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17609 34th Ave Ne_BLD6083_2025
i Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 591h Avenue NE • Arlington,WA 98223 • Phone (360)403-3551 Permit Number: BLD6083 Permit Type: Residential Zoning Verification Address/Parcel: 17609 34th Ave Ne Completed (Month/Year): December 2024 Land Use ❑ Notice of Decision ❑ Bonding or Assignment of Funds ❑ Staff Report o Confidential Documents. Contact the ❑ Application City to obtain. ❑ Narrative ❑ Letters and Project Documents ❑ Legal Description ❑ Other: ❑ Vicinity Map ❑ Site Plan Civil ❑ Landscape Plan ❑ Issued Permit ❑ Complete Streets Checklist ❑ Application ❑ Traffic Impact Analysis ❑ Other Applications ❑ Snohomish County Traffic Mitigation Offer ❑ Construction Calculation Worksheet ❑ WSDOT Traffic Offer Form ❑ Approved Plans ❑ Tree Survey ❑ Review Comment Form ❑ Stormwater Drainage Report ❑ Letters and Project Documents ❑ Geotech Report ❑ Other Agency Permits ❑ Critical Area Evaluation Form ❑ Reports: ❑ SEPA Checklist o Drainage Report Pg: ❑ Public Notice Material o Stormwater Pg: ❑ Noticing and Related Documents o Geotech Pg: ❑ Water/Sewer Availability Certificate o All Other Reports ❑ Unanticipated Discovery Plan Form ❑ SEPA and Noticing Materials ❑ Aerial Photo of Site ❑ Inspections ❑ Proposed Building Materials ❑ As-Builts ❑ Lighting Plans and Lighting Cut Sheets ❑ Other: ❑ Color Elevations ❑ Design Matrix Building ❑ Plat Map ❑ Issued Permit ❑ Title Report ❑✓ Application ❑ Lot Closures ❑ Additional Applications ❑ Preliminary Civil Plans ❑ Approved Plans ❑ Archaeological Survey ❑✓ Site Plan o Confidential Documents. Contact the ❑ Letters and Project Documents City to obtain. ❑ Calculations ❑ Topography(Existing Conditions) ❑ Project Specification Manuals ❑ CC&R's ❑ Reports ❑ Deeds/Easements/Conveyances ❑ Certificate of Occupancy /Dedications ❑ Inspections ❑ Developer's Agreement ❑ Other: ❑ Recorded Copies Page 1 of 1 RESIDENTIAL ZONING VERIFICATION Community and Economic Development City of Arlington-18204 59th Ave NE-Arlington,WA 98223 -Phone(360)403-3551 Type of Permit ©Single-family ❑Duplex ❑Townhouse [:]Addition ❑Garage/Shop Property Address: .1 .01(�q '?A 1i MT, \k Avkft \Ally Project Valuation: ck'6' 3 Lot#: Parcel ID No.: Preferred Contact: ® Owner O Contractor Project Description: 1VAiO 1cOl)Y`f1 C,Q115�rUC} nr7 Owner Name: OCA1n rlo(Q MEr it V'Zw'o�'i5 _ Home No.: Email Address: Urn Cell No.: Li2S 4� '26 Mailing Address: 1-760g 3'A'W Mit W1 City: A", Aon State: WA zip: 50.223 Contractor Name: Office No.: Email Address: Cell No.: For additional assistance see the illustration on the Residential Site Plan Example SF=Square Foot 1. Proposed Building Dimensions: W: L: 1..f H: _ Total SF: "? i 2. Allowed Lot Coverage: Total Lot Size: SF x 35%= SF Lot Size can be found on the Plat Map or Snohomish County Assessor Property Information 3. SF of all Structures: _ Total Lot Size 1n.0:N _ This square footage includes the footprint area of all structures on the property including house,garages,sheds,covered patios,and decks permitted by the building code. 4. Septic Tank on Property? ® Yes ❑ No Private Well on Property? ❑ Yes 0 No lfso,please provide Snohomish County Health Department approval and indicate on site plan. 5. Are there trees greater than 12"diameter to be removed? ❑ Yes ® No If yes,indicate on site plan. 6. Permanent connections to water service may require Cross Connection Control.Check all that apply. ❑ Fire Sprinkler System ❑ Lawn Sprinkler System ❑ Decorative Pond/Fountain ❑ Re-circulating Heating System ❑ Medical Equipment ❑ Hot Tub ❑ Swimming Pool ❑ Livestock Drinking Tanks ❑ Other: App tcontSignature: T— Print Name: Date_ REV01.2024 F-- � v c 3 �1�H ,e cm � r to t-" `0 ,8 r T