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Home My WebLink About8915 170th Street NE_BLD1547_2026 �``y °�' RESIDENTIAL PERMIT APPLICATION Department of Community& Economic Development �PlIV6_5( City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE, ADDITION, DECK,OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND TWO(2)SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING VERIFICATION MAY BE SUBMITTED PRIOR. Project Address: Plat:Cz'X Single-family Q Duplex ❑i Townhouse Addition ❑ Accessory structure Proposed Area: 1st Floor: / 1- 2"d Floor: Garage: �� Total SF: IYY7 Describe Proposal (include cross street): Valuation: 1d C200 Owner: /.�� H Oi�t✓� - (��SFt�cnlrty L.L Address: 1Wo /Vt ��`� s,� b� City: �_/47,WA Qb State: _ Zip Code: �Po33 Phone: Zl� 0--07 - Email: 048nrr.AP4&5 Applicant: C Address: City: State: Zip Code: Phone: Email: Contractor: 5ACA ,- Address: City: State: Zip Code: Phone: Email: �n Contact Person: V U(A%!r_ AO k License Number: ze Expiration: 6/16LP Page 7 of 3 Y RESIDENTIAL PERMIT APPLICATION Department of Community&Economic Development City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551 Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) 'Bath/Shower Combo (4.0) x x / Shower(2.0) x Lavatory (1.0) x 4-Elothes-Washer(4.0) x [:V'Water Closet(2.5) x [. Dishwasher(1.5) x Water Heater x CHose Bibb (2.5) x eWater Heater Model# [2� Other(list) x f Plumbing Section Continued Proposed Water Piping Size: 3411 Proposed DWV Material: Proposed Piping Material: r Proposed DWV Size: �J c` • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) 6116LP Page 2 of 3 RESIDENTIAL PERMIT APPLICATION 0 0 Department of Community& Economic Development .y rAl j,vGSO City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551 Mechanical Section (continue filling out if mechanical equipment is involved) ] Select proposed appliances: Furnace(80+) Model# �! Heat Pump Model# SEER HSPE �! AC Unit Model# SEER ❑I Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping Ell Boiler ❑; Solid-Fuel Appliance U PV System Ell Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank Ell Freestanding Stove ❑ Gas Piping ❑ Other Gas Piping Information Not Applicable: ❑ u Pipe Material: Pipe Size: Total BTU's of all Appliances: l V), 00D Distance from Meter to Furthest Appliance: I • New gas piping requires a pressure test to hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper combustion air and venting required for all appliances • A shut-off is required within 6 feet of all appliances Applicant Signature: N pp 94 Date: Print Applicants Name: YRA T 6/16LP Page 3 of 3 i CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:8915 170th Street NE Permit#:1547 Parcel#:01166900005500 Valuation:187421.13 OWNER APPLICANT CONTRACTOR Name:LGI HOMES-WASHINGTON LLC Name:LGI Homes-Washington,LLC Name:LGI Homes-Washington,LLC Address: 1450 LAKE ROBBINS DR STE 430 Address:11410 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103 City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Kirkland,WA 98033 City,State Zip:Kirkland,WA 98034 Phone: Phone:425-785-0797 Phone:360-353-0588 