HomeMy WebLinkAbout509 West Ave_00278_2026 CITY OF.ARLINGTON
• CONSTRUCTION
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❑ COMBINATION ❑ BUILDING
MCCMANICAL ❑ PLUMBING ❑ SIG i I�'o"NtA PERMIT NO.
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LOT ILUCK ur •.:', SIONS OF LAWS AND ORDIN6NCES GOVERNING 11115 TYPE OF WORK
WILL BE COMPLIED WITIJ WI IEII IER SPECIFIED I IEI'114 OR NOT. TI IE
J. GRANTING OF A PERMIT DOES NOT PRESUME 10 GIVE AUT I IORI lY 10
TAX ID NUMBER VIOLAIE OIj•CANCEL THE PROVISIONS OF ANY OII IER STALE OR
LOCAL LAW.0GULA1IN6 CONSI RUCTION OF 11 IE PERFORMANCE OF
IU[AUUALss CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DAZE OF ISSUANCE.
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(OFFICE USE ONLY) x �J-7e
PLUMUINC' AIECIIANICAL� I I ///"""
NU, TYPE OEll: lllr IXTUKE +AIlRCIUSCI (IUIi FEE . IYPE OF E[?UIPMENiFEE
BAIIIIUBAIK GONU.UNITS -II.P, EA.LAVAIUKY MASII BNI KEFkIGERAIION UNI1S-II.P.EA. — —
511UNLK UOIL(RS-II.P.EA ( — —
KI ICIILN SINK 2 UISP. GAS FIRED A.C.UNI IS,- TONNAGE EA.
UISIIWASIILK FUK(`ED AIK SYSIEh15'- B.T.U. MEA �—
LAUNUKY 1RAY WALI••IIEAIERS- 8•F.tl M
CLUII�ASIILK UNI 11 TEA IERS- B.1.U, ht
NAILR IILAILR EVAPURAIIYE COOLERS —
UKINAL _ CLOIIIES DRYERS ! ;
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I LOOK UKAIN � KAN IIUOU COMMERCIAL --
VAL:Duhl BKLAKERS AIR IIANULING UNIT CPM
RUUI I)KAINS - RAINLLAL) SIUTA FIRV _
SINK ISERVICL - BAR,EIC.) �_ UEPLACE AC111MNEY —
WAT-ER IIEATER
SAS PIPING r�
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I
SUBTOTAL ' •• � • -
1• SUB TOIAL
IUTAL FEE�� - I'I PERMIT F
SIULYARUSLIBACK " ! I "TOTAL FEE
-
SI Rlll SE I BACK REAR YARD SEIBACK ;, PLAN CIIECK NYMBER
( 1 PLAN CIIECK F E'E
USI l(xil lU AIILA •r FEE RECEIPI NO, r4
VACANT SITE
El YES El No --FEES ! VALUAl10N FEE
11P1 UI CONSI. OCCUPANCY GRUUf
NO.OF DWELLING UNI IS. PLAN Cl IECKING% VO
i
SI[L UI ,LUG, NO.OI SIURIIi UILDING
MAX.
.000,TOAD S
PLUMBING
FIRE S►RINKLERS REpUTAEU
❑YES ❑NU MECI IANICAL
COMMENTS STATE BLDG.CQUE
ENERGY CODE SURCI IARGE
PENALTY I� U!C.SEC.lol(.) —
n WAIER/SEWEREEES
• PEItAIIT VALIDATION
�'. WI I[N fROPLgY VALIUAI[O IYt lllls JPACD 11113IS YOUA P[AtN11 t R[CIIrr
PAIU
.Y I CRB BY
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• �• •1� ti
cc1 ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT. '••
R',Iu11Dt�rpl)1CIAE
RECPRDS COPY '' oAn
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ® MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00278
OWNER MAIL ADDRESS CITY ZIP PHONE
Brown/ma,,,, 9114 State Street, Marysville, Wa, 98270 653-5552
ARCHITECT OR DESIGNER MAIL ADDRFSS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M
Right Way Plumbing 5825 152nd NE, Marysville Wa. 98270 653-9804 RIGHTWP 121 RB
CLAS OF WORK
EiNLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
E
DESCRIBE WORK
Install Gas Piping
PROPOSE D USE OF BUILDING
Commercial Use I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LEG AL DESCRIPTION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUr BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCALLAW REGULATING CONSTRUCTION OF THE PERFORMANCEOF
CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
jOBADDRLSS
SIGNATURE OF NTRACT OR AUTHORIZED AGENT DATE
�!
509 West Ave, Arlington, Wa. X
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
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 1 RAY UNIT HEATERS- B.T.U. M
CLOIHES WASHER EVAPORATI`✓E COOLERS
WAIERHEATER CLOTHES DRYERS
URINAL VENTILATICN,rFAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER 650
GAS PIPING
SUBTOTAL $ SUBTOTAL $
PERMIT $ PERMIT $
TOTAL FEE $ TOTAL FEE $
SIDE YARD SE IBACK 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 VG
SIZE OF BLDG, NO.OF STORIES MAX.000,LOAD BUILDING $
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
24 50-
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
WATER/SEWER FEES
rl TOTAL 24 OLi
Mechanical PERMIT VALIDATION
WHEN PROPERLY VA ATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
/ r
PAID D CR / BY
cc:ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. C O
RECORDS COPY