HomeMy WebLinkAbout17428 73RD AVE NE_066919_2026 -- ASPECTION REPORT
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T Permit No.: O'l (PI Ici Lot #:Address: F 7 g z$ 'i SContractor: iOwner:
C' Date: S--M—o co
CW�APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
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Inspector: Date:. —ICj—CAa
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ®-Final PL�L
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
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I N�T O M
I T1f pF Pohl PERMIT C3
CONSTF�UGTIPE�MI ,- Mp _ c �6 —
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LAKE STEVENS S425g377. 8500
Owner: HIMALAYA HOMES 9633 MARKET DPLO10310500005300 Phone:
Value of Mork: $3, 000. 00 Tax
Describe Work: SFR DECK PERMIT
Proposed Use: DECKTHE CROSSINGS AT EDGECOMB CREEK
Legal Job Address: 17428 73RD AVENUE NELicense#
HIMAL1�I161DE
g633 MARKET PL #201
Contractor's Name Type Address �
HIMALAYA HOMES GEN
TOTALS Fee
Permit Fee $g5` 5
008
Flan Fee 50
State fee $4. 5® IGNATURE: THAT I HAVE READ
CI �I REBY CERTIFY LAND
. . . O.tG2. 08 AND EXAMINED THIS APP� UEAANDN AN
TOTAL FEE. . . . . . . . . . . . . . �. W THE SArtE TO BE OF LAWS AND.
00. ALL PROVISION�G THIS TYPE V�
PAYMENTS. . . . . . . . . . . . . . . . . . R 1�i NANC � 60V�RNI CD WITH WHETHER
TOTAL DUE. . . . . . . . . . . . . . . . . eq 1-62.08 1V �K W IL BE t �� N T
DATE RECEIPT # llIN - FFI L
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C, M.SCELLANEOUS B� ILDING
�,r PERMIT APPLICATION
t�N G1 Department of Community Development
City of Arlington • 238 N Olympic Ave • Arlington, WA 98223 - Phone (360) 403 3431 • FAX (360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY FOUR(4 SETS OF CONSTRUCTION DRAWINGS, SIX(6)
ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO (2) SETS OF ENERGY CODE APPLICATIONS (IF
APPLICABLE).
Type of Permit: (check one) (Resid
en
tial ( ) Commercial
Project Address: /A7_ :�--VC4 " I �" Parcel ID#: Q 1 U �30g���'JL�
Lot# Subdivision:
Building Area (Sq Ft) No.of floors: `" Number of Buildings:' ' 1
Owner: <n/� ���� �-S /��L Phone NumberCGAW J 7-M��c/�"
Addressity: S` State:y`'L�' Lip Code: ! �Gn��
Scope of Work:
0x/ � ,
A detailed site plan/vicinity map, and construction drawings may be required depending on the scope of work. Please verify this with a
Community Development Permit Technician prior to submitting application for review.Contrac • : ,/''!/✓��AG1��GZ� �C>j' 'S //�Jr' Phone Number:CL1c*3//p -D p om A
Address' �i ' G /City. 41 S State: 4� 0 Code:�0�
/T1�� L- Expiration:
Contractor's License Number: �
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulations of the State of Washington.
�] Appliiccan�ts Signature Date
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Print Applicants Name
ECEIV D
MAR 0 9 2006
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Forms/MISC-1 �'� i� �.�b�L-swat � '°
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