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HomeMy WebLinkAbout17425 74TH DR NE_077433_2026 2 3, INSPECTION REPORT Permit No.: '� 'l -7143 5 Lot #: Address: 1 -7 y z s 7'I 0 Contractor: A//,m A L,g= A& Owner: Date: Z--y - 0 8 ,-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. Inspector: Date: Z "`/� 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 (L4 Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 4+-4 INSPECTION REPORT '` P • Permit No.: 07 74/13 Lot#: Address: l 7 If 7_5 7 Y rc Contractor: r,� • Owner: Date: ❑ APPROVAL 0 ARTIAL APPROVAL El VIOLATION CORRECTION REQUESTED 016-6orrections 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. fin► d+t✓t �-'-f p�s r .., G,✓fin-t�t2,s rz O -,r tr./ .J)O A-M L rz,-, S Inspector: Date: -JI TYPE OF INSPECTION REQUESTED Under-floor ❑ Framing ❑ Gas Piping .nq ❑ Drywall, Nailing ❑ Consultation ❑ Shear Nailing ❑ Groundwork ❑ Grid ❑ Struct. Slab ❑ Rough-in 4<Final ❑ Drainage ❑ Insulation ys� INSPECTION REPORT • Permit No.: O -2 33 Lot #: Address: l 7 y,; S-) Yr"A6- Contractor: 11%hal v� • Owner: C� Date: ff I(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. jzl Inspector: Date: f TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing O' Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical J Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: iz_ z5+o INSPECTION REPORT • Permit No.: 0 7 -)L1 3 3 Lot#: Address: 1-),4 Z s 7 4 e/L- Contractor: t-P I o., - L.,V+"? , Owner: Date: / - t ?-o,7 A 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. lN.S`nL� o9wP��� Inspector: _41- r Date: //— /3- 0 7 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 ❑ Masonry ❑ Drainage Xinsulation ❑ Other: -INSPECTION REPORT ► Permit No.: 0 2-,7y,?� Lot #: Address: 0V Contractor: Y-;N g �� • Owner: Date: 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. N _J �L Inspector: _4Date: — _t TYPE OF INSPECTION REQUESTED ❑ Under-floor .Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork 6-Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Permit No.: 07 7V 3 3 Lot #: Address: 17Y2 s- 7!j U_Ve_ Contractor: th M!2 y a Owner: Date: _ r o- 3 i-o 7 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. Inspector: Date: / °`3/-o 7 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove d Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: A A� INSPECTION REPORT • Permit No.: 0'7 7 Y 3 3 Lot #: q Address: _ 1 7 `f 2-A 7 4 D �- Contractor: t- i," r+-L-!±21 �- • Owner: Date: !a r 3 c-.) ❑ 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. /W P/l�uti N Inspector: z Date: /0-30 'fl-1 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing WGas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove GM Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: P INSPECTION REPORT Permit No.:<:::5 - '?,Y3-3 Lot #: Address: T= 2 VI'ti Contractor: • Owner: Date: X 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. r i i /fit �j v Inspector: Date: Z 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 ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: �.