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HomeMy WebLinkAbout17407 73rd Ave Ne_BLD2705_2026 -7 CITY OF ARLINGTON 10 238 N. OLYMPIC AVE- ARlJNG'l'0ti, WA. 98223 PHONE: (360) 403-1551 BUILDING PERMIT Address: 17407 73rd \ve NE Permit 4:2705 Parcel it 011 03 05 00004�0n Valuation 0 00 OWNER APPLICANT CONTRACTOR Name'CANILRON ROBERr&DIANN.A Nattte .Absolute Plumbing Name Ahsolute Plumbing Address 17407 73RD AVF NF Address.1740'73rd A%e NE Address:PO Boa 144i Citp_State Zip ARLING ON_WA 98223-8192 Cny.State Zip:Arlington,WA 98223 Ctn,State Zip Mount Vernon.WA 98273 Phonc: Phone:360-6 10-6141 Phone:360-610-6141 I-IC EXI' MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address Address PO Box 1445 Cu,_State,Z.tp City State.Zip ,Mount Vernon.WA 98273 Phone_ Phone 360-610-6I41 I_IC#1 EXI' IAC k ABSOLP°872OD FXP 09;08,2021 JOB DESCRIPTION PER,MITTYPE: Residential Plumbing CODF YI=AR 2015 STORILS CONST TYPE DWFI_I.ING I MTS OC'C GROUP' BUILDINGS C.ICC LOAD PERMIT APPROVAL I AGREE TO COMPLY WLfI I CITY AND ST:A'I-1:LAWS REGULATING CONSTRUCTION,AND IN DOING TIlE WORK AU-fI IORIZL•D TIIF,REBY: NO 11LRSCIN WIt L BF,EMPLOYED IN VIOLA"r1ON OF rill i ABOR CODE OF TI11-:STAVE OF WASHEWiTON RGLA['ING TO WORKMLN'S COMPENSATION lNS1:RANCV AND RC\V 18 17 11(IS.APPLICATION IS Nt)L A PFERNIFF UNTII,SIGNED BY TI11' BUILDING OL FICL\L OR HIS%I I1.R DEPUTY AND AU r F.ES ARE PAID IT IS t;NLAWFUL TO(.'SF OR OCCCPY A IlUll-DING OR STRUCTURE 1-iNl'IL A FINAL INSPEC'HON HAS BLEN:MADF.AND APPROVAL OR A CI=R'RFIC'Al'E UI'OCCC;I'.ANCY'HAS BLLN GRANT Itla IBC I IO/IRC 1 10 SALES r.>LC\U'I'1( h:Sales tax relating to constntcUun and construction materials in the City ol-ArLngton must be reported on your sales tax return form and cut vt City III'\rbngtoa 43101 Jim t,�� 0� �9 8/8/2019 Signature Print Name Datc R :.rid B} CONDITIONS Adhere to approved appliance. Call for final inspection. PHIS PF.RM1T AI:THORIZES ONLY Il IF.WORK NOr[D rl its PI'_RMI't COVERS WORK TO BI:DONL ON PRMU'L- PKOPIRTY ONLY ANY CONSI'RUC rIUN ON 1-1 if:III BLIC DOMAIN(CURBS_SIDLb%ALKS,DR1VI-WAYS MARQUEES.FXC)WILL RI-Q0IRE SEPARATE.I'LRMISSION PERMIT FEES Date Description Fee Amount 8/6/2019 Plumbing Permit Base Fee $25.00 8/6I2019 Processing/Technology Fee $25.00 8/6i2019 Water Heater $25.00 Total Due: S75.00 Total Pavment: $0 00 Balance Due: S75.00 CALL FOR INSPECTIONS 13L ILDING 1360)403-3417 N hen calling for an inspection please leave the following information: Permit Number, F.Npe of Inspeclion being requested,and whether you prefer morning or afternoon r-� Permit Information Date 8/6/2019 Permit Number 2705 Project Name Cameron Applicant Name Absolute Plumbing Applicant Address 17407 73rd Ave NE City,State,Zip Arlington,WA 98223 Contact Phone 360-610-6141 Email absoluteplumbing247@yahoo.com Permit Type Residential Plumbing Site Address 17407 73rd Ave NE Valuation 0.00 Status Applied Permit Issued Permit Expires Square Feet 0 Type of Construction/Occupancy Load Residential Plumbing Number of Stories 0 Proposed Use Install gas water heater MIC/Opportunity Zone Assigned To Raelynn Jones Property Parcel Address Legal Owner Owner Phone Zoning 01030500004500 117407 73RD AVE NE CAMERON ROBERT&DIANNA 111 Single Family Residence-Detached Contractors Contractor Name Primary Contact Phone Email Contractor Type License License# Absolute Plumbina Paul Hoolev 360-610-6141 absoluteplumbin 247 ahoo.com d:;ONTRACTOR -abor&Industries ABSOLP'872OD Fees Fee Description Notes Amount Plumbing Permit Base Fee 322.10.00.00 $25.00 Processing/Technology Fee 341.43.00M $25.00 Water Heater 322.10.00.00. $25.00 