HomeMy WebLinkAbout424 Stillaguamish Ave_BLD00203_2025 CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL X42X PLUMBING ❑ SIGN PERMIT NO.00203
OWNER MAIL ADDRESS CITY ZI° PHUNE
Langdon, T. 424 Stillaguamish Arlington, WA 98223
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
L & K Plumbing PO Box 3112 Arlington, WA 98223 652-0378 LKPLU**159BH
CLASS OF WORK
❑NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION [:]BUILDING RELOCATION
VALUATION OF WORK
$ 600.00
DESCRIBE WORK
PRUPUSE D USE O 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 DES(RIPTIUN 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 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 XPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE Of ONTRACTOROR ORlZE AGENT DATE
IOB ADURLSS
424 Sti11a uamish X
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE
1 WATER CLOSET (TOILET) 2 00 AIR COND. UNITS -H.P.EA.
BATHIUB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) 2 BOILERS-H.P. EA
SHOWLR GAS FIRED A.C. UNITS-TONNAGE EA.
KI TCHEN SINK& DISP FORCED AIR SYSTEMS- B T.U. MEA
DISHWASHER WALL HEATERS- B.T.0 M
LAUNDRY TRAY UNIT HEATERS- B.T.U. M
CLOTHES WASHER EVAPORATIVE COOLERS
WAIER HEATER CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKING FOUNIAIN L 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
a
SUBTOTAL $ 602 SUBTOTAL S
PERMIT $ 15 00 PERMIT $
TOTAL FEE $ TOTALFEE S
SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE!_ONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUILDING $
SIZE OF BLDG, NO.OF STORIES MAX.000.LOAD
PLUMBING 21 00
F IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY SECc303(a)
WATER/SEWERFEES
✓✓ TOTAL 21 00
rN
� PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS is YO�PERMIT&RECEIPT
� �s
7 PAID J/41a CR# ✓ l�—'BY INGTONU ol
cc:ASSESSOR,APPLICANT,TREASU , B DING FFiCIAL DATE
RECORDS COPY
�1
CITY 00.ARLINGTON
CONSTRUCTION
PERMIT ."
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING '
❑ SIGN PERMIT NO.
O�IR MAIL.AUDRlSS '�y� CITY ZIP III(kvE
v;Z_-/ s 14- i
AREIIfFtCI OII DESIGNER MAIL ADDRESS / CITY ZIP
fIWNE
GEM RAL CON I RAC lulkMAIL ADDRESS t CITY ZIP f1fUNE
LIC NSE
1 .
MLCIIANxALCONIIlACIUpL MAIL ADDRESS CITY ZIP
/(TUNE LICENSE
w
PLUMBING CON RAC IU ti
L /`f MAIL AD�D�RESS CITY ZIP I11ONE 1 NSE I
CIASSUi WORK 7 1. C` 7 zU X
❑NIW J�]AtUIFION ❑ALIERAIION (I REPAIR ❑UEMOLIIION ❑BOILDINGRELOCAIION
VALUAIIONOf WORK
ULSLRIBE WORK
,
IRUfUSI USt Ot BUILDING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TI IIS APPLICA-
LIGAL 1.11M.RIPIKIN of PROfIRIY S11OWN BELOW UR Ai(ACM 10UR COPIES) I ION AND KNOW TI IE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING T1 ITS TYPE OF WORK
LUI BLOCK GF WILL BE COMPLIED WITH WHETHER SPECIFIED IIERIN OR NOT.TI IE
GRANTING OF A PERMIT DOES NOT PRESUME 10 GIVE AUT I IORITY TO
VIOLATE 04*CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW gEGULATING CQNSI RUCTION OF TI IE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES 1 YEAR fROM DATE OF ISSUANCE.
IWAUURLSSC � ! SIGNAIUKEOFC(iNIRACTU ORAUIIK)Ll12E�IElp,,A
( 1_11,1v-,�,,F �s e x :i
(OFFICE USE ONLY) i
PLUMBING •� MECHANICAL•
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
—� WAILK CLOSET IIOILLI)
- AIR GUNU.UNITS -II.P,EA.
IAVAIU LA AI REFILIGERAIION UNIT -II.P.EA.
�- RY IWASII BASIN) BOIL(RS-II.P.EA
�- IIIO%LR GAS FIRED A.C.UNITS.- IUNNAGE EA
KI ICI ILN SINK A UISP. FURE'EO AIR SYSTEMS*- B.T.U. MEA
UISIIWASIILR WALL'-IIEAIERS- B.T.1.1. M
LAUNURY IRAY UNIT (FRIERS- B.1.U, M
CL11111LS WA511LN
EVAPORAIIVE COOLERS
NAILR IILAILR CLOTHES DRYERS
URINAL VLNI ILA IION FAN
IIRINhINI,1 UUN 1,11N RANEjE I IOOU COMMERCIAL
1 LOUR DRAIN AIR IIANULING UNIT -,. CPM
FEE
VACUUAIBRCAKERS S I UV _
RUM DRAINS - RAINLLAUE RS ME I AL FIREPLACE i CIIIMNEY
SINK ISERVICL - BAR.E IC.1 —
_WATF,R HEATER
GAS PIPING
4'
SUB TOTAL SUBTOTAL f
PERMIT 1 / — 14 PERMIT 1
IUTAL FEE 13 --'TOTAL FEE f
SIUL YARD$E LACK SIRLLT SEIBACK REAR YARD SEIBACK PLANCIIECK N4MBER PLAN CIIECK FEE
.' FEE RECEIPT NO.
USE LON1 LOT ARLA VACANT SITE
[:]YES �NO FEES VALUATION FEE
IYP!U1 CONS1. OCCUPANCY GROUP NO.Of DWELLING UNITS PLAN CHECKING VG
SI[L Of THUG. NO.Of SIURILS MAX.000.LOAD BUILDING 1
" PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECI IANICAL !! —
COMMENTS STATE BLDG.CQOE
J ENERGY COUE SURCI IARGE
Ii J A PENALTY « SEC
(��✓i/ ( n � SEC.1071a)
_ l{/ •• WATER/SEWEREEES
TOTAL
Pl PERAIIT VALIDATION
VAIEN IROPtgV VALIUAIIO
IiN��1jj1115 SfACp 1t'�►ERAYI L RECEIPF
NOV 2 2 1989 PAID 2 CRB- BY
CITY OF ARLINGTON
ccI ASSESSOR,APPLICANT,TREA ,W16r 11. ' BUILDING OFFICIAL DATE
RECQRDS COPY �'