King County Certificate Of Water Availability
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1KING COUNTY CERTIFICATE
OF WATER AVAILABILITY
Department of Development and Environmental Services
Building Services Division
900 Oakesdale Avenue Southwest
Alternative formats available
Renton, Washington 98055-1219
206-296-6600
TTY 206-296-7217
upon request
King County Certificate of Water Availability
This certificate provides the Seattle King County Department of Public Health and the Department of Development and
.
Environmental Services with information necessary to evaluate development proposals
Do not write in this box
number
name
! Building Permit
! Preliminary Plat or PUD
! Short Subdivision
! Rezone or other____________________
Applicant’s name:
Proposed use:
Location:
(attach map and legal description if necessary)
Water purveyor information:
1.
!
a.
Water will be provided by service connection only to an existing
(size) water main
that is
feet from the site.
OR
b.
Water service will require an improvement to the water system of:
!
! (1)
feet of water main to reach the site; and/or
! (2) The construction of a distribution system on the site; and/or
! (3) Other (describe)
2.
!
a.
The water system is in conformance with a County approved water comprehensive plan.
OR
!
b.
The water system improvement is not in conformance with a County approved water comprehensive
plan and will require a water comprehensive plan amendment. (This may cause a delay in issuance of a permit or
approval).
3.
a.
The proposed project is within the corporate limits of the district, or has been granted Boundary Review Board
!
approval for extension of service outside the district or city, or is within the County approved service area of a private
water purveyor.
OR
!
b.
Annexation or Boundary Review Board (BRB) approval will be necessary to provide service.
4.
!
a.
Water is or will be available at the rate of flow and duration indicated below at no less than 20 psi measured at the
nearest fire hydrant
feet from the building/property (or as marked on the attached map):
Rate of flow at Peak Demand
Duration
! less than 1 hour
! less than 500 gpm (approx.
gpm)
! 1 hour to 2 hours
! 500 to 999 gpm
! 2 hours or more
! 1000 gpm or more
! other
! flow test of
gpm
! calculation of
gpm
(Note: Commercial building permits which includes multifamily structures require flow test or calculation.)
OR
!
b.
Water system is not capable of providing fire flow.
5.
!
a.
Water system has certificates of water right or water right claims sufficient to provide service.
OR
!
b.
Water system does not currently have necessary water rights or water right claims.
Comments/conditions:
I certify that the above water purveyor information is true. This certification shall be valid for one year from date of signature.
Agency name
Signatory name
Title
Signature
Date
Check out the DDES Web site at
water availability form
b-cert-water.pdf
Rev. 05-19-2003
Page 1 of 1
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