HomeMy WebLinkAbout17417 81ST DR NE_066912_2026 C I T Y U F= F4 R 1_ I P4 G"T"C)hl
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PE F;tM I T NO_ GD6 —6 9 1 2
Owner: DONOVAN HOMES P 0 BOX 3097 ARLINGTON 98223
Value of Work: $3, 000. 00 Tax ID: Phone: 360 659-e8082
Describe Work: DECK
Proposed Use: DECK
Legal Description: DOGWOOD MEADOWS, LOT 22
Job Address: 17417 81ST DRIVE NE
Contractor's Naive Type Address License#
DONOVAN HOMES GEN 7610 77TH PL NE DONOVH*077BN
TOTALS Fee
Permit Fee $95. 50
Plan Fee $62. 08 �
State fee $4. 50
SIGNATUR
TOTAL FEE. . . . . . . . . . . . . . . . . $162. 08 I HEREBY CERTIFY AT I HAVE READ
AND EXAMINED THI APPLICATION AND
PAYI'[ENTS. . . _ . . . . . . . _ _ . .. . . . $0. 00 KNO ' THE SAME TO BE TRUE AND COR-
RE ALL PROVII-IONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $162. 08 0 IIANC r GO V RN NG THIS TYPE OF
W K WIL BE ( MP IED WITH WHETHER
S C FEE YE& N NOT.
DATE RECEIPT #
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Y °f M iCELLANEOUS B ILDING
7� o PERMIT APPLICATION
1ING'� 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 O Commercial
Project Address: Parcel ID#:
Lot#: --- Subdivision:
Building Area (Sq Ft) l No. of floors: Number of Buildings '
Owner: �crs�-,�0,- Phone Number:
Address: [PC 9' cz, 3077 City: A L� ,Janj State: yJ4 Zip Code:
Scope of Work: ,q elOP 4 ` w
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: �eNu��''�� 11��� Phone Number.
Address: G'o r City: �`' `''`� State: `' Zip Code: 9` �3
Contractor's License Number: 12c,".l✓� CEZZ OV Expiration:���
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.
Appli anntts Signatur Date
Print Applicants Nafne y,¢
MAR ()6
FOR STAFF USE ONLY
Permit# Accepted By Amou—nTAeceived ectxpt# Date Re eived
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RECEIVED
MAR 0 6 2006
"COA PUN I CENTR,