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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