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Single Family Residence CODE YEAR: 2015 STORIES: 1 CONST.TYPE: V-$ DWELLING UNITS: ] OCC GROUP: R-3 BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC1101IRC110. SALES T X NOTI E:Sales tax relating to construction and construction materials it-fhc City ofAr i n m st be reported on your sales tax return form an��i 1. Z vyt 7 -2 P--1 Signalure Print Nalne Date Reitmed By Date CONDITIONS Adhere to approved plans. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 7/27/2017 Building Permit Fee $2,109.12 7/27/2017 Building Plan Review Fee $1,370.93 7/27/2017 Furnace $25.00 7/27/2017 Gas Outlets Base Fee 1 to 5 $10.00 7/27/2017 Mechanical Fee(Enter Fixture Fee) $25.00 7/27/2017 Mechanical Permit Base Fee $25.00 7/27/2017 Park-Community SF $1,662.00 7/27/2017 Plumbing Permit Base Fee $25.00 7/27/2017 Plumbing Permit Fee(Enter Fixture Fee) $132.00 7/27/2017 Processing/Technology Fee $25.00 7/27/2017 State Building Code Surcharge Fee $4.50 7/27/2017 Traffic Mitigation $3,355.00 7/27/2017 Water Heater $25.00 Total Due: $8,793.55 Total Payment: $8,793.55 Balance Due: 50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon SETBACKS NOTES.• FRa yr 20' .&ALaNG DIAIDVS16WS ARE TO WE 5' FAX aF FOUNDAnaw I I I REAR 5' •6RAD/NG 9YOMW AS DESGGN ACTUAL LOCAnay AIAY VARY /1 •2619E DRIW A r rO PUBLIC ROAD I I I I •-%rFEVX rOBE INS rAUiV P& I I RN/ q CYbV1OUR I I PRODDHY aTY OF ARUNGILW S STANDARD (TYP.) •S/LT FDVCE TO BE INSTALLED OW I C yr 6RAD/OVT s/DE of BUILDING - - - - - L 5'85& J Tom) PARCEL •CbYVS _ WNW BKRANC,L' 70 BE +(SO 09 20'49 V INSTALLED PiR a7Y alp 448 45.00 ARUNGM&STANDARDS STORM NOTES: - - ^ - - - -� $ r - - - - 5'BSBL � TOP452.9 •7ESC/N A PR16R7V TOE 450.0 '9 ,BARE SOILS CDIERED WH A/ULOY I \ 5 I 24.50 10'WALLIPRA/N 64 AN07HDF APPROloW bWP •TZwsaL PiR WSDCIE W 75.13 $ I EASl�AOVT (EFF 12"DEPN!) PA AO 12 Sr •ALL 01107E RUNOI'F 0ONNECIED TO PR/VAX 57WM SW 'VSNNG 10.66 I 70&A N BPERAN BBA7NG CONTOUR I 5'BSBL LOT 55 RNAu�n SITE NOTES. PROPOSED RESIDENCE TOP 4529 9 .77amiNE loom DRAINS AND ^ COLUM81A-1487 GARAGE LD7 WE 450.0 ROa-DRAINS 76 PamANENT 0 2,109t9F STVRV DRNNAQF SYSTEM POP APPROVED PLAT ORA/mr PLAN OW RLE W7H NI!E CWNTY. GARAGE $ o { •AREA GIB D/S7URBANCE/NCYUDES BVNRE LOT. OUIUNE _ LEGEND.• 1'RaOF OVDPHANG Q- BLOW OfF '425 &0D - - - - - - J 19.75 g TOP 452.9 ® WAIE]P AAF7DP 5' _ _ _ 11.00 10E 450.0 '9 4( RRE HYDRANT I < ° 406'.w I AIR VAC ORIWWAY 10'PUBUC $ ° ° �'B58L 8 r UnUTr assw r ® CA BASIN O amour - \ Cl MANHOLE 45.00 � rr rr� BLOa( WALL ° 5'RRIVAIE �° N8920'49"W ' 4° ° of nPEF REMOVAL EASEMOVT ° - -_ ReceivedSEMOP WA1DP 8 WA>DP CMNE07ION 2WWar AI L 1. 4 2017 1�00 - `srm aFAVaY/r. CCWN£CT R AND _ 1 �� F0077NO DR NS B�S LOT 55 170M ST. NE SITE PLAN r °IAI r GREGOR Y PARK LG/ HOMES PLAN NO. COL.