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HomeMy WebLinkAbout16501 41ST DR NE_067074_2026 4-ING RESID�, NTIAL ADDITIONip4LTERATION PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360)403 3431 • FAX (360)403 3447 THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, SIX(6) ACCURATE, FULLY DIMENSIONED PLOT PL/ANS AND TWO(2) SETS OF ENERGY CODE APPLICATIONS. AddG� �l'!� iiw'�r�u��A �� �e fib; „ 1°� G� TYPE OF PERMIT: Residential Addition ( ) Residential Alteration Plumbing ( ) Mechanical Project Address: Parcel IDS#: Lot#: Subdivision: Project Description, Owner: U nJf i 4,4, Phone rNu Imbber: It Address: (OS �.)Sf Z?,L - City: State: 1L Zip Code: t� Contact Person: Ph e ber: a5_ 5cJ Cell Phone: Fax: E- il: Address: City: Stat Zip Code: Building Area (Sq Ft): 151 Floor: 2"d Floor: 3`d floor: Deck: Garage/CaA rt: Basement: Project Valuation* �W X - ! .'� r: 1 l �J�r ?� ► � � T. Contractor: Phone Number: Address: vlty State: Zip Code: Contractor's License Number: Expiration: Plumbing Contractor Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: I hereby certify that the above information is correct and that the construction on, and the occupancy ancjf)���e- described property will be in accordance with the laws, rules and regulation of the State of Washington. T8 .-A LluYX - R Applicants Signature Date JUN 19 2066 -(.��1 r* Print Applicants Name Ur%, PERMIT CENICK FOR STAFF USE ONLY o0 Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-39 Page 1 of 1 5/05 dwa 0"'y °f RESIDENTIAL APPLICATION o SUBMITTAL CHECKLIST Department of Community Development City of Arlington • 238 N Olympic Ave. • Arlington, WA 98223 • Phone (360)403 3431 • FAX(360)403 3447 Please use this checklist to ensure that all necessary information is provided for review of your project. � s�I tVELD A completed building permits application Cot P�RM1TCLN1- : Six (6) accurate fully dimensioned plot plans % Two (2) sets of construction drawings I` Two (2) sets of engineered drawings and calculations (If required) A completed Energy Code application �t A photocopy of current Washington State Contractor License Verification of Water and Sewer Availability from City of ` Marysville (if applicable) Health Department Approval of septic system at time of submittal APPLICATIONS ARE ONLY CONSIDERED COMPLETE IF ALL INFORMATION REQUESTED ON FORMS IS FILLED IN. 'EB Forms—40 Page 1 of 1 5/05 dwa rr s n S-6" I R tl ill . U4 t� NU" a5� Oar'" tj ©� ev � I I S K to W j wff^^ 5'-0" S-O 1 " _._K 0 cc o I \'U I fl r I REF Z J DWR DWR � M DWR \ DWR N DWR u / DWR ELEVATION 2'-6" 2'-4 2" V-0" f 0 I - I �N IHOOD FAN t� I I DWR -I RANGE 0 I J i J