HomeMy WebLinkAbout21620 88th Dr - Water Avail (07-102026) WATER AND SEWER AVAILABILITY REQUEST
Community and Economic Development
City ofArlington• 18204 S91h Avenue NE•Arlington,WA 98223 • Phone(360)403-3SS1
Submittal Requirements:
1. Complete Application
2. 8-1/2"x 11"Site Plan/Sketch of the Proposal
Type of Request: 7K Water Only ❑ Sewer Only ❑ Water and Sewer
Location/Legal Property Address: �� S SS �>, o(\e) A0\y) Dn w oc
Lot#: Parcel ID No(s): Q pq�5�JS OOW0 70 2_ Subdivision:
Project Scope of Work: �( 1Q y)q
rnmanOffice No.:ress. ` y-Pe ki�,��1e �_u0l �C�� Cell No.: �Z�'Z(Q J
Mailin Address: 0 H .( I Ci : LQXQ, State: N ) Zi : O
Owners Agent: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
RESIDENTIAL INFORMATION
❑Proposed Single Family Residence .Existing Single Family Residence XAccessory Dwelling Unit
❑Proposed Multi-Family Residence:#of Um s `� #of Buildings ❑Residential Plat:#of Lots
COMMERCIAL INFORMATION
❑Binding Site Plan/Plat:#of Lots #of Phases_ #of Buildings Total Square Footage
TYPE OF COMMERCIAL USE
❑Hotel/Motel ❑Food Service ❑Medical/Dental ❑ Office ❑Retail
❑Vehicle Service ❑Warehouse/Storage ❑Industrial ❑Other(specify):
Commercial Water Usage:Monthly Estimation: Gallons
F_ WATER,SEPTIC SYSTEM AND FIRE
Is there an existing Well on the property? Yes []No Is there an existing Septic System on-site? Yes [:]NoWater Meter Size Requested? ❑5/8" ❑ 1" ❑1.5" ❑2" ❑3" ❑4" ❑ 6"
Type of Fire Protection Requested? ❑Fire Sprinkler System ❑Fire Hydrant ❑Unknown
1,the undersigned,request City ofArlington Utilities Division to certify willingness to provide water and/or sewer as indicated.
The above information is complete and accurate to the best of my knowledge. 1 understand that any changes to the above
informatio must be reported immediately to the City ofArlington Utilities Division as a condition of Utility Availability approval.
Signature er/agent) Print Name Date
Page 1 of 2 REV02.2022
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TO BE COMPLETED BY THE CITY OF ARLINGTON
CITY OF ARLINGTON UTILITIES DIVISION - PRELIMINARY INFORMATION / CERTIFICATION
This non-binding preliminary commitment is only valid for the above referenced property in accordance
with City of Arlington policies and for only 18 months.
NO A water main or other capital facility improvement ❑ is required; ® is not required
(If required, refer to below conditions)
Water is presently available from City of Arlington to service the above referenced property and
NO specified number of connections per the below conditions and upon payment of applicable
connection fees and charges.
Fire Flow Estimate: STATIC PRESSURE _PSI RESIDUAL PRESSURE _PSI FLOW_GPM
N/A A sanitary sewer main or other capital facility improvement ❑ is required; ❑ is not required
(If required, refer to attached conditions)
Sanitary sewer is presently available from City of Arlington to service the above referenced
N/A property and specified number of connections per the below conditions and upon payment of
applicable connection fees and charges.
Other: Water service is not available at this location per the below conditions.
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Approved By: Date: O 1 7,
EXPIRES 18 MON HS FROM DATE OF ISSUE
COMMENTS:
1 Water service is not available for this project because there is no access to a water main
without crossing private property.
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