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Home My WebLink About5026 Cemetery Rd_BLD024877_2025 (3) n `INSPECTION IMPORT V ' \ ING �S. 1'0 Permit No.: fc Lot#: Address: (_a • • � 7 Z Contractor: O Owner: I N Cs~ Date: PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: 1 Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in X Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: ` INSPECTION''REPORT 1 ti1N G?' Permit No.: Od-477 Lot#: Address: 1549c2& • • � Z Contractor: 9s O Owner:Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. 'CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. �IA�IL.� C`i a.. �,�i E G'�/E u� i� ��2.lgg R Ju✓•��r i T I,N Y'1 L. i"Z�`L7�'L11�i .c'Z• l�r C.��-r'-�Z'� / '�' �L�� i 71 lip i :_:.:•v jl'Z'vi Lv� �vi:-'�, c "►92.J t�r1�b97/1i' �t7� ��7�?�'Ti c1.:J y,,j hu- ' y-c V1- Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT N G ro Permit No.: �7 Lot Address: • Contractor: 4 Owner: 1IN G� Date: APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation dation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry raina e ❑ Insulation ❑ Other: / �/ � \nn INSPECTION REPORT & 30 N G TD Permit No.: `t a 77 Lot#: Q' Address: -0 ZContractor: lqw E�� 4 Owner: �s INO� Date: -� 6- APPROVAL El PARTIAL APPROVAL /O VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: TYPE OF IN PECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing rywall, Nailing ❑ Consultation ❑ Foundation ❑ ar Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT +"\NG p ?'O Permit No.: " �` 7 7 Iu L t#: F' Address: s� Contractor: MCI L _ Owner: SIN G Date: CR�APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 5-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: ��'�"G' C22 TYPE OF IN PECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage Insulation ❑ Other: INSPECTION REPORT -7�i 4tiZN G TO Permit No.: " Ie / Lot #: Y Q' Address: Z Contractor: > O Owner: 9s4 j N G� Date: _ ��o o -APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date:, TYPE OF INSPECTION REQUESTED El Under-floor Framing El Gas Piping ❑ Footing / ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 1;i ?' Permit No.: a't Lot #:Address: LvContractor:Owner:Date: 0 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. LLIA �l Inspector: - ``'� -� Date: 'C22, TYP OF INSPECTION REQUESTED ❑ Under-floor "4RZ-.\-,A Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢ti1N G 7'O Permit No.: Oa- T%_l_1 Lot#: Q' Address: 6Da1P Contractor: � Z O Owner: 111 N G� Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION J,��ORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. 16//�a y''A;n ❑ Was not able to perform inspection. 4�- ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. i r Inspector: Date: (fYPE OF INSPECTION REQUESTED ❑ Under-floor �-A- Framing P .Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation _ Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final x ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT - AO �i � 1,ZN G r Permit No.: `� 7 Lot#: ¢&- -,c Q' Address: •� Contractor: �/O Owner: 9`s1N Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED �Gorrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was notable to perform inspection. 1 \ALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 8iE__ S tPPo2-e--,p �3.r N a►T- R r FA 1 ►! T Inspector: Date: 1 1Ll TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing / Gas Piping El Footing ❑ ❑Drywall, Nailing `Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork �AAechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 104SPECTION REPORT AN G r0 Permit No.: 17 Lot #: Q Address: � Z Contractor: I N G,�O Owner: _ Date: APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. A-7�P-/ x 4 A-S L i "i e' u ri oVL- v YL_ vt c,=Z ftl'p/L.,.3vt5v Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing �dSas Piping ❑ Footing ❑ Drywall, Nailing ` 7 Consultation Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final D Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT -7 01 ZN G r Permit No.: /�77 of#: 4y 0 Pe U Address: Contractor: (� Zto O Owner: IN G� Date: ❑ APPROVAL El,PARTIAL APPROVAL ❑ VIOLATION *�6RRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. L c-r 7-0 P) Pik tj Inspector: �� Date: ��— TYPE OF INSPECTION REQUESTED ❑ Under-floor _gaming El Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 1� t�r t 4ti1N G TO Permit No.