HomeMy WebLinkAbout717 E Highland Dr_BLD07-7530_2025 �a�l b " b
I
� I
4NG
'`Y " SI' ALE FAMILY RES_ IENCE
� oBUILDING PERMIT' APPLICATION
4 � Department of Community Development
City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360)403 3431 • FAX (360) 403 3447
-THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS
APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, SIX(6) ACCURATE,
FULLY DIMENSIONED PLOT PLANS AND TWO (2) SETS OF ENERGY CODE APPLICATIONS.
TYPE OF PERMIT: ( a Building O Mechanical ( ) Plumbing O Combination
Project Address: -71 GC,,slt CJ Parcel ID#: SOS ( I oo 1b_1000
Lot#: - Subdivision:
Project Description: �'�reS� I ^11Y�f ttA`t
Owner: lmv OrxkkiyPhone Number: ':� 60 r 1�74 — (Y
Address: 17 City: State: Zip Code: C 1 2 L3
Contact Person: S W12 Phone Number:
Cell Phone: Fax: E-mail:
Address: City: State: Zip Code:
Lending Agency: Phone Number:
Address: City: State: Zip Code:
Contractor: ow\&e y, Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
Plumbing Contractor- Phone Number:
Address: City: State: Zip Code ._
Contractor's License Number: - Expiration:
Mechanical Contractor: Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Recery
WEB Forms-46 Page 1 of 2 5105 dwa
� S v
�•�
c, � `5 ��
3�
UOiD3d9Nl ONICITAG
3HI As aaAouddv ss3iNr
aimmoKinv83ONVI43MI
UVO
0,-AAOP-ddV
.LrV2wi"wd9a Molpna IL J,
A 0-1
f
Oh
•1' I
�� -r
_�
1
v
7 ,T � I
•� .
i
s,
-=�
J
.�.
� � c-.:
�'
1 r � �l
:_ i�.
1 _ ��-• � � (z"
�" 1 II
, k �
ri llf 1
1 - i
.— ._ _ _ _�
I�
I �
t
ON
7,,Wr r
...........................