Waldenwood West Homeowners Association

Architectural Control Committee
Request for Alterations, Repairs and Construction

Submitted by: ______

Date: ______


Address/ Division: ______

Phone Number: ______

Email Address: ______

We, as homeowners of the above property, request approval for the following alteration(s), addition(s), and/or project(s) to our property: We understand that any permits, inspections, and/or approvals that may be required for this request by Snohomish County or any other agency are the sole responsibility of the Homeowner. We also understand that we must have approval by the ACC prior to starting this project.

Brief description ______

Please include a sketch, drawing or picture of your proposed

alterations.

Mail to: Waldenwood West HOA

3916 114th St SE

Everett WA 98028

Start Date______Completion Date______

______

Homeowners Signature & Date:

This request has been approved- Yes______No______

Date: ______