HomeMy WebLinkAbout17426 79TH DR NE_056632_2026 C I TY OF ARLL I NGTON
C O N S T R U C T I O N P E R M I T
PE RM I T NO_ = 05-6 E� 32
Owner: SEATTLE PACIFIC HOME PO BOX 123 MARYSVILLE 98270
Value of Work: $4, 000. 00 Tax ID: 010179-000-037-00 Phone: 360. 657. 4144
Describe Work: CONSTRUCT 100 S® FT DECK
Proposed Use: SFR
Legal Description: MAGNOLIA ESTATES LOT 37
Job Address: 17426 79TH DR NE
Contractor's Naive Type Address License*
SEATTLE PACIFIC HOMES GEN PO BOX 123 SEATTPHO05BU
TOTALS Fee
Permit Fee $109. 50 1
Plan Fee $71. 18
State fee S4. 50
SIGNATURE
TOTAL FEE. . . . . . . . . . . . . . . . . $185. 18 I HEREBY fTIS
HAT I HAVE READ
AND EXA APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOW T SE TRUE AND COR-
RECT A...' PS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $185. 18 ORDI.,IANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER
DATE RECEIPT # SPEC' FIED HEREIN OR NOT.
' 'ILDING OFFICIAL
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��Y ° MISCELLANEOUS BUILDING
7o PERMIT APPLICATION
�� � Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3431 • FAX (360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY FOUR(4 SETS OF CONSTRUCTION DRAWINGS, SIX(6)
ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO(2) SETS OF ENERGY CODE APPLICATIONS(IF
APPLICABLE).
Type of Permit:(check one) Residential ( )Commercial /�^� ��,y,/��
Project Address:)-7�b 711 N(Life AP r 1'^%4 4"`� VJA- Parcel lD#: V I d� �� -Ccc)_O 37 rw
Lot#: Subdivision: n
Building Area (Sq Ft) 10 D No. of floors: I Number of Buildings: NA
Owner: Sc?g -Hc— P-1 c A I, �O`$i es Phone Number: 3 C — S
Address: P. U v X3 City: 2 I—7^y S y/ �I�'— State: W Zip Code: < 7oI
Scope of Work: Ne—W CU n j (�1J��1v L� d / U O S(�— : 'F 1'
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: S� �� ' � °01 P Phone Number: 3b �' b s7
Address: P. O B v , 3n City: A`'^y S y'Ire- State: W/4 Zip Code: cl S �-7 6
Contractor's License Number:- �� �� r k D 0,5 L4 Expiration: I
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
Print Applicants Name EED
IRECERNIO
SEP 01 2005'
COA BUILDING DEF
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