Sewer Availability Certification - 614 5th AveSEWER AVAILABILITY
CERTIFICATE
PERMITTING & DEVELOPMENT
ENGINEERING
DIVISION
121 5th Avenue N
P: 425.771.0220
www.ednnondswa.aov
ITEMS IN THIS BOX TO BE FILLED IN BY APPLICANT
M Building Permit Preliminary Plat or PUD
Subdivision Rezone or Other
Applicant's name: Citizen Design
Proposed Use: Six live/work townhouses and eight residential townhouses
Location (attach map and legal description if necessary): 61-4 51h Ave
Updated on 31312017 Page 1 of 2
ITEMS IN THIS BOX TO BE FILLED IN BY EDMONDS DEVELOPMENT SERVICES DEPARTMENT
Permit Number
PLN2020-0053
Project Name
Pine Park 614
INFORMATION PROVIDED BY SEWER AGEN
1. ® a. Sewer service will be provided by side sewer connection only to an existing 12-inch size sewer
main that is approximately feet from the site.
OR
❑ b. Sewer service will require an improvement to the sewer system of:
❑ (I.). feet of sewer main to reach the site; and/or
❑ (z). The construction of a collection system on the site; and/or
❑ W. Other (describe):
z. ® a. The sewer system is in conformance with a City approved sewer comprehensive plan.
OR
❑ b. The sewer system improvement will require a sewer comprehensive plan amendment.
(This will cause a delay in permit issuance and approval.)
I ® 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.
SEWER AGENCY CERTIFICATION
COMMENTS/CONDITIONS: Side sewer connection can be made at two locations — into existing 12"
main approximately 10 feet to the south of south edge of 616 51h Ave S, or into existing 12" main
approximately 5o feet to the east of east edge of 616 5th Ave S. Due to grade issues, connection into
main on 51h Ave S will likely require pumping_
I hereby certify that the above information is true. This certification shall be valid for one year from
date of signature.
City of Edmonds Russell Lynch
(Agency Name) Signatory Printed Name
Associate Enciineer 14
(Title) ignature/Date)
Updated on 31312017 Page 2 of 2