HomeMy WebLinkAbout17508 79TH DR NE_056759_2026 C I "T 'Y C)f= F21_ 1 iV C9 l U 1y
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Owner. : SEATT'LE PACIFIC; HOME. PO BOX I""J MARYSVILLE 96270
Value of Work: $4, 000. 00 Tar: ID: 010179-000--034•-00 Phone: 360. 6'.57. 4144
Describe Work: CONSTRUCT DECK
Proposed Use: SF'R
Legal Description: MAGNOLIA ESTATES LCIT 34
Job Address: 17506 75TH DR NE
Contractor's Name Type Address License#
SEA T TLE PACIFIC: HOMES GEN PO BOX 123 _SEA'fTPH005L',U
TOTALS Fee
Permit Fee $109. 50
Plans Fee $71. 16
State fee S-4. 50 z
SIGNATURE:
TOTAL. FEE. . . . *185. 18 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . $0. 00 KN W THE SAME TO BE TRUE AND CC]!d-
Rf ! ALL PROV SICN:� OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $185. 18 NAND GO ER ING THIS TYPE OF
W R!' WI [ UM ' .IED WITH WHETHER
NOT.
DATE RECEIPT #
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CIN, MISCELLANEOUS BUILDING
7� 0.�j PERMIT APPLICATION
��NG� 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
17so8 -72 A DR tir_- v Ibi�q-oao - 0 3y --G�
Project Address: Parcel ID#:
Lot#: Subdivision: 1 ' 21 n "I r`� E �`r+��s
Building Area(Sq Ft) I D No.of floors: Number of Buildings: Nl/l.
Owner:
S tfI 1 Phone Number: 7-
P.
� 4
Address: r . �' (,
B v x �3 City: / 1"^y S y�,11L State: W� Zip Code: � � ��o
Scope of Work: Yelp/ CU J r**,u,fiot� D / bp
S �(� Najd) + /5 s� -th
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: (
5� ��� I cl - i �j� I� o► e�'j ) ZO<- Phone Number: b
3� - ,.s7 - ql//y Address: 2 U a o X ,�3 City: Acll"YSU'11L- State: _=-h Zip Code: cl -76
Contractor's License Number: ��"� Pk O U'.5- L_' U Expiration: 1 - 3 I -C' 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
A. W q_- ;�� �
Print Applicants Name
f1
'68VED
NOV 17 2005
C®A BUILDING DEP
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