—1487 LOT AREA = 4,320 SF DATE 511212017 PARCEL # LOT 55 HOUSE= 2,109 SF 1,1711-1-Pn,la .101 DRIVEWAY= 416 SF C Ball-,wdhkig �98007 DESIGNED CORE ADDRESS 8915 1707H SrWALKWArIPANO = 12 SF 425.885.78771`-425.685.7963 PROJECT NUMBER DESIGN TOTAL= 2,537 SF ENGINEERING PLANNING SURVEYING DRAWN CAF 13024E-GRG00 ° CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360)403-3551 BUILDING PERMIT Address:8915170th Street NE Permit#:1547 Parcel#:01166900005500 Valuation:187421.13 OWNER APPLICANT CONTRACTOR Name:LGI HOMES-WASHINGTON LLC Name:LGI Homes-Washington,LLC Name:LGI Homes-Washington,LLC Address: 1450 LAKE ROBBINS DR STE 430 Address:114 10 NE 124th Street,Ste#103 Address: 11410 NE 124th Street,Ste#103 City,State Zip:THE WOODLANDS,TX 77380 City,State Zip:Kirkland,WA 98033 City,State Zip:Kirkland,WA 98034 Phone: Phone:425-785-0797 Phone:360-353-0588 MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name: Address: Address: City,State,Zip: City,State,Zip: Phone: Phone: LIC#: EXP: LIC#: EXP: JOB DESCRIPTION PERMIT TYPE: Single Family Residence CODE YEAR: 2015 STORIES: 1 CONST.TYPE: `I-13 DWELLING UNITS: 1 OCC GROUP: R-3 BUILDINGS: OCC LOAD: PERNM APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 110/IRC 110. SALES'f X NOTI E:Sales tax relating to construction and construction materials rCity,'olArff reported on your sales tax return form and o e ity' f iE: 13101. Signature Print Name Date Re Lased By Date CONDITIONS Adhere to approved plans. THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 7/27/2017 Building Permit Fee $2,109.12 7/27/2017 Building Plan Review Fee $1,370.93 7/27/2017 Furnace $25.00 7/27/2017 Gas Outlets Base Fee 1 to 5 $10.00 7/27/2017 Mechanical Fee(Enter Fixture Fee) $25.00 7/27/2017 Mechanical Permit Base Fee $25.00 7/27/2017 Park-Community SF $1,662.00 7/27/2017 Plumbing Permit Base Fee $25.00 7/27/2017 Plumbing Permit Fee(Enter Fixture Fee) $132.00 7/27/2017 Processing/Technology Fee $25.00 7/27/2017 State Building Code Surcharge Fee $4.50 7/27/2017 Traffic Mitigation $3,355.00 7/27/2017 Water Heater $25.00 Total Due: $8,793.55 Total Pa}ment: $8,793.55 Balance Due: 50.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Typr of Inspection being requested,and whether you prefer morning or afternoon Permit Information Date 7/17/2017 Permit Number 1547 Project Name Gregory Park Applicant Name LGI Homes-Washington,LLC Applicant Address 11410 NE 124th Street,Ste#103 City, State,Zip Kirkland,WA 98033 Contact Matt Adams Phone 425-785-0797 Email matt.adams@lgihomes.com Permit Type Single Family Residence Site Address 8915 170th Street NE Valuation 188000.00 Status Applied Permit Issued Permit Expires Square Feet 1889 Type of Construction/Occupancy Load V-B Number of Stories 1 Proposed Use New SFR Assigned To Kristin Foster Property Information Owner Information Parcel#:01166900005500 LGI HOMES-WASHINGTON LLC LGI HOMES-WASHINGTON LLC 1450 LAKE ROBBINS DR STE 430 8915 170th Street NE THE WOODLANDS,TX 77380 Contractors Contractor Name Primary Phone Email Contractor License License# Contact Type ILGI Homes-Washington.Jake Jabusch 360-353- akeJabusch@lgihomes.com+CONTRACTOR Labor and ILGIHOHL857M ILLC 0588 Industries Review Date Type Description I Target Date I Completed Date I Assigned To I Status 7/17/2017 Residential Dwelling 7/24/2017 4my Rusko Iiin Review '7/17/2017 lResidential Dwelling 1 1-7/24/2017 lRick Karns Illn Review Fees Fee I Description I Notes I Amount Building Permit Fed322.10.00.01 $2,109.12 Building Plan Review Feel 345.83.00.001 $1,370.93 FumaA 322.10.00.01 $25.0 Gas Outlets Base Fee 1 to I 322.10.00.Oq 1 to 5 Outlets $10.0 Mechanical Fee(Enter Fixture Fee)j 322.10 00.Oq 1 @$2 $25.0 Mechanical Permit Base Feel 322.10.00.001 $25.00 Park-Community S 345.85.00.00 $1,662,00 Plumbing Permit Base Fed 322.10.00.Og $25.0U Plumbing Permit Fee(Enter Fixture Fee)j 322.10.00.0 11 @$12 $132.00 Processing/Technology Fed341.43.00.021 $25.00 State Building Code Surcharge Fe 386.O&O1.0q $4.50 Traffic Mitigation 345.85.00.02 %3.355.00 Water Heated 322.10.00.001 $25.00 Total- $8,793.5� Payments Date Paid By Amount Description I Payment Type Accepted By 7/17/2017 LGI Homes-Washington LLC $1.370.9 heck#4943 Knstin Foster 7/17/2017 LGI Homes-WashinQton LLC $7.422.62 heck#4942 jKristin Foster Total $8,793.55 Amount Outstandin :$0.0 Uploaded Files Upload File 1 Date File Uploaded B 7/17/2017 8:58:57 AM 1547 Site Plan pdf Foster, Kristin x 711 7/201 7 8:57:56 AM 1547 ADplication.pdf Foster,Kristin x c��Y °h.� RESIDENTIAL PERMIT APPLICATION • Department of Community& Economic Development City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE, ADDITION,DECK,OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS OF CONSTRUCTION DRAWINGS AND TWO AND THEETS OF RMECHANICAL SUBMITTAL FORMS.ULATIONS. THE APPLICATION THE ZONING ALSO INCLUDE THE PLUMBING SUBMITTAL VERIFICATION MAY BE SUBMITTED PRIOR. Project Address: r7 91 74 Plat:� 1a � S5 Single-family 0I Duplex ❑ Townhouse Ch Addition ❑ Accessory structure Proposed Area 11 Floor: 1 ,A_�- 2"d Floor: Garage: 4O 7i Total SF: 107 Describe Proposal (include cross street): Cat T� Valuation: Owner: aj Address: ��{/G) l�� 1Z�T� /d� City: State: Zip Code:5 2_a3 - Phone: Email: !/�IA�ct- ,�5_� �Ulo►viS Cam Applicant: Address: City: State: Zip Code: Phone: Email: Contractor: V=- Address: City: State: Zip Code: Phone: Email: Contact Person: �11A~r� +��L�N+�— License Number: �-D Expiration: —I/J— Received JUL 14 Z017 Nn I90 Page 7 of 3 6/16LP Y RESIDENTIAL PERMIT APPLICATION t Department of Community&Economic Development �i jN 0 City of Arlington - 18204 59th Ave NE-Arlington, WA 98223 -Phone(360)403-3551 Plumbing Section (continue filling out if plumbing is involved) (Check all that apply and indicate the number of fixtures proposed) Bath/Shower Combo (4.0) x Id/ Shower(2.0) x - 04 Lavatory(1.0) x r-V _ *A9 _'-11Vthes-b93her(4.0) x E� Water Closet(2.5) x Cg`" Dishwasher(1.5) x 4 L'�_"-Water Heater x Hose Bibb (2.5) x '� Water Heater Model# Other(list) x i C —Jy1V J i/l.`'I 1.0 Plumbing Section Continued Proposed Water Piping Size: ll _ Proposed nWV Material: Proposed Piping Material: Proposed DWV Size: �f • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019 All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) 6/16LP Page 2 of 3 �``Y °�' RESIDENTIAL PERMIT APPLICATION 0 Department of Community&Economic Development �lI GAO City of Arlington • 18204 59th Ave NE•Arlington,WA 98223 • Phone(360)403-3551 Mechanical Section (continue filling out if mechanical equipment is involved) Select proposed appliances: Furnace(80+) Model# Heat Pump