� INSPECTION REPORT Permit No.: ��'� 3�Lot#: Address: Contractor: • ♦ Owner: Date: _ 0 r '02 9(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. Inspector: Date: �D 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 ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT • Permit No.: 02- 2 .3 Lot #: Address: / 7 ` � S'-�- 7 �4 Contractor: :�,�,%t • • Owner: Date: C/ A'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. Inspector: Date: C' 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 ❑ Masonry Drainage ❑ Insulation ❑ Other: 3 s� INSPECTION REPORT Permit No.: n? 7 ti 3 5 Lot #: Address: 17,4 25 7 y Or,- Contractor: 141 eA ✓tom? a • Owner: -- Date: 9—o $,APPROVAL ❑ PARTIAL APPROVAL (J 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. f_-U y N ern a./_5 1are P I-o) J`CYO Inspector: :�,cam"tom Date: 9 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation a Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT 2'7- • Permit No.: D•7 7 53 3 Lot #: Q Address: .. 7-Y Ls -7 -5�' 02 Contractor: N, A Owner: Date: - r —o (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. P,rt�syo Inspector: Date: '/—/2'07 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ,g Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: I q,14- -®-q- per_ 0©ao c ;- vKA G CITY OF ARLINGTON 238 N.OLYMPIC AVE.-ARLINGTON,WA.98223 PHONE:(360)403-3421 PERMIT FEES/RECEIPT DATE: Friday,September 14,2007 PERMIT#: 07-7433 PROJECT ADDRESS: 17425 75TH DR NE,,ARLINGTON LOCATION: APPLICANT: -0-HIMALAYA HOMES 9633 MARKET PL#201 LAKE STEVENS,WA 98258 425.377.8600 *FEE SUMMARY: Description Fee Amount Paid Balance Due Permit Fee $1,000.00 ($1,000.00) $0.00 C-Building Permit Fee $1,840.25 Plumbing Fixtures-14 $140.00 ($140.00) $0.00 C-Plumbing Permit Fee $25.00 ($25.00) $0.00 Furnace/Unit Heater-1 $15.00 ($15.00) $0.00 Ventilation Fans-4 $28.00 ($28.00) $0.00 Dryer-1 $11.00 ($11.00) $0.00 Metal Fireplace&Chimney-1 $11.00 ($11.00) $0.00 Water Heater-1 $15.00 ($15.00) $0.00 Gas Piping I-5 Outlets-1 $6.00 ($6.00) $0.00 C-Mechanical Permit Fee $24.00 ($24.00) $0.00 C-Building Plan Review Fee $196.16 ($196.16) $0.00 C-State Building Code Surcharge $4.50 ($4.50) $0.00 Total Due: $3,315.91 ($3,315.91) $0.00 *FEES ARE ESTIMATED BASED ONINFORMATIONPROVIDED AT SUBMITTAL-SUBJECT TO CHANGE PAYMENT TRANSACTIONS: DAt¢. Receipt# Method/Payee _+ ._ Paid 9/7/2007 CRCT3325 Cash/ ($1,000.00) No Fee Description! ($1,000.00) 9/14/2007 REC000015 Check 51825/-0-HIMALAYA HOMES ($2,315.91) C-Building Permit Fee ($1,840.25) C-Mechanical Permit Fee ($24.00) C-Building Plan Review Fee ($196.16) C-State Building Code Surcharge ($4.50) C-Plumbing Permit Fee ($140.00) C-Plumbing Permit Fee ($25.00) C-Mechanical Permit Fee ($15.00) C-Mechanical Permit Fee ($28.00) C-Mechanical Permit Fee ($11.00) C-Mechanical Permit Fee ($11.00) C-Mechanical Permit Fee ($15.00) C-Mechanical Permit Fee ($6.00) " °� .VGLE FAMILY RESIL- cNCE BUILDING PERMIT APPLICATION r►vG�OI 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 PLANS AND TWO(2)SETS OF ENERGY CODE APPLICATIONS. TYPE OF PERMIT: Building ( ) Mechanical ( ) Plumbing ( ) Combination Project Address: / 1 � 0-5 � � <I`q� A-le Parcel ID#: Lot#: Subdivision: IlVU d I /1 Project Description: f Owner: —t r 4 t r L ) 1)1-r Phone Number: Address: (/�j �� j� / # �/��City: State: 1'114�q Zip Code: Contact Person: Phone Cell Phone:( , 5/�� � Fax.L�17/ j ]7 7J�t/�E-mail: �'� h�{ysil/] Address: 11� r elf City: � State: vA Zip Code: 76� 50 Lending Agency: Phone Number: /V/' Address: City: State: Zip Code: Contractor: l nVA-(zq / `�-� Phone Number: 41.)