HomeMy WebLinkAbout17522 79TH DR NE_067150_2026 f 4f
INSPER:TIUN REPORT
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¢ti1N G TO Permit No.: 0 4 7 f TO Lot #: 3 7—
Address: t 7 S zz- -7 9 a
Z Contractor: zk z_F ,�
Owner:
IN O Date: 9 ot.
;APPROVAL ❑ PARTIAL APPROVAL
❑ IOLATION ❑ 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.
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Inspector: - Date: 17 0
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 IR Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
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�'TY ° RESIDL .JTIAL ADDITION/, LTERATION
z PERMIT APPLICATION
��/N G'�O 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: ( ) Residential Addition ( ) Residential Alteration�� -�
r ( ) Plumbing ( ) Mechanical
Project Address: L7Ja�- �I^- oi Parcel ID#: - � �,- �n
Lot#: � � Subdivi ion: � �
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Project Description: ---/ a I Zr 'D
Owner: AA
Phone Number: 3�
Address: Z 7 City: L State:l //ber:� Zip Code:
Contact Person: Phone Number
Cell Phone: Fax: E-mail:
Address _ City: State: Zip Code
Building Area (Sq Ft): 151 Floor: 2nd Floor: 3rd floor:
Deck: Garage/Carport: Basement:
Project Valuation:
Contractor:` ��L �� Phone Number:
Address: - City: 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 and the use of the above-
descri ed properlyill be in accordance with the laws, rules and regulation of the State of/W��/a�s�hington.
Applicants Signatu ate
N - A-
Print Applicants Name
FOR STAFF USE ONLY
S� �p 816410(o
Permit# Accepted By Amount Received Receipt# Date Received
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Owner: SEATTLE PACIFIC HOME PO BOX 123 MARYSVI.LLE 136270
Value of Work: $4, 000. 00 Tax ID: 010179-000-032-00 Phone: 360. 657. 4144
Describe Work: CONSTRUCT DECK
Proposed Use: SFR
Legal Description: MAGNOLIA ESTATES LOT 32
Job Address: 17522 79TH DR NE
Contractor's Have Type Address License#
SEATTLE; PACIFIC; HOMES GEN PCB BOX 123 SEATTPH005DU
TOTALS Fee
Permit Fee $109. 50
Plan Fee S71. 18
State :fee 84. 50 r---
:iI GNATURE
TOTAL. FEE. . . . . . . . . . . . . . . . . $185. 18 I HEREBY CERTIFY THAT I HAVE READ
ANr, EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 THE SAME TO HE TRUE AND COR-
AL L P OVISIi-' '3 OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $185. 18 ANCES UOVERt lCi "HIS TYPE OF
W WILL E WITH WHE'rHER
' T:I E U L
DATE RECEIPT #
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GY °f MISCELLANEOUS BUILDING
,�,, o PERMIT APPLICATION
tING� Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360)403 3431 • FAX (360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY FOUR(4 SETS OF CONSTRUCTION DRAWINGS, SIX(6)
ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO(2) SETS OF ENERGY CODE APPLICATIONS(IF
APPLICABLE).
Type of Permit: (check one) (Residential ( )Commercial
1 7S� 72 t� 1)/� IVE n I6I")c1-0cc �-O3� -06
Project Address: Parcel ID#:
Lot#: Subdivision: I ' fl`� n " r 21 �- 5 t`i eS
Building Area(Sq Ft) / D v No.of floors: I Number of Buildings: NA
Owner: ! Ce" f /e- ! SIC ' rS r,- 0 v`Vl a Phone Number: 3 t C - I- S 7
Address: P. b , B, x City: 21c-1^y S L- Ile State: W Zip Code: 'J 7o
Scope of Work: Nett/ C� U n J (,u,-, io t7 D l U G Scr-- ciLc� p
I e- 0 f /S S/ -"sr-1,4— 4
A detailed site plan/vicinity map, and construction drawings may be required depending on the scope of work. Please verify this with a
Community Development Permit Technician prior to submitting application for review.
Contractor: - "' �� ��� °`y',A��nn-� / =' r- Phone Number: J ' �'
Address U `� J 3 City: /"I`'�ySy'll State: --L- Zip Code: (1� ��y
Contractor's License Number: ��"' Ph D U,-�- L LA Expiration: I - 3 I -o 7
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 regulations of the State of Washington.
Applicants Signature Date
��Gh �, f+I e-;J ell- ��
Print Applicants Name RECEIVED
NOV 17 2005
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