TOWNHOUSES, EACH CONTAINING ONE DWELLING UNIT.
In what phase is the project?
❑ Design Review N Building Permit
❑ Preliminary Plat ❑ Rezone or Other
Associated permit application number(s), if applicable: ENG2023-0173, BLD2022-1328, PLN2021-0074
SECTION B
❑ Applicant certifies that this project is a single-family residence, multi -family project of four units or
less with combo water/fire lines, or short plat subdivision (four single-family lots or less), in which case
completion of a full utility availability study shall not be required. Please sign below and submit this form
through www.MyBuildingPermit.com.
N For all other permit types, a utility availability study is required and associated fees will be due. Please
submit the complete application through www.MyBuildingPermit.com.
DocuSigned by:
APPLICANT SIGNATURE: 59*sh�'s 6WSLI DATE: 8/15/2023
76AAFCE37431496_.
APPLICANT PRINTED NAME: Augustus Bukowski
Form Updated 12/9/2021
SECTION C
i. E a. Water will be provided by service only to an existing 8" Ductile Iron (size) water
main that is 42 (feet) from the site.
OR
❑ b. Water service will require an improvement to the water system of.
❑ (1). feet of water main to reach the site; and/or
❑ (2). The construction of a distribution system on the site; and/or
❑ (3). Other (describe)
2. ❑.r a. The water system is in conformance with a City approved water comprehensive plan.
OR
❑ b. The water system improvement will require a water comprehensive plan amendment.
(This will cause a delay in permit issuance and approval.)
3. E a. The proposed project is within the corporate limits of the City, or has been granted
Boundary Review board approval for extension of service outside the City, or is within
the City approved service area of a private water purveyor.
OR
❑ b. Annexation or Boundary Review Board approval will be necessary to provide service.
4. E a. Water is/or will be available at the rate of flow and duration indicated below at no less than
20 psi - Measured at the nearest fire hydrant 157 feet from the building/property
(or as marked on attached map)
Rate of Flow Duration
❑ Less than 500 gpm. (approximately gpm) ❑ Less than one (i) hour
❑ 500 to 999 gpm
❑ 1500 gpm or more
❑ Flow test of
❑ One (1) to two (2) hours
❑ Two (2) hours or more
❑ Other
0 Calculation of 2679.29 gom (Commercial building permits require flow test or
calculation)
OR
❑ b. Water system is not capable of providing fire flow.
Water Agency Certification
Comments/Conditions:
Static Pressure is 111.25 psi
Maximum Available Flow is 2679.29 gpm
Pressure at Available Flow is 90.46 psi
I hereby certify that the above information is true. This certification shall be valid for one year from the date of signature.
City of Edmonds
Jenelle Ho
(Agency Name)
(Signatory Printed Name)
Associate Engineer
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c-cMJeneIle Ho''s-°-�'ra�2-H.
(Title)
(Signature ate)
Form Updated 3/28/2023