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17414 79TH DR NE_056628_2026
C I L 1 JGT C)ice! C C]h1 S_T` R V_.J C T- I C31V F>E 1;e M I T FsEF;tM I T IVO_ � ia8 Owner: SEATTLE PACIFIC HOME PC3 Bp){ 123 MARYSVILLE 98270 Value of Work: $4, 000. 00 T;aarc ID: 010179-000-039--00 Phone: 3GO. 657. 4144 Describe Work: CONSTRUCT 100 SO FT DECK Proposed Use: SFR Legal Description; MAGNOLIA ESTATES LOT 39 Job Address: 17414 79TH DR NE Contractor's Name _'ype Address License# SEATTLE PACIFIC HOMES GEN PO BOX 123 SEATTPHO05 BU TOTALS Fee Permit Fee $105. 50 Flan Fee $71. 18 State fee $4. 50 / -- TOTAL FEE. . . . . . . . . . . . . . . . . SI95. 18 SIGNA'1'UR ' I HEREB RT,_'": THAT I HAVE READ PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 AND L NEC= THIS APPLICATION AND KNOW E NAME To BE TRUE AND COR- RECT LL PROVISIONS OF LAWS AND . . . 5195. I8 ORDINANCES GOVERNING T IS TYPE OF WORK ILL B - PL.- 'C► H WHETHER DATE RECEIPT # -" JrF--D • _R 17 LPL6 g NG OF CIAL °l- 13 SEW. ELM �M ] 1 ■ 1 1" Imm" 0 No moon1 1 . 1 !1 r- i 1■` 1 M` ■ '- ' r ; n • ! � 1111 ■ ■ - - ' oma , OWN m rLmr 7 m !7 -ATimimo Elm MEEL Las- - MIN 1 . ■. — ON - — Y ` ■ LE 1'T■7 ' ■ ■ �'r &j ■7J A OR • - - ■ ON mom momNMI i� 91 �.1 1 •■ y U 0 0' Q cD 60.001 -I- Q co co lox-1 0 SEP 0 Patio .l 100 1 4' FDA 6t11LDIIV . = w co 7ri5.00 -- � 2 6 7 o m j co 3 _ C 00 —� r 1of O A c c; t" m Zvi C ) Z �g 00 . o 00 d m C c •'•. CDIwo w l 79TH o _ v '� It, EN � m -� ! 4 -13Q � D Fo z© _ ,,Q�- �`-[-�� COPY Nm D ForPer N PO Mit Use Oncly .� -, ��� � ` cti �a� ,,: C`�Y MISCELLANEOUS BUILDING 7 o 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 Project Address: )14 N 7n-l" besot Ac A,,t,,4,L A Parcel ID#: ( C>) I 6� -Ono J -U 3q D G Lot#. 39 Subdivision: /1 ci`� n `1 C- s ft-"eS Building Area(Sq Ft) I U p No.of floors: 1 Number of Buildings: NA Owner: SC'� ff�C= 1 "I G i !�1°�y►�S Phone Number: -3 C t s 7 Address: r t� 7� City:_.1"-Y S y".flL State: w� Zip Code: <1 7o Scope of Work: Me L✓ �f U n 1,U :J 10�J D V / V G S`� . S rr-� qe-J%04 IS Li / -Sr_7-J41_ 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. c_ L yJ / Contractor: ��"�t�l r� T 1� 1^ o`� -� LVI�- Phone Number: S� C' ` °s7 - I l/7 V Address: , V Q o x 1�3n City: State: t4j==-L— Zip Code: J g � �6 Contractor's License Number:- C,��r DO' Expiration: I - -3 I -C' 7 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 zo,CJh _/,I, 1�I (?--i J el"- Print Applicants Name n os ��ag RECEIVED SEP 0 1 2005 CCA BUILDING DEP Forms/MISC-1 ARM 0 n 60.00' I -(�2 N Q OD I ESE bI _ 4 SEP 01 200 ,k = 40K t14 4 I Patio I � F4. � � N 14' - V cn Q 00 I _ bIt CA) _.i Plan ce) N I ' d A Cn cv � CA) CD , I c� (i7 , 5.00 -- 2 9�)7 M o 3--Car �o' 0 0 00 o d o � 5.00 c!,) -n z .tn CQ -- 50' c CD CD 23.00 \ O N A a 60.00 — WAAY V H LOBM ®79TH DRIVE N. �E. Nm tA z r C CD <z N W Z➢ .- �m ■ �� For Permit Use OnlyD N m N