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F045 OSA updated 2/1/2026 Page 1 of 1 Applicant / Owner Name: Contact Telephone Email: Property Address: Tax Parcel Number: Applicant Signature: Date In accordance with Ordinance No. 1437 and subsequent amendments, application for utility service outside the City limits is hereby made as follows. Development Engineering Division, 15670 NE 85th St, Redmond, WA 98052 (425)556.2876 1) A non-refundable application fee (as follows): Areas less than 5 acres $ 3,749.61 Areas between 5 to 50 acres $ 4,702.70 Areas greater than 50 acres $ 5,729.43 2) A vicinity map on 8 1/2 x 11 inch mylar drawn to a scale acceptable to the Public Works Department depicting the area for which service is being requested and the existing city facilities from which the extension is proposed to be made. 3) A legal description of the property to be served by the extension. 4) A statement of the nature of the proposed development and its conformance with the requirements of the City's comprehensive plan, zoning code, and building regulations. 5) Such other information as the Director of Public Works determines is necessary to properly review the application, being submitted to the City Council. Application must be submitted with the following: Submit Application and submittal Items to [EMAIL REDACTED] Utility Extension Outside City Limits Application RMC Chapter 13.36 Beginning Jan. 2, 2025, the City of Redmond will charge a 2.99% service fee for credit and debit card payments made online and in person. COR Receipt No. Date of Payment: SIGN