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F�mM Urilibies Consortium Form
A coordinated utility environment which maximizes joint utility opportunities to provide quality service for the citizens of Edmonds
YOU WILL BE GIVEN A CONFIRMATION NUMBER BY FACHUTILITY ONCE
YOU HAVE INFORMED THEM OF YOUR PROJECT.
SITE ADDRESS: 22027 96th Ave W Edmonds, WA 98020
Mary McAllister - 425-670,3216
You will need to provide PUD with a site plan and a completed New Service
Questionnaire.
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ENERGY
New Customer Construction
Call to verify gas availability and to coordinate service install. You will need to
Department - 1-888.321-7779
provide parcel number, contact phone number and mailing address.
Q71t[er
vvcledniC to the Neve FranGCr
You will need to provide Frontier with the location of your project, total line
requirement, and the date in which service is required. A copy of your
Jeremy Fallt - 425-263-4024
development plan may be required.
comcast.
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You will need to provide Comcast with the location of your project, a copy of
your development and site plan (digital copy if available.) The date in which
John Warrick 425 263-5328
service is required and a list of contact names, phone'numbers & mailing
C) &,
addresses.
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425.774.7769
You will need to provide OVWSD with the survey map of your site and
For customers in Olympic View Service Area
complete a development information form.
THIS FORM MUST BE COMPLETED AND GIVEN TO DEVELOPMENT
SERVICES STAFF AT THE TIME OF PERMIT SUBMITTAL Rev. 10/1/13
NOTICE
Olympic View Water and Sewer District, hereafter referred to as
"District", shall not be liable or responsible for the accuracy in
designating the location of the sewer stubs either on its maps or
pursuant to verbal representations of the employees or agents of
the District. The District, by this notice, is held harmless from any
and all claims, losses and/or damages arising from the erroneous
designation of the location of the sewer stub.
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NOTICE
Olympic View Water & Sewer District, hereafter referred to as
"District", shall not be liable or responsible for the accuracy in
designating the location of the sewer stubs either on its maps or
Pursuant to verbal representations of the employees or agents of
the District. • The District, by this notice, is held harmless from
any and all claims, losses and/or damages arising from the erroneous
lesiRnation of the jocatinn or th,� sewer stub.
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