HomeMy WebLinkAboutCompleted Utility Availability Certificate WATER AND SEWER AVAILABILITY REQUEST
Community and Economic Development
City of Arlington- 18204 591h 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: ❑ Water Only ❑✓ Sewer Only ❑ Water and Sewer
Location/Legal Property Address: 6001 192nd St NE Arlington WA 98223
Lot#: Parcel ID No(s): 31051500401215 Subdivision:
Project Scope of work: Install Sewer Lateral for New Bathroom in Building
Owner Name: 2BRND LLC Office No.: (425)-870-8259
Email Address: Brent@globalmachineworks.com Cell No.: (360)-386-8563
Mailing Address: 19132 59th DR NE City: Arlington State: WA
Zip.98223
Owners Agent: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
RESIDENTIAL INFORMATION
❑Proposed Single Family Residence ❑Existing Single Family Residence ❑Accessory Dwelling Unit
❑Proposed Multi-Family Residence:#of Units #of Buildings ❑Residential Plat:#of Lots
COMMERCIAL INFORMATION
❑Binding Site Plan/Plat:#of Lots #of Phases #of Buildings Total Square Footage 10360
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 [E]No Is there an existing Septic System on-site? Yes ❑✓ No
Water Meter Size Requested? ❑5/8" ❑1" ❑1.5" ❑2" ❑3" ❑4" ❑6"
Type of Fire Protection Requested? ❑Fire Sprinkler System ❑Fire Hydrant ❑Unknown
1,t nde signed,reques ty ofArlington Utilities Division to certify willingness to provide water and/or Sewer as indicated.
e ab a information ' mplete and accurate to the best of my knowledge. I understand that any changes to the above
infor ation st be rted immediately to the City ofArlington Utilities Division as a condition of Utility Availability approval.
►gnature(ow r/agent) Print Name
Date
Pagel or2 REV02.2022
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.
N/A 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
N/A specified number of connections per the below conditions and upon payment of applicable
connection fees and charges.
Fire Flow Estimate: STATIC PRESSURE 140_ PSI RESIDUAL PRESSURE_59 PSI FLOW_1,378 GPM
YES 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
YES property and specified number of connections per the below conditions and upon payment of
applicable connection fees and charges.
Other: Sewer service is available at this location per the below conditions.
Approved By Date: O 3 o ZoZ 6
EXPIRES18MONT S F OM DATE OF ISSUE
COMMENTS:
1. Sewer service is available for this project, please coordinate with the Arlington City
Engineer for specifics pertaining to off-site sewer connection point, sewer main alignment,
service location, utility easements, required pipe slope, monitoring manhole location,
pretreatment requirements, and any other City of Arlington sewer requirements.
2. Any septic systems on the development property are to be abandoned per Arlington Municipal
Code 13.08.160 as a condition of service.
3. Water and Sewer system improvements shall be designed and constructed in accordance with
City of Arlington Design and Construction Standards.