^ , 3-7 7 Address: �I�V J� �� r`�'! ��/City: -S �(/(° �S State: lQ,� II // �- ILL/Zip Code: /�/)� Contractor's License Number: M4� �J I �L�LL =_ Expiration: ! to -31 Plumbing Contractor* 5) 0�r �!�' � PIZ"n11 Phone Number: -- - �q�7�,�-) Address: _ ! [/T�� 1�7 �1 1��� /V City: State: - -L Zip Code: 1 l'1 Contractor's License Number: /V !1�l Expiration: Mechanical Contractor: I-en /'J���{�liJ Phone Number: _�2ly Address: pCity: r 11 State: Zip/Code: Contractor's License Number: Expiration:- !//ztz(zy- FOR STAFF USE ONLY l 9i 8 S to-5-0 7 pennit# Accepted By Amount Received Receipt# Date Received WEB Forms-45 Page 1 of 2 5/05 dwa • t �1�y �� IfNGLE FAMILY RES1. ENCE z BUILDING PERMIT APPLICATION �Lr►voSo Department of Community Development City of Arlington•238 N Olympic Ave.•Arlington,WA 98223•Phone(360)403 3431 •FAX(360)403 3447 Number of Plumbing Fixtures (Including Rough-Ins) Plumbing Fixtures Accessory Main Unit#X Total Fixture Total Number Fixtures Dwelling Unit Residence Multiplier Units Bar Sink X 1.0 = Bathtub or Combination Bath/Shower X 4.0 = Clotheswasher X 4.0 = Dishwasher / X 1.5 = �,J Hose Bibb X 2.5 = S Kitchen Sink X 1.5 = 1, 5— Laundry Sink X 2.0 = 0 Lavatory(Bathroom Sink) 3 X 1.0 = J? Shower(Stand Alone)Each Head X 2.0 = oZ Water Closet(Toilet) X 2.5 = j Whirlpool Bath or Combination / X 4.0 = Bath/Shower V Water Heater / Other 7 Total Fixture 7 Units4 Traps(other than above items Column Totals S Estimated Project Valuation G� Building Square Footage 15t Floor / 2"d Floor �/ 1l0 3rd Floor I Basement .// /L/ "/,2 ��/y/S/�T 4�.�) Deck Garage Water Supply Piping A. Fixture Units:Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. C. Difference in elevation between meter and highest fixture: feet above meter or feet below meter. D. Pressure in street main: psi.(Measure with gauge or check with Water Department) 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 regulation of the State of 1 ashinaton. Applicants Signature D to FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 2 of 2 5/05 dwa Gt� Y �11 City of Arlington �,� o Community Development tING� Permit Center REQUEST FOR REVIEW NAME: IVI�,rt/J BP #: DATE: U' ' D7 RETURN THIS FORM BY: PROJECT SUMMARY: SI RESPONDING DEPARTMENTS TOM C., FIRE DAVE A., BUILDING ✓-46 1 ITIES ll KF_R Y W., BUILDING BILL B., NATURAL RESOURCES SCOTT B., BUILDING ENGINEERING YVONNE P., PLANNING SHERRI PHELPS, BUS LIC CWA., CONSULTANT DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO ❑ NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY DATE City of Arlington -, Community Development Z1N G'S0 Permit Center REQUEST FOR REVIEW NAME: //7��[ %G(_. IY19i-:� BP #: DATE: RETURN THIS FORM BY: r- PROJECT SUMMARY: S I ✓Z- RESPCNDINIG CEFAP.T", E"J T S TQ%. i C., FIRE UTILITIES KERRY W.,(UI LDING BILL B., NATURAL RESOURCE - SCOTT B., DING S i ENGINEERING ,1ia; ,� YVONNE P., PLANNING SHERRI PHELPS, BUS LIC CWA., CONSULTANT DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY 'v DATE VAT Y O 1. City of Arlington 7 Community Development � -IN G'S� Permit Center REQUEST FOR REVIEW NAME: /`I //71�[ 6 /G �1 :7 BP #: DATE: s;' — lL' " 7 RETURN THIS FORM BY: PROJECT SUMMARY: S l ✓� GESPC^"D,'1 'G D LE:PAP.T^"E1 J T S T01M C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING BILL B., NATURAL RESOURCES ' SCOTT B., BUILDING ENGINEERIN.