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SECTION A
SEWER AVAILABILITY APPLICATION
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 — Sanitary Sewer Main.
Applicant
Contact/Applicant Name Marlo Brown
Phone Number 425-577-i824
Email info@marlobrown.com
Address 509 26th AVE S
City SEATTLE
State WA
Zip 98144
Property
Project Name Reynolds Residence
Address 18823 Sound View Place
City Edmonds
State WA
Zip 98020
Parcel No. 27031300401200
Does the property currently have sewer service? ❑ Yes (City of Edmonds sewer) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Demo of existing SFR, Construction new SFR, 1 building, 2 floors
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
IN Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
Applicability
Exemptions from Utility Availability Study: 1) Single-family residence; 2) Multi -family project of four
units or less; 3) Short plat subdivision (four single-family lots or less). Please check one of the following:
® 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.
❑ A 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 SIGNATURE: ATE: 2/28/25
APPLICANT PRINTED NAME: Marlo Bro
Form Updated 3/28/2023