Total $75.00 Uploaded Files Upload File Date File Uploaded By I 8/6/2019 4:01:09 PM 12705 Aaolication.pdf lJones,Raelynn r � RESIDENTIAL PLUMBING PERMIT APPLICATION ✓��d`' �� Department of Community & Economic Development City of Arlington• 18204 59th Ave NE •Arlington, WA 98223• Phone(360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address:17407 73rd Ave NE Project Description:replacement of natural gas water heater Owner: Robert Cameron Address:17407 73rd Ave NE Cit :Arlin ton y g State:WA Zip Code: 98223 Phone: 360 403-9372 Email: absoluteplumbing247@yahoo.com Applicant:JO Absolute Plumbing Address:PO Box 1445 City:Mount Vernon State:WA Zip Code: 98273 Phone: 3606106141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Box 1445 City�Mount Vernon State!NA Zip Code:98273 License Number;ABSOLP*8720D Expiration;09/08/2019 Phone:3606106141 Email:absoluteplumbing247@yahoo.com = STAFF USE ONLY Received Permit #: j 2��CJ Accepted by: Date AUG 0 6 2019 REV 2015 Page 1 of 2 �IN�k RESIDENTIAL PLUMBING r PERMIT APPLICATION CAN Department of Community & Economic Development City of Arlington• 18204 591h Ave NE •Arlington,WA 98223• Phone(360) 403-3551 Plumbing Section (check all that apply) (Check all that apply and indicate the number of fixtures proposed) ❑ Bath/Shower Combo (4.0) x ❑I Sink (1,5) x ❑ Shower (2.0) x ❑ Lavatory (1.0) x ❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x ❑ Dishwasher (1.5) x Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model# ❑ Other (list) x G12-S4040NVR Proposed Water Piping Size:0 Proposed Piping Material: 0 Proposed DWV Material:0 Proposed DWV Size: 0 • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1014 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control may be required ecz`ram e;2 Applicant Signature: Date: 08/05/2019 1 hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. REV 2015 Page 2 of 2 kjL ,bor,& Industries Aft A-ZIndex ' Help to My I'm Safety&Health M Claims&Insurance 0 Workplace Rights 0 Trades&Licensing 0 Washington State Department of Labor & Industries ABSOLUTE PLUMBING Owner or tradesperson P O BOX 1445 Principals MOUNT VERNON,WA 98273 OLIVER,JEREMY MICHAEL,PRESIDENT 360-610-6141 Doing business as SKAGIT County ABSOLUTE PLUMBING WA UBI No. Business type 603 305 333 Corporation Parent company JO ABSOLUTE PLUMBING INC Certifications &Endorsements License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active. Meets current requirements. License specialties PLUMBING License no ABSOLP'8720D Effective—expiration 09/04/2013—09/08/2021 Bond Contractors Bonding&Insurance Co $6,000.00 Bond account no. SH5089 Received by L&I Effective date 09/04/2013 09/03/2013 Expiration date Until Canceled Insurance Federated Mutual Ins Co $1,000,000.00 Policy no. 9145772 Received by L&I Effective date 11/09/2018 11/05/2018 Expiration date 11/05/2019 Insurance history Savings ........... ... No savings accounts during the previous 6 year period. Lawsuits against the bond or.savings No lawsuits against the bond or savings accounts during the previous 6 year period. L81 Tax debts No L81 tax debts are recorded for this Conti r license during the previous 6 year period,but son. ,bts may be recorded by other agencies. License Violations Infraction no. PBUJD00703 Satisfied Issue date RCWNVAC 10/19/2017 18.106.020 Violation city Violation amount MOUNT VERNON $500.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Dustin Rose,an expired plumber trainee Infraction no. PBUJD00704 Satisfied Issue date RCWNVAC 10/19/2017 18.106.020 Violation city Violation amount MOUNT VERNON $500.