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HomeMy WebLinkAbout4530 192nd Pl Ne_BLD5023_2022 Permit Packet Coversheet Community and Economic Development City of Arlington • 18204 59th Avenue NE • Arlington, WA 98223 • Phone (360) 403-3551 Page 1 of 1 Permit Number: Permit Type: Address/Parcel: Completed (Month/Year): Land Use ˆ Notice of Decision ˆ Staff Report ˆ Application ˆ Narrative ˆ Legal Description ˆ Vicinity Map ˆ Site Plan ˆ Landscape Plan ˆ Complete Streets Checklist ˆ Traffic Impact Analysis ˆ Snohomish County Traffic Mitigation Offer ˆ WSDOT Traffic Offer Form ˆ Tree Survey ˆ Stormwater Drainage Report ˆ Geotech Report ˆ Critical Area Evaluation Form ˆ SEPA Checklist ˆ Public Notice Material ˆ Noticing and Related Documents ˆ Water / Sewer Availability Certificate ˆ Unanticipated Discovery Plan Form ˆ Aerial Photo of Site ˆ Proposed Building Materials ˆ Lighting Plans and Lighting Cut Sheets ˆ Color Elevations ˆ Design Matrix ˆ Plat Map ˆ Title Report ˆ Lot Closures ˆ Preliminary Civil Plans ˆ Archaeological Survey o Confidential Documents. Contact the City to obtain. ˆ Topography (Existing Conditions) ˆ CC&R’s ˆ Deeds / Easements / Conveyances /Dedications ˆ Developer’s Agreement ˆ Recorded Copies ˆ Bonding or Assignment of Funds o Confidential Documents. Contact the City to obtain. ˆ Letters and Project Documents ˆ Other: Civil ˆ Issued Permit ˆ Application ˆ Other Applications ˆ Construction Calculation Worksheet ˆ Approved Plans ˆ Review Comment Form ˆ Letters and Project Documents ˆ Other Agency Permits ˆ Reports: o Drainage Report Pg: o Stormwater Pg: o Geotech Pg: o All Other Reports ˆ SEPA and Noticing Materials ˆ Inspections ˆ As-Builts ˆ Other: Building ˆ Issued Permit ˆ Application ˆ Additional Applications ˆ Approved Plans ˆ Site Plan ˆ Letters and Project Documents ˆ Calculations ˆ Project Specification Manuals ˆ Reports ˆ Certificate of Occupancy ˆ Inspections ˆ Other: BLD5023 Residential Mechanical 4530 192nd Pl Ne October 2022 ✔ ✔ ✔ 4530 192nd P l N e 12359 00928200004000 f urnace and ac install Jessica Davis 3605479561 jessicaandlily@ aol.com ✔ ✔ 4530 192nd P l N e Arlington Wa 98223 C M H E ATIN G 4252590550 H H AGE AGE @ C M H E ATIN G.C OM 1500 IN DU S TRY S T #200 E VE RE TT WA 98203 C MH E AI*095R4 05/2023 ✔ 1 15 15 55 155 4A7A3024H 1000N S 8X1B040M 2P S AB        #$ %($  )&**++  ,- 0.1 %234 /!(#   ))5!( 6 7 37 8' ))9 ):;!<=!> ?@,A'B!(  3: BD  !<0!+ !( %F#H!B 7 IJKLMJNOLPQR/!* R++B*    8S+ 6   0B+ ;?+T(*! PUNPFQPVWMMXJKK JZPQJKVXL[OL\N ;]NJXP^J ;]NJX?_\NJ 6 3 ?JVOL\Na\]NK_L[ PNZJ bUPXOJX2 Fc 7 ;6 7)2bd,%33 7333 %e,;@F;?,) - a 7 6f73 a @\X ?XL^PXg\NOPVO ?_\NJ MMXJKK \NOXPVO\Xg[J LVJNKJ              !"#$%& '()*+,)-(./*0,) )+-1.,(./* -2)345)3'() /6,5)()3'() *+,)-(/187 9 7 7  7 7   89 9 7 7  7 7   9)) )+-1.,(./* /()+ 6/2*/5/<0 (472>?@(472,? +) )16.(9))( A)),)1(41:.-)C&$DE)(()1 )+-1.,(./*QRSTUSVWXYZ[S\'.30 )+-1.,(./* '06)*(0,) --),()30 `/*AabB bB  ')50**c/*)+de$ $DN%fgDED#"9.5) '6)jklmnojnplqlljqlrsoqlksXtjklkmkkoplqlljqlms}~ySsuY