HomeMy WebLinkAbout20260629_PLN1429_Deferred Submittal Request i
DEFERRED SUBMITTAL REQUEST
Community and Economic Development
City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 • Phone(360) 403-3551
The undersigned has been issued a permit for construction prior to final approval of the following. The following
items shall be considered deferred submittals and shall be submitted AND approved prior to installation.
Property Address. 19721 47th Ave NE, Arlington, WA 98223
Parcel ID No.: 00564600000401 Project Name: AFH Alteration & Sprinkler Deferral
Project Description: Residential alteration to establish an adult family home, including an interior bathroom modification,
accessibility ramps, and a fire sprinkler retrofit.
Primary Contact: F� Owner ❑ Owner's Agent
Owner Name: Abyot Seld Office No.:
Email Address: contactabyot@gmail.Com Cell No.: 2065910815
Mailing Address: 3421 176th pl se City: Bothell State: WA Zip: 98012
Owner's Agent: Office No.:
Email Address: Cell No.:
Mailing Address: City: State: Zip:
LIST ALL ITEMS PROPOSED TO BE DEFERRED ESTIMATED DATE OF SUBMITTAL
ITEM: NFPA 13D Residential Fire Sprinkler System Design&Hydraulic Calculations DATE: 08/1 5/2026
ITEM: DATE:
ITEM: DATE:
ITEM: DATE:
ITEM: DATE:
ITEM: DATE:
1, F� Owner/❑ Owner's Agent, hereby assumes all risk,financially and otherwise,for any construction performed that
may need to be removed if the deferred submittals listed above are not appropriate. 1 understand that certain
inspections will NOT be performed until the submissions are accepted, reviewed and issued.I understand additional fees
will be required based on the additional time spent for plan review. All deferred submittals must be submitted to the
City of Arlington Community and Economic Development Department for review.
Abyot Seid 06/29/2026
Signature Print Name Date
SAVE PRINT
REV03.2022