- Vi 7 Lot #• F' Address: Contractor: � Z -ys ,SO Owner: INS Date: ;APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. ft]TA-41 VIE Inspector: Sir-- _ Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove '111 _ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 52 ti1N G T Permit No.: 4 O l 7 Lot #: Q' Address: LY Contractor: O Owner: "_�' � Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATIONCORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Ceo 77-- Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove 0 ugh-in ❑ Final ❑ Masonry !:3 Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 11_' G To Permit No.: 49n L t#: Q" Address: Contractor: .,,��c! 93, ,SO Owner: �I N O Date: APPROVAL ❑ PARTIAL APPROVAL '❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. y /L ,;5 Inspector: % a Date/ �. 6' �*PE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing J Drywall, Nailing ❑ Consultation ❑ Foundation Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 0G 4ti �O Permit No.: 7? Lot#: Q' Address: ( eol e Z Contractor: O Owner: U A1,116 I N G� Date: I APPROVAL ❑ PARTIAL APPROVAL VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: - Date: 7 _G TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing Cl Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: IMSPECTION REPORT ¢ti1N G TO Permit No.: i i Lot#: Q' Address: s • Z Contractor: O Owner: INC'� Date: El PARTIAL APPROVAL /APPROVAL VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSP CTI N - 24 hour notice required. A A4 r 1 Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor O Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 4tiIN G TO Permit No.: 4b7� L t#: Q Address: J�c� Z Contractor: O Owner: c� �s14I N G Date: XAPPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 1 % Inspector: Date: �v TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ndation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ElStruct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 4tiIN G r0 Permit No.: 6 t Lot #: Q' Address: a Contractor: O Owner: 9s�IN G� Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: l Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping Footing ❑ Drywall, Nailing ❑ Consultation Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: G I TY OF F4RL I NCCT'OtV G O N S T R U G T I M M P E R M I T PERM I -F MC3- a 02-4E377 Owner: MY-ED CONSTRUCTION PO BOX 1012 EVERETT 98206 Value of Work: $155, 000. 00 Tax ID: Phone: 425-334-3467 Describe Work: NEW DUPLEX Proposed Use: SFR-2 Legal Description: SMITH SHORT PLAT LOT 4 Job Address: 5026 CEMETERY RD Contractor's Name Type Address License# MY ED CONSTRUCTION GEN PO BOX 1012 MYEDCI0558T PUGET HEATING CO INC. MEC PO BOX 336 LK STEV PUGETH*2648D MARYSVILLE PLUMBING INC. PLB 13318 SR530 NE MARYSP101JE P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge --------------------------------------- ------ -------- ------------ PLUMBING FIXTURES 20 $10. 00 $200. 00 FURNACE/UNIT HEATER 2 $15. 00 $30. 00 MISC EQUIPMENT 2 $11. 00 $22. 00 VENTILATION FANS 8 $7. 00 $56. 00 DRYER 2 $11. 00 $22. 00 WATER HEATER 2 $15. 00 $30. 00 GAS PIPING 1-4 OUTLETS 2 $6. 00 012. 00 S U B T O T A L. . . . . . $372.00 TOTALS Fee Permit Fee $1, 384. 50 School Mitigation $0. 00 Equipment $172. 00 Fixture $200. 00 Mech Permit $24. 00 Plan Fee $899. 93 Park Mitigation $2, 000. 00 Plumb Permit $25. 00 State fee $4. 50 Traffic Mitigation $2, 076. 00 SIGMATU TOTAL FEE. . . . . . . . . . . . . . . . . $6, 785. 93 I HEREB ER IFY AT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $927. 23 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $5, 858. 70 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CUMPLiED WITH WHETHER SPEC LC D EREN_ NOT. DATE RECEIPT - �j -- � a��a B iLD G OFFI AL G I TY OF A"L_ I MCGTQM GOMST"UCT I Oh! PE F2M I T PE Ft I T MQ- a 02-5244 Owner: MY-ED CONSTRUCTION PO BOX 1012 EVERETT 98206 Value of Work: $1, 000. 00 Tax ID: 310516-004-016-00 Phone: 425-334-3487 Describe Work: INSTALL FREE STANDING FIREPLACE Proposed Use: SFR Legal Description: SMITH SHORT PLAT LOT 4 Job Address: 5026 CEMETERY RD Contractor's Mane Type Address License# JEFF J & C HEATING MEC 120 SE EVERETT MAL WAY JCHEA#«005RJ P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge --------------------------------------- ------ -------- ------------ METAL FIREPLACE & CHIMNEY 1 011. 00 $11. 00 GAS PIPING 1-4 OUTLETS 1 $6. 00 $6. 00 SUBTOTAL. . . . . . 917.00 TOTALS Fee Equipment $17. 00 Mech Permit $24. 00 SIGMATUR 'TOTAL FEE. . . . . . . . . . . . . . . . . $41. 00 I HEREBY ER IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVI NS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $41. 00 ORDIN CES G0 RNI T IS TYPE OF WORK LL BE OMP E ITH WHETHER SPEC D EI T. DATE RECEIPT # .