HomeMy WebLinkAbout20251124_PJA25-0084_Form Utility Availability Application
Include an 8-1/2 x 11" Site Plan/Sketch of the proposal
*denotes required fields
Project Information
*Project Name: JPioneer Point
*Description of Project:
22 new single-family homes
OWater Only OSewer Only #Water and Sewer
Contact Information
Owner Information Owner Agent Information
*Owner Name: ILavoy Inc. Owner Agent Name: INicole Larsen
*Office No.: (425) 770-0888 Office No.: (425) 303-9363
*Email Address: jjfrew@thefrontierassoc Email Address: Inicole@insightengineeri
*Cell No.: (425) 770-0888 Cell No.: (425) 923-9672
*Mailing Address: 11602 4th St, #4 Mailing Address: JPO Box 1478
*City: Imarysville City: lEverett
*State: WA State: WA
*Zip: 98270 Zip: 198206
iResidential Information
OProposed Single Family Residence OExisting Single Family Residence OAccessory Dwelling Unit
OProposed Multi-Family Residence
Number of Units Number of Buidings 0 OResidential Plat: Number of Lots:
Commercial Information -
OBinding Site Plan/Plat:
Number of Lots Number of Phases Number of Buildings Total
are Footage
Tyne of Commercial Use -
OHotel/Motel OFood Service OMedical/Dental OOffice ORetail
OVehicle Service OWarehouse/ Storage OIndustrial #Other(specify)
0
Commercial Water Usage - Montly Estimation in Gallons
Water Septic S31em and Fire
Is there an existing Well on the property? QYes *No Is there an existing Septic System on-site?
QYes *No
Water Meter Size Requested?o 5/8" 0 1" O 1.5" O 2" Q 3" O 4" Q 6"
Type of Fire Protection Type of Fire Protection Requested? [-]Fire
Requested? Spinkler System ❑Fire Hydrant ®Unknown
Acknowledgement
I, the undersigned, request City of Arlington 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. I understand that any changes to
the above information must be reported immediately to the City of Arlington Utilities Division as a condition of Utility
Availability approval.
*Print (owner/agent) Name: INicole Larsen *Date: 2025-11-24