Model# SEER HSPE OJ AC Unit Model# SEER ❑ Type II Hood ❑ Commercial Cooking Appliance 01 Hydronic Piping O; Boiler ❑ Solid-Fuel Appliance 0: PV System Q Fireplace Insert ❑ Outdoor BBQ Storage Tank ❑ Freestanding Stove ❑', Gas Piping 0{ Other Gas Piping Information Not Applicable: ❑ Pipe Material: Pipe Size: Total BTU's of all Appliances: j Zo, 1 Distance from Meter to Furthest Appliance: • New gas piping requires a pressure test to hooking to any appliance • Sediment traps (drips) are required on all gas lines • Gas lines are required to be supported/secured every 6 to 8 feet • Proper combustion air and venting required for all appliances • A shut-off is required within 6 feet of all appliances Applicant Signature: � Date: Print Applicants Name: VVI�� ytt ' 6/16LP Page 3 of 3 Permit#: 1547 Permit Date: 07/17/17 Permit Type: RESIDENTIAL SINGLE FAMILY Project Nam e Gregory Park Applicant Nam a LGI Horn cs -Washington, LLC Applicant Address: 11410 NE 124th Street, Ste #103 Applicant, City, State, Zip: Kirkland,WA98033 Contact: Matt Adam s Phone: 425-785-0797 Em al: m at.adam s@lgihom cs.com Scope of Work: New SFR Valuation: 187421.13 Square Feet: 1889 Num ber of Stories: 1 Construction Type: O xupancy G ioup: ID Code: Permit Issued: 08/07/2017 Permit Expires: Form Permit Type: Status: LASERFICHE Assigned To: Kristin Foster Property Parcel# Address L egal Description O wrier Nam e Ovner Phone Zoning LGI HOMES- 01166900005500 8 915 170th Street NE WASHINGTON Residence Single Dam iy -Detached LLC Contractors Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License# LGI HOMES- 12951 BELRED CONSTRUCTION Labor and LGIHOHL857MB WASHINGTON LLC RD#150 CONTRACTOR Industries Inspections Date I nspection Type D escription S cheduled Date C om Iieted Date I nspector S tatus 09/06/2017 R20.SFR/DUPLEX Com Iieted FINAL Plan Reviews Date R eview Type D escription A ssigned To R eview Status 07/17/2017 RESIDENTIAL SINGLE FAMILY 07/17/2017 RESIDENTIAL SINGLE z.Rick Karns FAMILY Fees Fee D escription N otes A m cunt Building Perm i T able 4-1 $2,109.12 Building Plan Review T able 4-2 $1,370.93 Gas Piping/Units E nter#of units 1 to 5 Outlets $10.00 Mechanical Fee(Enter Fixture Fee) 1 @$25 $25.00 Mechanical Base P erm i Fee $25.00 Plum ling Base Perm i Fee $25.00 Mechanical Comm ecial Perm i T able 4-7;Per Unit 1 1 @$12 $132.00 Processing/Technology $25.00 Water Heater(Tank) $25.00 Forced Air Heat f ee per Btu $25.00 Park-Com m uity SF S ingle Fam iy $1,662.00 State Surcharge- 1 st DU R esidential-1 st Unit $4.50 Traffic Mitigation-C/MF Cbm m ecial/Multi-faro iy $3,355.00 Total $8,793.55 Attached Letters Date Letter D escription 07/27/2017 Building Perm i Paym acts Date Paid By D escription P aym a►t Type A ccepted By A m cunt 07/17/2017 LGI Hom cs-Washington Check#4942 K ristin Foster $7,422.62 LLC 07/17/2017 LGI Hom cs-Washington Check#4943 K ristin Foster $1,370.93 O ttstanding Balance $0.00 Notes Date Note C reated By: 07/17/2017 Lot 55-Colum Ha K ristin Foster Uploaded Files Date File Nam e 09/21/2017 2641781-1547 Issued Perm i.pdf 07/17/2017 2449628-1547 Site Plan.pdf 07/17/2017 2449614-1547 Apnlication.pdf