(2", I�b YVONNE P., PLANNING RI PHELPS, BUS LIC CWA., CONSULTANT �� DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO ❑ NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT COMMENTS - C5�k�� DATE REVIEWED BY -, 1'_,eZ*-­ � o G1T Y Ol, `" City of Arlington .� Community Development �LING�0 Permit Center REQUEST FOR REVIEW NAME: /�f /i71/_�� %GL �Y/7> J BP #: DATE:— " lU " lJ RETURN THIS FORM BY; & PROJECT SUMMARY: IRESPCIvDING DEPART^,•"ENTS TOM C., FIRE DAVE A., BUILDING UTILITIES KERRY W., BUILDING c BILL B., NATURAL RESOURCES SCOTT B., BUILDING ENGINEERING YVONNE P., PLANNING SHERRI PHELPS, BUS LIC CWA., CONSULTANT DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO 01, NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS i- ' -- 7)-- REVIEWED BY 1 _DAT[=�` — — � s City of Arlington Community Development Permit Center REQUEST FOR SFR REVIEW RESPONDING DEPARTMENT: PLANNING I' BP #: ��- 11 33 NAME: ADDRESS: PLEASE RETURN FORM WITHIN 3-5 WORKING DAYS FROM -� E4 Mitigation Fees Verified: d 0 School Mitigation Fees: �+ Community Park Impact Fee: �I Mini-Neighborhood Park Impact Fee: fl Trip Impact Fees: 91 Set Backs Verified Required/Existing: Zoning: Front Yard/ Street Setback Rear Yard Setback ?S� Side Yard Setbacks�� 1c, Lot Coverage Verified 1 G 9 Shade Trees Verified on Site plan l Height Verified (Called out on Site plan) 101, SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments, either on the drawings or in memo form, to the Permit Center. If you have no comments, please return the form with the"Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO PERMIT CENTER. IN COMPLIANCE WITH LAND USE CODE - OKAY TO ISSUE 0 NOT APPROVED -ADDITIONAL INFORMATION REQUIRED o (SEE ATTACHED REDLINES OR MEMO FOR COMMENTS) a REVIEWED BY DATE �' i ONG'8� City of ArlingtonCommunity Development t�1i yes IV. Permit Center REQUEST FOR REVIEW NAME: '���//7 J��l�G/GL �4�>��1�-' BP #: DATE: �(;' lU " 7 RETURN THIS FORM BY:-- PROJECT SUMMARY: SIl l2 RESP0NDI1uG DEPART''AENTS TOM C., SIRE DAVE A., BUILDING KERRY W., BUILDING � BILL B., NATURAL RESOURCES SCOTT B., BUILDING 19 ENGINEERING YVONNE P., PLANNING SHERRI PHELPS, BUS LIC .: ''� Gc €.Ec �` CWA., CONSULTANT DERYL T., MARYSVILLE UTIL JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form to the Permit Center. If you have no comments, please return the form with the "Okay to Issue" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO THE PERMIT CENTER. ❑ COMMENTS FOR THIS REVIEW ARE IN THE ATTACHED MEMO 8� NO COMMENT FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY Ou DATE (a , S 7 '`zmw j \ T a a i o 31. V CCa ~ C 0o A S ~!r J Nni co o � rn y 75th DRIVE NE ----- A :, ----------------- - -Y--p---'`Q--�--r n ° S01 U 29"W 60.00' ° �c — 20'BSBL — — a a I I o co 20'-0„ 101 c N-Zi Z o a s y0 I 20'-0" I I Z 4 I o I oo I I I �I I I p I I o zZN � I I 0 CO �� 10' VEGETATION RETENPON ESMT 1 N017534'E 60.00' y co