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HomeMy WebLinkAbout17526 79TH DR NE_066869_2026 C I TY OF= AFRL I hIGTQIV CONST HUCT I C3M F3E FRM I T PERM I T P10 _ Q16 —E�E36C3 OMner: SEATTLE PACIFIC HOME PO BOX 123 MARYSVILLE 98270 Value of Work: $4, 000. 00 Tar. ID: 010179-000-031-00 Phone: 360. 657. 4144 Describe Work: 100SF DECK Proposed Use: SFR Legal Description: Job Address: 17526 179TH DR HE Contractor's Name Type Address License# SEATTLE PACIFIC HOMES OWN PO BOX 123 SEATTPHO05BU TOTALS Fee Permit Fee $111. 50 Plan Fee $72. 48 State fee $4. 50 SIGNATURE: �z/ TOTAL FEE. . . . . . . . . . . . . . . . . $188. 48 I HEREBY RTIFY THAT I HAVE READ AND IRE THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KN THE SAME TO BE TRUE AND COR- REM tLL PROVISI NS F LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $188. 48 ORD N NCE GOVE IN THIS TYPE OF WO ILL C LI WITH WHETHER SP ' I IE� 0 OT. DATE RECEIPT # jA � BU L NG ICA dy- gjj�%� won 1 11 1 11 I I I II u r r 1 ' - I ■ _ _ ' J '- - I J I IICO 1 ■ _ T j dw11! Mai -LDrA % ■ _ -.-Sao bv.mIMM ■n 111711.,itgr 1TM ,A1 ,! IiQ1til �1 T� ■Id-A. 44,■ ?-1■ R� I II �'� 1.1_g Awn 1 -0,4 1!' I'm I-u !3A]-3 � lT _j7 1 -!1 Ll1 A_] ra rT R NMI I _ r. nt1raT11-1t 11 r = _ - � 1 - _ - _ / _-jN% II 1n-T11 ► � I I I II 1 y• 1 ■ C,'' I' •_ 1 NIT -10 111 ' 1 1 J I 1,• 11 1 1� 1 �-�•� , f 1 4'�Y ° MISCELLANEOUS BUILDING 7� o PERMIT APPLICATION �rivG� 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 Project Address ' 7�0� 6 79 A OR Al E Parcel ID#: ��� Lot#: 3 Subdivision: M 92, n `'i r-ti IT 5 tti t es Building Area(Sq Ft) I 0 O No. of floors: Number of Buildings: NA Owner: (5��, 9 G 1 F'I v iyl e S Phone Number: 3 C — " Address: r �� X '13 City: 2J -2^IS v,11 CL State: W Zip Code: 7L, I Scope of Work: IV ✓ C U e n J t (,L,,—f iv t� D / U G S`� , � J- 0,- S FF= , qC--I-�ij + 15 �b .tb -!so- 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. 1 J Contractor: C;c!"�f't�� I � ' I` 1- °"� v-� -�-i'1�- Phone Number: � �'s7 " q1`�7 qY Address: 1 L' `' , City: 'ny '�r� State: _=—A Zip Code: 'J S -A -76 Contractor's License Number: "'+ O U,5- I-) t4 Expiration: I 3/ — ° 7 1 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 Print Applicants Name gF.-WED FEB 01 2006 COVt P[RMIT 01 --1? Forms/MISC-1 y I • City of Arlington Development Services Permit Center REQUEST FOR SFR REVIEW RESPONDING DEPARTMENT: PLANNING DEPARTMENT nn -- BP #: ©�• �� NAME: �-Gl ovJ I a Lo ? GI ` PLEASE RETURN FORM TO LINDA WITHIN 5 WORKING DAYS FROM l3 O�c ❑ Mitigation Fees Verified: School Mitigation Fees Park Mitigation Fees: Trip Mitigation Fees: ❑ Set Backs Verified: Zoning: Front Yard/ Street Setback Rear Yard Setbacks Side Yard Setback Impervious Surface Verified Shade Trees Verified on Site plan Elevation Design Verified 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 Building Department. If you have no comments, please return the form with the"No Comments" box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO LINDA. IN COMPLIANCE WITH LAND USE CODE — OKAY TO ISSUE ❑ IN COMPLIANCE WITH DESIGN GUIDELINES — OKAY TO ISSUE ❑ NOT APPROVED —ADDITIONAL INFORMATION REQUIRED o (COMMENTS) REVIEWED BY DATE 11-1( 0 (� • City of Arlington Development Services Permit Center REQUEST FOR REVIEW NAME: , BP #: 06- DATE: J96,; RETURN THIS FORM BY: PROJECT SUMMARY: RESPONDING DEPARTMENTS TOM C., FIRE DAVE A. BUILDING KAREN L., UTILITIES KERRY W; BUILDING DERYL T., MARYSVILLE UTIL SCOTT B., BUILDING BILL B., NATURAL RESOURCE YVONNE P., PLANNING GREGG E., ENGINEERING CWA., CONSULTANT SHERRI PHELPS, BUS LIC JIM T., CONSULTANT SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your comments in memo form. If you have no comments, please return the form with the"No Comments"box checked. PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO PC ❑ COMMENTS FOR THIS REVIEW ARE IN ATTACHED MEMO NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY DATE 0 0 G``Y MISCELLANEOUS BUILDING �� o PERMIT APPLICATION �1NG.' 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 ) 7�a6 7-7A OR AlE v i�)-�g-oao - 03( �vb Project Addres1s: Parcel ID#: Lot#: 3` Subdivision: cl 2 n �'�r r�' ��+� �'e s Building Area (Sq Ft) I Q U No. of floors: I Number of Buildings N/q p Owner: S� ,t f)L- 1 "l C 7V 1 e- 0°`vt e Phone Number: 3 6 C - 6 S 7 - Address: ( t' =� X � City: M"►^y S L . 1(L State: W� Zip Code: J D A 7cI Scope of Work: ! V U✓ C� U n J t f",V.-- 110 L� U / V C Sc� J- ^ f{aI- 0 f IS yb fb 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. ,J Contractor: ��"�t�l � " T�� o Phone Number: J� f' �'S7 v C� 7C 3 M�+,�y s�� «� Address: �' p City: State: WA Zip Code: Contractor's License Number: "� I U,):�- 17) -Expiration: 1 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. 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