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CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING © MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT N0.00242 OWNER MAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL DDRESS•ngtoo CITY 1 PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICIENSE M MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# Cozy Heating P.O. Box 335, Arlington, Wa 98223 43S-4904 C07YHT*122 MM PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# SAME CLASS OF WORK ❑NLW ❑ADDITION ER ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK S 500.00 DESCRIBE WORK PROPOSED USE F BUILDING Office Area I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLr,AL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT—BLOCK—OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES t YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE jOBADDRLSS II X Q - (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND.UNITS —H.P.EA. BATHTUB 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 UNIT HEATERS— B.T.U. M CLOT HES WASHER EVAPORAT I`✓E COOLERS WAIERHEATER CLOTHES DRYERS URINAL VENTILATICN FANi DRINKING FOUN I AIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT— CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE — BAR,ETC.) WATER HEATER t GAS PIPING 3 00 SUB TOTAL S SUBTOTAL S 07 PERMIT f PERMIT 15 100 TOTALFEE S TOTAL FEE S 27 100 SIDL YARD SE r BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE /ONE LOT AREA VACANT SITE Ot—t t-90 YES ❑NO FEES VALUATION FEE TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG BUILDING f SIZE OF BLDG. NO.OF STORIES MAX,OCC.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL 2 COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) ,. WATER/SEWER FEES MECHANICAL ONLY TOTAL 27 00 `, PERMIT VALIDATION lI"' 16 1990 WHEN PROPERLY IDATED TIN THIS SPACE) THIS IS YYO^UP;PWFT&RECEIPT ' PAID _ CR# d Y OF=I�js-1!%iC I Dh{ cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. 861 F ICIAL DATE R CORDS COPY 1: ), CITY OF-ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING lJ MECHANICAL rr��-� ' OvrNIR ; 'PLUMBINp � S10 FS MAIL.AUURES . - 7 PERMIT NO. 1� f O - CIfY 11(x7E ARCIIIILCI OIL ULSIGNlR MAIL AUURESS t �.' ►IIUM G N A CUN AC UR MAIL ADUR(SS i CITY 111 ►11(NI( MlC11ANICAI CUNT ACIUR t LIC NSE 1 A ' MAI DURESS 11P ►11(NI( ►LUMIING CUN I RAC IO LIC(NSE MAIL ADUREfS CII Y it /IIUt1E 1 •_Y`l ff I ,• ❑NI W ElAUUIIIUN ALTERATION vyuAlTunor�wDRK ❑REPAIR ❑UEh1ULI1ION []BVILUINGRELOCAIION ULSLIWIL WORK t G ,RurUSI U USL pI .UILUING • `'• I HEREBY •• u(,AL u CERTIFY THAT L A xRlr of ►RUrLR Y SIKMNILLUWURAI)ALIIIUURCO►IES T I MOVE BE TRUE EXAMINED 1T1A At'PLIU- 110N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PRUVI- Lu1�ILLXK of SIONS OF LAWS AND ORDINANCES GOVERNING I11151YPE OF WORK WILL BE C%WLIEU WITIT WI IE1I IER SPECIFIED I IF.I:IIJ OR NOT. TI IE GKANIING dFA PERMIT DOES NOT PRESUME 10 GIVE AU11 IORI TY 10 T MBER VIOLAIE 01� CANCEL THE PROVISIONS OF ANY 0111111 STAIE OR ' LOCAL LAW,( EGULATINGCONSTRUCTION OF I IE PERFORMANCE OF IUll L$S CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. y� �] SIGNAIU I C(}rl CIOII Olt AUI11lAGINT DATE (OFFICE USE ONLY) PLUhIUING MECHANICAL? I i 1 NU, TYPE OF FIXTURE wAllltClU5L1 (1UILE1) FEE NU, tYPE OF El1UIrhIENT BA1111U8 AIRGUND,UNITS -II.P,EA. FEE LAVA IDRY 1W•A511 BASIN) REFkr JGLRAIIUN UNITS-ILP.EA. — SIIc)NLH BOIL�RS-II.P.EA KI ICIILN SINK A UISP. 21 GAS FIRED A.C.UNITS,- 1UNNAGE EA, UISIIWASIILR —{ FURC_ED AIR SYSTEMS'- B.T.U. 11EA LAUNUHY IRAY WALLAMAIERS- B;T.0 )l CLUIIILS WASIILH UNII IEAIERS- B.I.U. M NAILH IILAILR EVAPURAIIVE COOLERS — URINAL _ CLUIIIES DRYERS "; URI_ N- Alryl,fUUNIAIII I VLNTILAIIo I I URURAIry RANGE IIUUU COMMERCIAL -- VAI_UUA)BHLAKERS AIR IIANULING UNI I H001 DRAINS - RAINLLAUEHS StUV _ SINK ISERVICE - BAR,EIC.) F1EIA FIREPLACE f.CIIIMNEY WATfRHEATER '�— '— • �_ GAS PIPING _ I SUBiOIAL ' 1 ---------------------- PERMIT 1' SUB IUTAL 1 _ 1 � — IUTAL FE—E�� - I � PERMIT �---�'�`==may.• — NUIYAKUSLUACK SIRLLISEIBACK � i TOIALFEij � — REARYARDSEIBACK =rlIECK1MBER t+ /lANC11ECK FEE USI [till lU AREA •� 71_ FEE RECUrI NO. VACANT SIZE + II►►UI CONi--1: ❑YES �Np FEES I I VALUAIION FEE tJCCU►ANCY GRUUP NO.OI DWELLING UNITS. PLAN CI IECKING VO SILL UI ,LIJ(:, No.OF SIURILS — MAX,OCC,LOAD BUILDING PLUMBING ' F IRE S►RINIIREQUIREU ? ❑YES ❑Np MEC11ANICAL COMMENTS ESTATEBLDC.CQDE GY CODE 9URCI IARGE LTY U.B[, SEC,30)(a) WAIEWSEWEIII JAN I I I 1 TOTAL :`�•• I _ 1 ' ✓ PERMIT VALIDATION W11EN rRoll VALIDAIID It{11115 SPACII fill If YOUR►IK"I L RLCII►T PAID ,L. CRI BY CCI ASSESSOR.APPLICANT,TREASURER,BLDG.DEPT. t� �• IUIIDt�IM,pf1tC1AL RE C�Rus COPY:' DAI—i