� ICIAL ll - lb CITY OF ARLINGTON ow CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE ARCHI TLCT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GLNERAL CONTRACTOI-, MAIL ADD SS CITY ZIP PHONE LIC-NSE N i MLC1(ANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I _3 PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ CLASS OF WORK iNL W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI FION ❑BUILDING RELOCATION VALUATION OF WORK S ULSCRIEI,,7' PRU➢OSI D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLUAL DL M RIP ION O 'ROPLRTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK L0I_-_4y_BLOCK _ OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX 10 NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. / SIGNATURE OF CONTRACUQR R5IUTHORI2EO'AGENT DATE IOB AUURI SS C.f� G2- (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILEI) AIR COND.UNITS -H.P. EA. BA I I11 UB REFRIGERATION UNITS -H.P.EA. LAVATORY (WASH BASIN) BOILERS- H.P. EA SHOWER GAS FIRED A.C.UNITS- TONNAGE EA. KI ICIILN SINK& DISP FORCED AIR SYSTEMS- B T U MEA DISHWASHER WALL HEATERS- B.T U M LAUNURY 1 RAY UNIT HEATERS- B.T.0 M CLOI IILS WASIILR EVAPORAI I`/E COOLERS WAIER IIEATLR CLOT HESDRYERS URINAL VENTILATICN FAN DRINKING FOUN IAIN RANGE FIOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT - GPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK(SERVICE - BAR,ETC.) WATER HEATER GAS PIPING I SUB TOTAL f SUBTOTAL $ PERMIT $I PERMIT f TOTAL FEE $1 TOTAL FEE f SIUL YARD SL I BACK STRLLI SL FBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE/ONi LOT AREA VACANT SITE ❑ FEES VALUATION FEE ❑YES NO TYPE OF CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG BU'LDING f Si/L OI SLUG. NO.OF STORIES MAX.000.LOAD PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL 00 Q COMMENTS R E��f��® STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) NOV 18 2002 WATER/SEWER FEES CITY OF AR.LINGTON TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CRp BY cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT BUILDING OFFICIAL DATE RECORDS COPY ��- � -�= Ste► �-�h s� �� J: 30 4DICE COPY- s f ors► Ur E� ,S P J t r71of 2 a �T c 65210 o gt 0 --� V7 i�E-EIVEG, JAN 0 4 2002 CITY OF ARLINGTON CITY OF ARLINGTON CONSTRUCTION PERMIT 401L ❑ COMBINATION Cg BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MA11_AQDRESL CITY ZIP PHONE Cell CEO �` G L t ao -3-IF?- ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF MECI(A L CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLU148INCoCeONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 6,�Ile ® ^ITV67 �'/ �� -`f35� 5 LASS OF WOR M:NLW ❑AUDITION ❑ALTERATION ❑REPAIR Cl DEMOLI PION []BUILDING RELOCATION VALUATION OF WORK s t �ZL60v UESCRIBE WORK 1ne-1 PR POSE DJIFSE OF#UILDING �/ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LEG.L Ut ('RIPE TUN Of PROPERTY(SHOWN LOW_ORR ATT�TACH F R coP Es) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK Lc)r BLOCK OF `�✓l /6L'y WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMB R LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCEOF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATU f CO RACiO�RAUTHOZED AGENT DATE )08 1UURLSS : (OFFICE USE ONLY) fY� MECHANICAL PLUMBING. NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND. UNITS -H.P. EA. (.� BAIHI UB REFRIGERATION UNITS-H P. EA. LAVATORY (WASH BASIN) BOILERS- H.P.EA SFiOWLR GAS FIRED A.C.UNITS-TONNAGE EA. KI ICHLN SINK& DISP. Sl FORCED AIR SYSTEMS- B.T.0 MEA DISHWASHER WALL HEATERS-B.T.0 M LAUNDRY TRAY UNII HEATERS- B.T.U. M CLUIIILS WASHER EVAPORAI IVE COOLERS WAIERHEATER J ;Z CLOTHES DRYERS I. URINAL v VENTFLATICN FAN I DRINKING FOUNIAIN RANGE HOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS f STOVE ROOF DRAINS - RAINLEAUERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUBTOTAL $ SUBTOTAL S PERMIT S PERMIT S TOTAL FEE $ TOTAL FEE f SIUL YARD I BACK STREE7 SETBACK REAR YARD SETBACK PLAN GHECK NUMBER f �] �� ANC ECKFEE CEIPT NO S F L„ 1 vD\ USE NE LOT AREA VACANT SITE � 3 YES ❑No FEES LUA FEE TV t f CO}N ., OCCUPANCY 'ROUP NO.OF DWELLING UNITS PLAN CHECKING VG17 j� r�/1 BUILDING s C ,3 / H J C� SIZE E BLDG. NO.OF STORILS MAX.000.LOAD PLUMBING , oo FIRE SPRINKLERS REQUIRED � q� , �/ G ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS P= rd ENERGY CODE SURCHARGE T' 1�q&7 PENALTY �rct f�✓�� S C.303(a) 0 _7 r Or I V E® WATER/SEWER FEES 2 j CJ PN O kva TOTAL c/lAS i ��ON PERMIT VALIDATION /PT Pa\� WHEN PROPERLY VALIDATED IN THIS SPACE)THIS IS YOUR PERMIT&R�CEI 1 1� ( PAID CR# BY BUILDI FICIAL DATE cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT CORDS CO Y