HomeMy WebLinkAbout88 Utility A xailabilit AA mlication
Include an 8-1/2"x 11" Site P hn/Sketch of the proposal
*denotes required fields
P roject Information
*Project Name: 10 mhiuto SP
*Description of Project:
6-lot short plat for the construction of 1 condo unit
and 4 single-family homes, for a total of 6 units.
e of R eq
QWater Only QSewer Only QWater and Sewer
C ontact Information
Owner Information Owner Agent Information
*Owner Name: Samuel O¢hiuto Owner Agent Name: INicole Larsen
*Office No.: (425) 923-0564 Office No.: (425) 303-9363
*Email Address: sam.occhiuto@gmail.co Email Address: Inicole@insightengineeri
*C dl No.: (425) 923-0564 C dl No.: (425) 923-9672
*Mailing Address: 118933 43rd D rNE I Mailing Address: IPO Box 1478
*C ty: Arlington C ty: lEverett
*State: WA State: IWA
*Zip: 98223 Zip: 198206
— E Residential Information
QProposed Single Family R evidence QExisting Single Family R evidence QAccessory D w filing U nit
QProposed Multi-Family R Esidence
N umber of U nits N umber of Buidings OR esidential Plat: N umber of Lots:
0
C ommercial Information
QBinding Site Plan/Plat:
Number of Lots Number of Phases Number of Buildings Total Square Footage
Type of C omme rcial Use
QHotel/Motel QFood Service QMedical/D Ental QO ffice OR(tail
QVehicle Service 00 ther(specify)
QWarehouse/Storage QIndustrial
C anmercial Water Usage-Montly Estimation in G dlons
Water. Septic Sytem and Fire
Is there an existing Well on the property? OYes ON Is there an existing Septic System on-site?
OYes ONo
Water Meter Size Requested?O 5/8" O 1" O 1.5" O 2" O 3" O 4" O 6"
Type of Fire Protection Type of Fire Protection Requested? ❑Fire ❑Fire Hydrant ®Unknown
R equested? Spinkler System
Acknowledgement
I, the undersigned,request Cty 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 ofmyknowkdge. I understand that any changes to
the above information must be reported immediately to the Cly of Arlington Utilities Division as a condition of Utility
Availability approval.
*Print (owner/agent) Name: Nicole Larsen *Date: 2025-12-02