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Home My WebLink About403 S McLeod Ave_BLD00130_2025 C-T)�', a,�� t" . C111 -W CONSTR • N`PERMIT APPLICATION Plan Check No. O COMBINATION O BUILDING CHANICAL O PLUMBING OWNER. MAIL ADDRESS CI ZIP MAI 14 1&)aL�4 4--o�b ARCHITECT OR SIGNER CMAIL ADDRESS CITY IP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 M AN AL C R MAIL ADDRr CITY puftur LICEN E* PLUMBING CO TRACTOR MAIL ADDRESS CITY ZIP PHONE LICEN E s CLASS OF WORK O NEW O ADDITION RATION O REPAIR ❑DEMOLITION O FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION sLUATI 1AEiCG�Zj DE=S a > '' Ltv ` PROPOSED USEOF BUI G (JCJ 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS LOT fBLOCK�L�C-�0F Co TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME ` TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF �c`7- C3 \ o'oil - O 0 ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE ,108 AO4-D3 15 /)-)o X PLUMBING MECHANICAL NO. TYPE OF FIXTURE NO. TYPE OF EQUIPMENT WATER CLOSET(TOILET) _ _ _ AIR COND.UNITS H.P.EA_. BATHTUB _ _REF_RIGERATION UNITS-H.P.EA_._ LAVATORY(WASH BASIN) BOILERS-H_ .P.EA. SHOWER GAS FIRED A.C.UNITS-TONNAGE EA. KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS-B.T.0 EA DISHWASHER WALL HEATERS-_B.T.U. M LAUNDRY TRAY UNIT HEATERS-B.T.U. M CLOTHES WASHER EVAPORATIVE COOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATION FAN DRINKING FOUNTAIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS-RAINLEADERS METAL FIREPLACE 3 CHIMNEY SINK(SERVICE-BAR,ETC.) WATER HEATER GAS PIPING • i�d 1..1 LJ i ",o • I'` i CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00 1 30 OWNER MAIL ADDRESS CITY ZIP PHONE Roy Hlavaty 403 S . McLeod Arlington , WA 98223 435-4846 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# Valley Natural Gas 2605 McDougal Ave , Everett , WA 98201 259-5492 VALLENG153E PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I CLASS OF WORK ❑NLW ❑ADDITION ®ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK S 2 ,600 , 00 DESCRIBE WORK Install water heater an d furnace. PRUPOSED USE OF BUILDING RTe s i d en c e I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LL(.AL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT—BLOCK—OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO 4117,006,011-0006 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 DATE OF ISSUANCE. SIGNATURE OF CO CT R AUTHORIZED DATE 108 ADDRLSS 403 S. McLeod Ave . X (OFFICE USE ONLY) PLUMBING M CHANICAL NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND.UNITS —H.P.EA. BA I HI UB REFRIGERATION UNITS —H.P.EA_ LAVATORY (WASH BASIN) BOILERS—H.P.EA SHOWER GAS FIRED A.C.UNITS—TONNAGE EA KI ICHLN SINK& DISP- FORCED AIR SYSTEMS— B T_U MEA DISHWASHER WALL HEATERS— B-T-U M LAUNDRY TRAY UN11 HEATERS— B.T.U. M CLOIHESWASHER EVAPORAIIVECOOLERS WATER HEATLR CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUNIAIN 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 OO SUB TOTAL f SUBTOTAL f PERMIT ; PERMIT S TOTAL FEE $1 TOTAL FEE S SIDL YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE ZONE LOT ARLA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG SIZE OF BLDG. NO.OF STORIES MAX.000.LOAD BUILDING $ PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL 33 50 COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. MECHANICAL QNLY! SEC.303(a) WATER/SEWER FEES TOTAL 33 50 P A I D PERMIT VALIDATION SEt� 2 1 1989 WHEN PROPE VALIDATED (IN THIS SPACE) THIS IS YOUR PE T �CEIPT PAID CR# i CITY OF ARLI IBC E °! G cc:ASSESSOR,APPLICANT,TREASURER, BLDG, DEPT. BUILDI OFFICIAL DATE RECORDS COPY