ENG2025-0078_Utility_Application_2.24.2025_12.43.08_PM_4776607Docusign Envelope ID: C2384404-EB8C-4A48-BD1C-C2131E7668F52
RECEIVED
FEB 24 2025
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 jenni fer Tambl i n
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 Jettrey Terry
Address 715 Sprague St.
City Edmonds
State WA
Zip 98020
Parcel No. 00434208403700
Does the property currently have water service? )7 Yes (City of Edmonds water) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
The closure of the deck space was completed prior to the arrival of the new homeowners, as well as prior to
the current homeowners' ownership. subsequently, the new homeowners undertook a kitchen remodel.
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
x❑ Building Permit
❑ Rezone or Other
NA
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:
residence; 2) Multi -family project of four
7ision (four single-family lots or less). Please
X❑ 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 THAT ONLY RECORD IS REQUESTED
ava' study IS requested/required for the project, and associated fees will be
7du=se� submi lete application through www.MyBuildingPermit.com.
DocuSignCed,^by.
APPLICANT SIGNATURE: �YwAi `'"-rAAwI^' DATE: 2/24/2025
�3Z`�iS7688FF ...
3ennifer Tamblin
APPLICANT PRINTED NAME:
Form Updated 3/28/2023