HomeMy WebLinkAbout108 S STILLAGUAMISH AVE_00715_2026 M
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. �15"
OW R MAIL ADDRESS CITY ZIP PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS / CITY ZIP PHONE
GENERAL CON F RAC!OR MAIL ADDRESS CITY ZIP PHONE LIC NSE R
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF
CLASS OF WORK
NLW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
V LUATION OF WORK
S 0 6 Q
SCRIBE WORK
le�eel�_L
PRUPUSf U USE OF BUILDING
I HE BY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL UES('RIPI ION Of PROPERTY(SHOWN BELOW OR AT TALH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOIILBLOCKIA_or . WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
±� Z VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW RFGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
"AA
THORIZEDAGENT DATE
IOBAUURLSS N
/ f
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND.UNITS -H.P. EA.
BAIFIIUB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) BOILERS - H-P.EA
SHOWLR GAS FIRED A.C. UNITS-TONNAGE EA.
KI ICIILN SINK & DISP. FORCED AIR SYSTEMS- B.T.0 MEA
DISHWASHER WALL HEATERS-B.T.0 M
LAUNDRY 1RAY UNIT HEATERS- B.T.U. M
CLOI IIES WASIIER EVAPORAI II/E COOLERS
WAIERHEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLLADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,EIC.) WATER HEATER
GAS PIPING
SUBTOTAL f SUBTOTAL f
PERMIT ; PERMIT 3
TOTAL FEE ; TOTALFEE f
SIDE YARD SE[BACK STRLEI 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 CONS OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING VG
SIZE Of BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING f
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.G.
SEC.303(a)
WATERISEWER FEES
- I' TOTAL
/ PERMIT VALIDATION
/ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
cc:ASSESSOR,APPLICANT,TREASURER, BLDG DEPT BUILDING OFFICIAL DATE
RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT❑ COMBINATION ® BUILDING ❑ MECHANICAL ElPLUMBING ❑ SIGN PERMIT NO.00 (71 I5
OWNER MAIL ADDRESS CITY ZIP PHONE
Paul Wesson 108 Stillaguamish Arlington, WA 98223 435-3203
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK
❑NEW ❑ADDITION ❑ALTERATION [3d REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
$ 1000. 00
DESCRIBE WORK
Replace composition siding with. T-1-11 Chip Board
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Residential 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
LO111 7&1 BLOCK12 OF_Ci f ords lst Addition 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 DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
IOB ADDRESS
108 Stillaguamish Ave. 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.
BAIHIUB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) BOILERS-H.P.EA
SHOWLR GAS FIRED A.C.UNITS-TONNAGE EA
KI ICHEN 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 EVAPORATI`✓E COOLERS
WAIER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN f 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
GAS PIPING
SUBTOTAL f SUB TOTAL f
PERMIT f PERMIT f
TOTALFEE $ TOTALFEE $
SIDL YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE
YES NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
BUILDING $ 25 00
SIZE OF'BLDG, NO.OF STORIES MAX.000.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE 4 50
ENERGY CODE SURCHARGE
PENALTY SECC303(a)
PAID WATER/SEWER FEES
SEP y TOTAL 29 50
s PERMIT VALIDATION
WHEN PKOPERL LtDATEO (IN THIS SPAC THI§I IS YOUR PER.r11T RECEIPT
PAID CR#`7 BY
C
B � G OFFICIALTE
cc: ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. RECORD COPY