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.contractor employed Eric Bates, an expired plumber trainee Infraction no. PBUJD00676 Satisfied Issue date RCWNVAC 05/26/2017 18.106.020 Violation city Violation amount MOUNT VERNON $500.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required. Infraction no. PBATI01201 Satisfied Issue date RCWNVAC 04/25/2016 18.106.020 Violation city Violation amount MOUNT VERNON $1,000.00 Type of violation PLUMBER INFRACTION Description Contractor failed to provide proper supervision as required.Company had two plumber trainees installing new shower/tub unit when not supervised as required. e us improve Infraction no. PBUJD00525 Satisfied Issue date RCW/WAC 05/04/2015 18.106.020 Violation city Violation amount MOUNT VERNON $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Kristopher Schuhow to install rough plumbing at the listed location. Infraction no. PBATI01033 Satisfied Issue date RCWNVAC 04/15/2014 18.106.020 Violation city Violation amount MOUNT VERNON $250.00 Type of violation PLUMBER INFRACTION Description Contractor employed a person to engage in the trade of plumbing without a current journeyman,specialty or trainee certificate, temporary permit or medical gas endorsement as required.Contractor employed Matthew Carr to perform gas water heater installation when his plumbing certification was inactive. Workers' comp Public Works Requirements Workplace safety and health �N'ashington4 Help us Improve B NOTICE TO PERMITEE AND/OR OWNER �6 PARTIAL APPROVAL ❑ CORRECTIONS REQUIRED ❑ DO NOT OCCUPY 0APPROVED PERMIT#: , J 10 LOT#: DATE: '`,IL JOB ADDRESS: 11t4,)-" `�?.gip &I E �l TYPE OF INSPECTION: 1 ❑ NO PERMIT-STOP WORK-OBTAIN PERMIT:AND MAKE WORK COMPLY WITH CURRENT BUILDING AND/OR PLANNING CODES. ❑ CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT -STOP WORK: MAKE EXISTING WORK COMPLY WITH APPROVED PLAN AND PERMIT OR REMOVE IT. ❑ STOP WORK UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑ CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK NOT READY FOR INSPECTION:$50 REINSPECTION FEE (PER IBC) MUST BE PAID PRIOR TO NEXT INSPECTION. ❑ CONTACT INSPECTOR 360-403-3551 ❑ CALL FOR REINSPECTION 1U C21= W4122A/L- 7LIM-11 AA IZ 7� THEACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN DAYS OR PENALTIES IMPOSED BYLAW MAYAPPLY, FOR INSPECTION CALL: 360-403-3417 8 /Z!Z INSPECTOR DATE BUILDING DEPT. Cl PLANNING DEPT. CITY OF ARLINGTON RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� Department of Community & Economic Development City of Arlington• 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW PLUMBING INSTALLATION FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION AND INCLUDE ALL INFORMATION. Project Address. 17407 73rd Ave NE Project Description:replacement of natural gas water heater Owner: Robert Cameron 17407 73rd Ave NE Address: City-Arlington State:WA Zip Code: 98223 Phone: 360 403-9372 Email. absoluteplumbing247@yahoo.com Applicant:JO Absolute Plumbing Address: PO Box 1445 City.Mount Vernon State:WA Zip Code: 98273 Phone: 3606106141 Email: absoluteplumbing247@yahoo.com CONTRACTOR INFORMATION Contractor Name:Absolute Plumbing Address:PO Box 1445 City:Mount Vernon StateWA Zip Code:98273 License Number:AB50LP*8720D Expiration.09/08/2019 Phone-3606106141 Email.absoluteplumbing247@yahoo.com STAFF USE ONLY Permit #: Accepted by: Date REV 2015 Page 1 of 2 RESIDENTIAL PLUMBING PERMIT APPLICATION ING�� Department of Community & Economic Development City of Arlington• 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 Plumbing Section (check all that