HomeMy WebLinkAbout20260618_PWD4149_App i
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 0 Water and Sewer
Location/Legal Property Address: 2310 WA-530 ARLINGTON, WA 98223
Lot#: Parcel ID No(s): 31050800301300,31050800301500,31050800301700 Subdivision:
Project Scope of Work: New restaurant with parking lot, and new water/sewer services
Owner Name: V12 Venture Capital, LLC Office No.:
Email Address: jagbir_singh92@yahoo.com Cell No.:
Mailing Address: City: State: zip:
Owners Agent: Gerald Koh Office No.: 3106345204
Email Address: gkoh@milrose.com Cell No.: 3106345204
Mailing Address: 8370 Wilshire Blvd #330 city: Beverly Hills State: CA Zip: 90211
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
0 Binding Site Plan/Plat: #of Lots 3 #of Phases 1 #of Buildings 1 Total Square Footage 39,341
TYPE OF COMMERCIAL USE
❑ Hotel/Motel 0 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? ❑Yes ✓❑No Is there an existing Septic System on-site? ❑Yes ✓❑No
Water Meter Size Requested? ❑ 5/8" 0 1" ❑ 1.5" 0 2" ❑ 3" ❑4" ❑ 6"
Type of Fire Protection Requested? 0 Fire Sprinkler System 0 Fire Hydrant ❑Unknown
I, 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. I understand that any changes to the above
information must be reported immediately to the City ofArlington Utilities Division as a condition of Utility Availability approval.
?"'azd&&/� Gerald Koh 6/18/26
Signa ure(owner/agent) Print Name Date
Pagel 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:
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y EXISTING UTILITY NOTE
EXISTING UTILITIES ARE SHOWN IN THE APPROXIMATE LOCATION.THERE IS NO
GUARANTEE THAT ALL UTILITY LINES ARE SHOWN,OR THAT THE LOCATION,SIZE AND JOB NUMBER:
MATERIAL IS ACCURATE.THE CONTRACTOR SHALL UNCOVER ALL INDICATED PIPING 251307172
WHERE CROSSING,INTERFERENCES,OR CONNECTIONS OCCUR PRIOR TO TRENCHING OR
EXCAVATION FOR ANY PIPE OR STRUCTURES,TO DETERMINE ACTUAL LOCATIONS,SIZE SHEET NAME:
n AND MATERIAL.THE CONTRACTOR SHALL MAKE THE APPROPRIATE PROVISION FOR U T-O I
PROTECTION OF SAID FACILITIES.THE CONTRACTOR SHALL NOTIFY ONE CALL AT 8-1-1
3 (WASHINGTON811.COM)AND ARRANGE FOR FIELD LOCATION OF EXISTING FACILITIES
BEFORE CONSTRUCTION. BHT 15 0 F 7