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Home My WebLink About130 STILLAGUAMISH AVE_2902_2026 APPLICATION %.;ONSTRUCTION INFORMP-. fION FOR: Certificate of Zoning Compliance ❑ To CITY of ARLINGTON CLASS of WORK (check) NEW ❑ , ALTERATION ❑ , ADDITION ❑ DEMOLISH ❑. Building Department / Building Permit E] DescribeAlteration�6s eGc Z a .c c! f Certificate of Occupancy ❑ Date 6--0--co 4-/ 4 A' dig NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building Q shall be issued until an application has been made and approved for a certifi- Valuatio P otol fl or area $ ��o e N O T I C E cate of zoning compliance. Where work is started Plan checking fe§� $ before permit is obtained Owner _i r Ltr� L'�i9. Address //C.L/' 13�� Permit fee , $ �L a the permit fee shall v4( 4I• ;,,v t• be doubled. Permittee Address 6� Architect _ Address WKI)IFICATIONS Engineer Address / FOUNDATION Exterior Piers COVERING Contractor �� - t [.[i �a'-P `1 Address_/�® �� :��``' Material Exterior walls LEGAL DESCRIPTION OF PROPERTY: Lot No. '91 /s Block No. Width at top Interior walls _ p p �� / /` k lj / 3� _/./, /� Width at bottom Roof or reroofing Subdivision or Un tatted description _c t— Cs d C O[liTrr.J Depth in ground ZONING INFORMATION FRAME Size Spacing Span FLUES TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W. Plate(sill) Fireplace proposed main building (circle) proposed main building (circle) Girders Floor furnace A B C D E F G H I J 1 II III III 1 hr. III HT Joist, 1st floor Kitchen DIVISION 1 2 3 4 IV IV 1 hr. V V 1 hr. Joist,2nd floor Water heater Joist,ceiling Furnace Use Zone _Fire Zone_ Area of Lot Size of building or addition No.of stories Exterior studs Gas Oil Total height At Basement floor area_ oMQnrA— Ist Floor area Interior studs Additional floors and areas No. of rooms- No.of families .01 Roof rafters � No.of buildings now on lot__ _ _Use of buildings now on lot Ndrvv 9- Jle Bearing walls Percentage of lot covered by main building Additional Permits are required for: Percentage of lot covered by accessory buildings_ (check) IMPORTANT Kind of livestock ❑ Plumbing, ❑ Signs, ❑ Moving, Written authorization of owner must CHANGE OF OCCUPANCY from to ❑ Sewer hookup, ❑ Water hookup, be presented when applicant is occupant If a commercial building,list each use and its area in square feet: ❑ Gas appliance and Gas piping- or lessor. I am the legal owner of the I hereby acknowledge that I have read this application and property described in this application. state that the above is correct and agree to comply with all , city ordinances and State Laws regulating zoning and building y "0/ Owner DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANT— PLOT PLAN FOR DEPARTMEN r AL USE Draw below,to scale, a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑ Checked Initials l. Dimension and shape of the lot. 1. 2. Front street name. 2. Building Permit P!� Certificate of Occupancy ❑ checked and approved. 3. Side street name if corner lot. 3, 4. Sizes and location on the lot of buildings already existing. 4. 5. Location and dimensions of proposed building or alterations. 5. Building Inspector _ Date 6. Front yard,side yard,rear yard setbacks. 6. 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. Date-`-)" front yard trees and shrubs,green belt. 8. Location and size of required off-street parking and loading. 8. INSPECTION RECORD Inspection Date Signature Set Back Excavation Concrete Reinforced Steel Grout Blocks Bond Beam Frame `� t Roofing �' Room Ventilation,,, Kitchen Vent Bathroom Vent Foundation Vent 1 a l Access Hole '`� Garage Fireproofing Fireplace vs-( I Spark Arrester ` Water Closet Water Heater Sewage Disposal r4- Lathing Plastering Correction Order Left f y Stop Work Order Issued 31 Stop Work Order Released Max a- ; - I P Give brief report of special or unusual conditions jy r err IL Job completed Dote? �Z- -Buililing Inspector 4Y Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Date MOORE BUSINESS FORMS INC LA