apply) (Check all that apply and indicate the number of fixtures proposed) ❑ Bath/Shower Combo (4.0) x ❑ Sink (1.5) x ❑ Shower (2.0) x ❑ Lavatory (1 .0) x ❑ Clothes Washer (4.0) x ❑ Water Closet (2.5) x ❑ Dishwasher (1 .5) x Q Water Heater x 1 ❑ Hose Bibb (2.5) x Water Heater Model # ❑ Other (list) x G12-S4040NVR Proposed Water Piping Size: 0 Proposed Piping Material: Proposed DWV Material: 0 Proposed DWV Size: 0 • All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASSE 1019 • All water supplies at 80psi or greater shall have Pressure Reducing Valves (PRV) • Cross-Connection-Control may be required Applicant Signature: °af °°3° tl3 ° °3tl° Date: 08/05/2019 1 hereby certify that the above information is correct and that the construction, installation for the above mentioned property will be in accordance with the applicable laws of the City of Arlington and the State of Washington. REV 2015 Page 2 of 2 CITY OF ARLINGTON 238 N. OLYMPIC AVE -ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17407 73rd Ave NE Permit#:2705 Parcel#:01030500004500 Valuation:0.00 OWNER APPLICANT CONTRACTOR - Name:CAMERON ROBERT&DIANNA Name:Absolute Plumbing Name:Absolute Plumbing Address: 17407 73RD AVE NE Address:17407 73rd Ave NE Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223-8192 City,State Zip:Arlington,WA 98223 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 LIC: EXP: MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 LIC#: EXP: LIC#:ABSOLP*8720D EXP:09/08/2021 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and coded City of Arlington#3101. Signature Print Name Date Released By Date CONDITIONS Adhere to approved appliance. Call for final inspection. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 8/6/2019 Plumbing Permit Base Fee $25.00 8/6/2019 Processing/Technology Fee $25.00 8/6/2019 Water Heater $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS BUILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon �r INSTALLER COPY INSTALLATION SERVICES CUSTOMER CONTRACT-PLUMB-WATER HEATER ONLY LOWE'S OF SMOKEY POINT,WA,STORE#61 STORE PHONE (360)653-7405 3300 169TH PLACE NE SALESPERSON DAVID WALTERS ARLINGTON. WA 98223-8418 SALESPERSON ID 1966923 Document Print Date 08/0 112 0 1 9 This is only a Quote for the merchandise and services printed below This becomes an agreement upon payment and issuance of a Lowe's receipt,upon which the entire agree- ment,including the specifically completed pages of this document.the Terms and Conditions included with this document,the applicable portion(s)of Lowe's receipt,and any other addenda or attachments hereto,shall be referred to herein as this"Contrail" PLEASE READ THIS ENTIRE DOCUMENT INCLUDING THE"TERMS AND CONDITIONS"BEFORE SIGNING Lowe's Registration or Contractor License Number!Lowe's Contractor Name Home Phone Customer Name S ROBERT CAMERON 360-40 Customer Address Other Phone 9372 � 1407 3RD AVE NE 425-501-0776 L 7 State/Province Zip,Postal Code D ARLINGTON WA 98223 Installation Address 17407 3RD AVE NE T Installation State/Province Installation Zip/Postal Code Installation City 98223 ARLINGTON WA MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 13931 :CSSD44R-24 XL:STK: 1/20D CONN 1/2MIP S+X1/2MIP X24: 1/20D CONN 1/2MIP S+X1/2MIP X24:BRASSCRAFT CORPORATION-QTY 1 46597:QS-50-R:STK:EARTHQUAKE STRAP KIT UP TO 80-GAL:EARTHQUAKE STRAP KIT UP TO 80-GAL:RELIANCE WORLDWIDE CORP-QTY 1 962548:G12-S4040NVR:STK:AO SMITH 40-GAL 12YR NG SHORT LNX:AO SMITH 40-GAL 12YR NG SHORT LNX AMERICAN WATER HEATER CO INC-QTY 1 963318:LET2:STK:EXPANSION TANK 2-GAL(160680).EXPANSION TANK 2-GAL(160680):A.0.SMITH WATER SYSTEMS-QTY 1 1296428: 1296428:STK:24-IN COPPER WI-IC 3/4-IN:24-IN COPPER WHC 3/4-IN:MOSACK GROUP INC-QTY 2 Materials Price S 720.941 Store 61 Project No 590465924 for ROBERT CAMERON Page 1 of 4 Permit#: 2705 Permit Date: 08/06/19 Permit Type: RESIDENTIAL PLUMBING Project Name: Cameron Applicant Name: Absolute Plumbing Applicant Address: PO Box 1445 Applicant, City, State, Zip: Mount Vernon,WA 98273 Contact: Phone: 360-610-6141 Email: absoluteplumbing247@yahoo.com Scope of Work: Install gas water heater Valuation: 0.