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Home My WebLink About202 E Jackson St Ne_BLD00125_2025 CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00125 OWNER MAIL ADDRESS CITY ZIP PHONE Mike Welsh 8057 132nd Ave NE Kirkland , Wa 98033 885-1064 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# Same as owner MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK []NEW ❑ADDITION ❑ALTERATION ®REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK $ 2 ,000 DESCRIBE WORK Re-Roof PROPOSED USE OF BUILDING Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK L01 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 ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM VATE OF IS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IOB ADDRLSS 202 E Jackson Arlin ton, X See Appl lcati;on „L (OFFICE USE ONLY) MECHANICAL PLUMBING NO TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND UNITS - H.P.EA. BAIHIUB REFRIGERATION UNITS-H.P.EA. LAVATORY (WASH BASIN) BOILERS-H P EA SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. KI TCHLN SINK& DISP FORCED AIR SYSTEMS- B.T.U. MEA DISHWASHER WALL HEATERS- B-T.0 M LAUNDRY TRAY UNIT HEATERS- B.T U M CLO I HLS WASHER EVAPORATIVECOOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN IAIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK (SERVICE - BAR,ETC) WATER HEATER GAS PIPING SUB TOTAL $ SUBTOTAL $ PERMIT $I PERMIT $ TOTAL FEE $1 TOTAL FEE ; SIDL YARD SL TBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE 0 9/12/8 9 FEE RECEIPT NO. USE/ONE LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKINGNG SIZE OF BLDG. NO-OF STORIES MAX.OCC.LOAD HIS NC^Y'�' Re R Ro o f f 25 00 PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE 4 50 PENALTY U.B.C. FO SEC.303(a) A WATER/SEWER FEES TOTAL 29 50 PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAgD1NjC CR# 91 n�](l 1 BY cc: ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. CuDATE RDS COPY �f ,5- j� CITY OF ARLINGTON CONSTRUCTION PERMIT, COMBINATION BUILDING MECHANICAL PLUMBING ❑ SIGN ❑ ❑ ❑ '� PERMIT NO. OWNER MAIL.ADDRESS CITY ZIP PkiiE YO S 7 .3 L'J i("t K� r�� %moo 53 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N a MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N 4 • 'ry PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK ❑NLW ❑ADDITION ❑ALTERATION 0REPAIR ❑DEMOLI[ION ❑BUILDING RELOCATION VALUA110N F WORK f DESCRIBE WORK s PRO U 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- LLGAL ULSt.RIPTION OI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING 6F A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO ' VIOLATE OIL CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW.FEGULATING CONSTRUCTION OF THE PERFORMANCEOF CONSTRUCTION.PERMIT EXPIRES 1 YEA ROM DATE OF PSUANCE. SIGNATURE OFC(*4TRACTO ORAUTHORIZEDAGE DATE IOB ADURLSS �/ A. III Q/J v�v� E. �, x (OFFICE USE O Y) MECHANICAL, PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATLR CLOSET (TOILET) AIR GOND.UNITS -H.R EA. BA I II I UB REFFLIGERATION UNITS-H.P.EA. LAVATORY (WASH BASIN) BOILERS-H.P. EA SHOAL GAS ORED A.C. UNITS.-TONNAGE EA. KI ICIILN SINK& DISP. FORgiV AIR SYSTEMS*-B,T.U. MEA DISHWASHER WALL•IHEATER5-B.T.U. M LAUNDRY T RAY UNIT HEATERS- B.T.U. M CLOI IIES WASHLR EVAPORAT IVE COOLERS WA I LR HEATER CLOTHES DRYERS URINAL VENTI.LATICN FAN DRINKING FOUN I AIN RANGE 1100D COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- . CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING i• SUBTOTAL } P SUB TOTAL } PERMIT } PERMIT } TOTAL FEE } " TOTAL FEE } SIUL YARD SE I BACK STRLET SETBACK REAR YARD SETBACK PLA CHECK NUMBER, PLAN CHECK FEE In FEE R EIPiNQ. USE/_ONk LOT AREA VACANT SITE G i•L� ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG SIZL OI BLUG. NO.OF STORIES MAX.OCC.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL 1: COMMENTS STATE BLDG.CODE -- ENERGY CODE SURCHARGE PENALTY U.B.C., SEC.303(a) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPE4Y VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CRN BY cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT. BUILDING OFFICIAL DATE RECORDS COPY,.