ENG2025-0070_Utility_Application_2.13.2025_12.33.54_PM_4761374Docusign Envelope ID: 5D8FOE FC-E075-4B6D-8716-0107BD336F3C
RECEIVED
Feb 18 2025
ill E D,k C)
WATER AVAILABILITY APPLICATION
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.
SECTION A
Applicant
Contact/Applicant Name Jennifer Tamblin
Phone Number 425-478-0327
Email jen@drift-ia.com
Address 14526 107th St NE
City Lake Stevens
State WA
Zip 98258
Property
Project Name Sneha Patel ADU
Address 536 Bell Street
City Edmonds
State WA
Zip 98020
Parcel No. 00434202101100
Does the property currently have water service? je Yes (City of Edmonds water) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
It's a single story ADU conversion from an accessory building.
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
I? Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
Exemptions from Utility Availabilit
units or less with combo water/fire
check one of the following:
BLD2024-1404
residence; 2) Multi -family project of four
7ision (four single-family lots or less). Please
In 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.
APPLICANT VERIFIED ONLY
�ne�a
USTED RECORDlabilitystudyISrequested/required for the project, and associated fees will be
it the complete application through www.MyBuildingPermit.com.
u 8 .a by.
APPLICANT SIGNATUDATE:2/13/2025
APPLICANT PRINTED NAME: .Jennifer Tamblin
Form Updated 3/28/2023