HomeMy WebLinkAbout17504 79TH DR NE_056630_2026 G I T Y IM F fA R L_ I M C3-F U P4
COIVSTFRLJCT I QN PERM I T
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Owner: SEATTLE PACIFIC HOME PO BOX 123 MARYSVILLE 98270
Value of Work: $4, 000. 00 Tax ID: 010179-000-035-00 Phone: 360. 657. 4144
Describe Work: CONSTRUCT 100 SO FT DECK
Proposed Use: SFR
Legal Description: MAGNOLIA ESTATES LOT 35
Job Address: 17504 79TH DR NE
Contractor's Name Type Address License#
SEATTLE PACIFIC HOMES GEN PO BOX 123 SEATTPHO05BU
TOTALS Fee
Permit Fee $109. 50 e', PiSTAPPLICATION
Plan Fee $71. 18
State fee $4. 50SIGNATURE-
TOTAL FEE. . . . . . . . . . . . . . . . . $185. 18 I HEREB R1AT I HAVE READ
AND E M ' SEG AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 08 KNOW SAFE TO BE TRUE AND COR-
REC L PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . ... . . . . . . . . $185. 18 ORC _. ANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER
S ' TIED HEREIN OR NOT.
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MISCELLANEOUS BUILDING
�74o 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) Residential11 ( )Commercial
o h nliik N
Project Address: 11 SD 7o e Ar ,cl.J A OVA Parcel lD#:
Lot#: - 3� Subdivision: f ' 9`, n v J r c-k r5 f:( tes
Building' Area(Sq Ft) I D U No. of floors: ' Number of Buildings: N14,
Owner: _S��,tf-I� r qc 4v`"e__s Phone Number: 3� � — 6 S -7- �� �•/.
Address: I V v ?� City: 21-1 State: VI/ Zip Code: 7a
Scope of Work: /V e LL/ U n cj D
s fir- Ne-;��, � Is sg -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: SC"ff r1— I' y1S °`��J LIS- Phone Number:
Address: P U 3 J 3p City: �`'�`y�`J'���' State: Zi Code: 1 ��'
Contractor's License Number: e, r k O U 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.
Applicants Signature JJ Date
Print Applicants Name
.. ; ENTMEP,
os-LQU W
RECENED
SEP 0 1 2005'
COA BUILDING DES
Forms/MISC-1