HomeMy WebLinkAbout20260324_PJA26-0172_Utility Availability App and Site Plan WATER AND SEWER AVAILABILITY REQUEST
Community and Economic Development
City of Arlington• 18204 591h Avenue NE•Arlington,WA 98223•Phone(360)403-3551
Submittal Requirements:
1. Complete Application
2. 8-1/2"x 11"Site Plan/Sketch of the Proposal
Type of Request: Water Only ❑ Sewer Only ❑ Water and Sewer
Location/Legal Property Address: _�j( � A u lw _
Lot#: Parcel ID No(s):��/Qhl�{��—[ j�j-(ji Subdivision:
Project Scope of Work: Y1 ��f Lr l.�/ ,S�'I �
Owner Name: &biqZ Lcj 60 Office No.:
Email Address: 18U.5 ��(c)S� (0/10 U()Aw U� �1 �iJ�'ti Cell No.: �/�� >S
Mailing Address:/;rl 0, 113 Ci :/tf�J .� /�L State:" zip:
Owners Agent: �jJ(/� �o Office No.:
Email Address: �(�57 /bC�Lu SILt�Gt%/�S%�lY�'G1)P�6y�/��L.t'i7//Cell No.:
Mailing Address: Ci : ly State: Le/ Zi
RESIDENTIAL INFORMATION
0
Proposed Single Family Residence PO Existing Single Family Residence Accessory Dwelling Unit
❑Proposed Multi-Family Residence:#of Units #of Buildings ❑Residential Plat:#of Lots
COMMERCIAL INFORMATION LIA
❑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
WATER,SEPTIC SYSTEM AND FIRE
Is there an existing Well on the property? WYes [:]No Is there an existing Septic System on-site? XYes❑No
Water Meter Size Requested? A Y 5/8" ❑1" ❑ 1.5" ❑ 2" ❑3" ❑4" ❑6"
Type of Fire Protection Requested? ❑Fire Sprinkler System ❑ Fire Hydrant ❑Unknown
I, the undersigned,request City ofArlington Utilities Division to certify willingness to provide water and/orsewer as indicated.
The above information is complete and accurate to the best of my knowledge. I understand that any changes to the above
information must b�_;7 a e reporte immediately to the City ofArlington Utilities Division as a condition of Utility Availability approval.
O%U/- Z Usw) _ 73 -1.,,)---2 6
'Signature(owner/agent) Print Name Date
Page 1 of 2 REV02.2022
TO BE COMPLETED BY THE CITY OF ARLINGTON
CITY OF ARLINGTON UTILITIES DIVISION — PRELIMINARY INFORMATION / CERTIFICATION
A water main or other capital facility improvement: ❑is required; ❑is not required.
(If required,refer to below conditions).
Water is presently available from the City of Arlington to service the above referenced
property and specified number of connections upon payment of applicable connection fees and charges.
Fire Flow Estimation: Static Pressure Residual Pressure Flow gpm
A sanitary sewer main or other capital facility improvement: ❑is required; ❑is not required.
(If required,refer to below conditions).
Sanitary sewer is presently available from the City of Arlington to service the above referenced property
and specified number of connections upon payment of applicable connection fees and charges.
Approved By: Date:
EXPIRES 18 MONTHS FROM DATE OF ISSUANCE
Additional Comments/Conditions:
ArcGIS Web Map
D
r9
m I8401 5t 1J1
r
525 Jt
a
7/14/2025, 1:19:03 PM 1:5,979
U 187.5 375 750 ft
Water Meters Water Mains
0 55 110 220 m
Active Active
t -
Water Hydrants CWSP
Esrl Community Maps Contributors,WA State Parks GIS,0 OpenStreetMap,
Microsoft,Eso.TomTom.Garmin,SafeGraph,GeoTechnologies.Inc,METV
NASA,USGS.Bureau of Land Management,EPA,NIPS,US Census Bureau,
USDA. USFWS. Sources. Esri, Mazar. Airbus DS. USGS, NGA, NASA,
MAR. N Robinson. NCEAS, NLS, OS, NMA, Geodatastyrelsen.
Arlington WA GIS
Arlington WA GIS
z � �lati� S Cs2v E
a �(�1U/
-� N 0' sit' 37 E _� 327 W - - ,-lY 0• Sig
!72
-P. o /rµ
�•
P \� R P.
-a Ln SRN
e
N I 1
ort2, r AT
LM 7-0
I
i
° -�4rh
tAl
+ I
LAJ
al
rnr I I
+ It I i
I
N 14P 574f
32.d. 03
N 70
E cliLG
EXHIBIT "A"
Legal Description
For APN/Parcel ID(s): 310619-001-006-00
LOT 1, SURVEY RECORDED UNDER AUDITOR'S FILE NO. 7902270373, RECORDS OF SNOHOMISH COUNTY,
WASHINGTON, BEING A PORTION OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE NORTHEAST
QUARTER OF SECTION 19 TOWNSHIP 31 NORTH, RANGE 6 EAST W.M.
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON.
This page is only a part of a 2021 ALTA@ Commitment for Title Insurance issued by Chicago Title Insurance Company. This Commitment is not valid without the
Notice; the Commitment to Issue Policy, the Commitment Conditions, Schedule A; Schedule B, Part I-Requirements; Schedule B, Part II-Exceptions; and a
counter-signature by the Company or its issuing agent that may be in electronic form.
Copyright American Land Title Association. All rights reserved. AND M RT T E
ASSOCIATION
The use of this Form(or any derivative thereof)is restricted to ALTA licensees and ALTA members in good standing as
of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. ~,
ALTA Commitment for Title Insurance w-WA Mod(07/01/2021) Printed: 07.02.25 @ 11:25 PM
Page 4 WA-CT-FNRV-02150.624683-SPS-1-25-500159197
t 7 W •, 11
a
P
p-,p17
r K I-nil
Z
�O Q
r184t11 ST N
I
H
n
DO 5
RO5 AFN i"1-1 PO'n
a
1 1]drJ
W 3 7R 997
78 99 r Q
i-aae o
�K
r
S �
4 002
Y y �
S
L+K M%114 AV W%'�VOOW
i 1]
A
4-UL YIr
i
W
N= , SENTRY
T - DYNAMICS
This map/plat is being furnished as an aid in locating the herein described land in relation to adjoining streets,
natural boundaries and other land,and is not a survey of the land depicted.Except to the extent a policy of
title insurance is expressly modified by endorsement,if any,the company does not insure dimensions,
distances,location of easements,acreage or other matters shown thereon.