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 08/08/2019 Permit Expires: Form Permit Type: Status: IN PROCESS Assigned To: Raelynn Jones Property Parcel# Address Legal Description Owner Name Owner Phone Zoning CAMERON 01030500004500 17407 73RD AVE NE ROBERT& Residence Single Family -Detached DIANNA Contractors Contractor Primary Contact Phone Address Contractor Type License License# Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION Labor&Industries ABSOLP*799MB CONTRACTOR Absolute Plumbing Paul Hooley 360-610-6141 PO Box 1445 CONSTRUCTION COA 603 305 333 CONTRACTOR Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 08/14/2019 R00.WATER AM between 11-12 08/14/2019 BUILDING Completed HEATER FINAL HWT Final Fees Fee Description Notes Amount Plumbing Base Permit Fee $25.00 Processing/Technology $25.00 Water Heater(Tank) $25.00 Total $75.00 Attached Letters Date Letter Description 08/06/2019 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 08/08/2019 Jeremy Oliver 76477678 $75.00 Outstanding Balance $0.00 Uploaded Files Date File Name 01/15/2020 6113732-2705 8-14-19IC.pdf 08/08/2019 5435693-Signed Cameron Permit.pdf 08/08/2019 5435689-2705 Application.pdf 08/06/2019 5421298-2705 Application.pdf CITY OF ARLINGTON 238 N. OLYMPIC AVE-ARLINGTON, WA. 98223 PHONE; (360) 403-3551 BUILDING PERMIT Address:17407 73rd Ave NE Permit#:2705 Parcel#:01030500004500 Valuation:0.00 OWNER APPLICANT CONTRACTOR Name:CAMERON ROBERT&DIANNA Name:Absolute Plumbing Name:Absolute Plumbing Address: 17407 73RD AVE NE Address:17407 73rd Ave NE Address:PO Box 1445 City,State Zip:ARLINGTON,WA 98223-8192 City,State Zip:Arlington,WA 98223 City,State Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 Phone:360-610-6141 LIC: FXP MECHANICAL CONTRACTOR PLUMBING CONTRACTOR Name: Name:Absolute Plumbing Address: Address:PO Box 1445 City,State,Zip: City,State,Zip:Mount Vernon,WA 98273 Phone: Phone:360-610-6141 LIC#: I:\P LIC#:ABSOLP•8720D EXP:09/08/2021 JOB DESCRIPTION PERMIT TYPE: Residential Plumbing CODE YEAR: 2015 STORIES: CONST.TYPE: DWELLING UNITS: OCC GROUP: BUILDINGS: OCC LOAD: PERMIT APPROVAL I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY; NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRCI10. SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form and co ed City of Arlington#3101. J (• Li 0j� l q 8/8/2019 Signature Print Name 1)aie R used By Date CONDITIONS Adhere to approved appliance. Call for final inspection. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVAI E PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS.DRIVEWAYS.MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION. PERMIT FEES Date Description Fee Amount 8/6/2019 Plumbing Permit Base Fee $25.00 8/6/2019 Processing/Technology Fee $25.00 8/6/2019 Water Heater $25.00 Total Due: $75.00 Total Payment: $0.00 Balance Due: $75.00 CALL FOR INSPECTIONS Bt ILDING(360)403-3417 When calling for an inspection please leave the following information: Permit Number,Type of Inspection being requested,and whether%.on prefer morning or afternoon