HomeMy WebLinkAbout17516 79TH DR NE_056760_2026 L; I T")r OF- 1 h4C3T"-HIV
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Owner: SEATTLE PACIFIC HOME: PO BOX 123 MARYSVILLE 138270
Value of Mork: $4, 000. 00 Tax ID: 010179-000- 0 3:3--00 Phone. 3G0. (:-)57. 4144
Describe Work: CONSTRUCT DECO{
Proposed Use: SFR
Legal Description: MAGNOLIA ESTATES LOT 33
Job Address: 17516 79TH PL NE
,Contractor's Jame Type Address 'License*
SEATTLE PACIFIC HOMES GEN PO BOX 123 SEATTPH005BU
I
TOTALS Fee
Permit Fee $109. 50
Plan Fee $71. 18
State fee $4. 50
SIGNATURE:
TOTAL F GE. . . . . . . . . . . . . . . . . $185. 18 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 THE SAME TO BE TRUE AND COR--
ALL PROVISION` OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $185. 18 NANC "S GO V ;RN' ! , THIS TYPE OF'
WIL C MP' 'T� WITH WHETHER
FIE ,' H N NOT.
DATE RECEIPT #
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1 � � 3 �
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�``Y °f MISCELLANEOUS BUILDING
7 o PERMIT APPLICATION
�rw�� 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
C 7�1 "79 fi L)R IV42 v ic,)�g- oao -03 -��
Project Address Parcel ID#:
Lot#: 3l Subdivision: M "f n i>1 c ti r-,f", tQS
Building Area(Sq Ft) ' U No.of floors: Number of Buildings:/ N14 U
Owner: �C`'fflc'_ ! �lC- �� H°`►�I t Phone Number: 3 "l! '1•I
Address. � X I 3 City: State: w� Zip Code 'cl � A 7oI
Scope of Work: N�LIV Cf U n j"- (,%V_" v ) G O S`L ,
S F� Nai-�0 4 lS -tb -SO-Je
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 L /1
Contractor: Sc"r�-�'I 1 �j� I °`M -T�Jc- Phone Number: U C - k_7 - I1Y7
Address �' O 13,o I 3 City: State: �— Zip Code: cl -76
Pk o a� .� I - 3 i -o.�
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 abo
described property will be in accordance with the laws, rules and regulations of the State of Washington.
os-
Applicants Signature Date
Print Applicants Name ��7
RECEDED
Nov 17 NOT
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