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Home My WebLink About5026 Cemetery Rd_BLD024877_2025y-7- "IMSPEC'I"ION REPORT f4 Permit No.: q / 7 Lot #: Address: Contractor: Owner: Date: ' i /0 - 03 /APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. old C-L'C-'-3 e Inspector: Date: '1 -() TYPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: ❑ Framing ❑ Gas Piping ❑ Drywall, Nailing ❑ Consultation ❑ Shear Nailing ❑ Groundwork ❑ Grid ❑ Struct. Slab ❑ Rough -in X Final ❑ Drainage ❑ Insulation INSPECTION' REPORT ti1N G?' Permit No.: Od- 477 Lot #: 4 � Q Address: • • — � � Contractor: O Owner: gS�ING� Date: 'Y" rd 3 ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. 'CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. .V1b44L (-'9Ayq a. S'Prtr. f Z.� �! � '� � ��2,�M R /u ✓tea% + � 11 r je_,4,-'t `m 6 r r4 t2L, lac N i l � r C.):- "� / �'�% i7L` e . T! li' � :..:; •v 1`Z-4i (,v / lLu= :. c 7G S! /2iAs y ..j Al t (f/1l�� yPL`.�ii1— Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: ❑ Framing ❑ Drywall, Nailing ❑ Shear Nailing ❑ Grid ❑ Rough -in ❑ Drainage ❑ Gas Piping ❑ Consultation ❑ Groundwork ❑ Struct. Slab Final ❑ Insulation INaP!E&ftTIOAI 12EP'O159r Permit No.: Address: Contractor: O Owner: IN O� Date: APPROVAL El PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. Inspector: 3/�G Date: TYPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Framing ❑ Footing ❑ Drywall, Nailing —@_F_�dation ❑ Shear Nailing ❑ Mechanical ❑ Grid ❑ Wood Stove ❑ Rough -in ❑ Masonry raina+ e ❑ Other: I tz I ❑ Gas Piping ❑ Consultation ❑ Groundwork ❑ Struct. Slab ❑ Final ❑ Insulation INSPECTION REPORT & 30 d� N G ,T Permit No.: `t a 77 Lot #: Address: f Contractor: Owner: ` IN Date:. l�r --r cl, W APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. Inspector: ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical Cl Wood Stove ❑ Masonry ❑ Other: Date: `C?,,-- PE OF INSPECTION REQUESTED ❑ Framing rywall, Nailing ❑ ar Nailing ❑ Grid ❑ Rough -in ❑ Drainage ❑ Gas Piping ❑ Consultation ❑ Groundwork ❑ Struct. Slab ❑ Final ❑ Insulation INSPECTION REPORT -T 3 7 Permit No.: ` 77 L t #: Address: Contractor: Ind Owner: I N G Date: / -6 j CR�APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. Inspector: 80- W-1 R2 • _ ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: PE OF IN (PECTION REQUESTED ❑ Framing ❑ Drywall, Nailing ❑ Shear Nailing ❑ Grid ❑ Rough -in ❑ Drainage ❑ Gas Piping ❑ Consultation ❑ Groundwork ❑ Struct. Slab ❑ Final jd�lnsulation INSPECTION REPORT -7� J Permit No.: "Cle1 / Lot #: Address: Contractor: A/ Owner: IN O Date: //-oc� o PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. Inspector: Date: 'TYPE OF 114SPECTION REQUESTED ❑ Under -floor j� raming ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough -in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Permit No.:c — Lot it: � Address: \�p Contractor: •3`I! 9 p Owner: Date: \ I ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ,4 CORRECTION REQUESTED 1orrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. r � Inspector: __, — Date: f TYPErOF INSPECTION REQUESTED ❑ Under -floor "4p4-. Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough -in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: ` INSPECTION REPORT Permit No.: - 4!L_1 _� Lot #: Address: CSPa Contractor: -3 C� Owner: �I N G Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ElPlease contact inspector. " /l %n 'raw-1.�__� ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. f ON""jl o Inspector: ❑ Under -floor ❑ Footing Foundation Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: r Date: S� OF INSPECTION REQUESTED Framing t2 x Gas Piping ❑ Drywall, Nailing ❑ Consultation ❑ Shear Nailing ❑ Groundwork ❑ Grid ❑ Struct. Slab ❑ Rough -in ❑ Final ❑ Drainage ❑ Insulation INSPECTION REPORT iC1,�N G T permit No.: "1 e � 4"' Address: �� cf CS � Z Contractor: % O Owner: l �`s�I N Date: — t! �• ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED �Gorrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was notable to perform inspection. /IE4 ALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. ^�4 9U 8 5:APPO/H--p R-( NOT- A 1'L,r,,:..J�'-_y As! R )*;-� Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Framing Ak GasPiping ElFooting ❑ Drywall, Nailing Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough -in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 'ASPECT#ON REPORT - Permit No.: 4 Z7 Lot*Address: S�Q� Contractor: 14 Owner: NGGDate: ` !' APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. P- / X 5i A- S L a nJ L5' 1.o. N 015L- r"L.,O v-YL_ Inspector: c Date: ► t TYPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Footing ❑ Foundation >Mechanical 'dl Wood Stove ❑ Masonry ❑ Other: ❑ Framing �as Piping ❑ Drywall, Nailing ❑ COnsuit3ti0n ❑ Shear Nailing ❑ Groundwork ❑ Grid ❑ Struct. Slab ❑ Rough -in ❑ Final ❑ Drainage ❑ Insulation INSPECTION REPORT -7 Ot 1� Permit No.:6�-*177 Lot #: Address: Contractor: aa Owner: IN CsS Date: j- i -� �• ❑ APPROVAL PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. r 3 0-7" 5 J .J c-6 `_ 72 Inspector: Date: � J__ TYPE OF INSPECTION REQUESTED ❑ Under -floor -*-raming ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ ❑ Grid ❑ Struct. Slab ❑ Rough -in ❑ Final ❑ Drainage ❑ Insulation Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: INSPECTION REPORT I0 a7e pw1 Permit No.` V7 Lot #i Address: Contractor: Owner: S I C` Date: e D _00-1 ;APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. L..l eK iS i ^z, Inspector: Sir-- Date: TYPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove3ough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 52 N C 7'O Permit No.: " 4` 7 Lot #: Address: • • y Contractor: _ O Owner: IN �'� Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. Inspector: Ceo Date: /� TYPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: ❑ Framing ❑ Drywall, Nailing ❑ Shear Nailing ❑ Grid — xr, ugh -in Drainage ❑ Gas Piping ❑ Consultation ❑ Groundwork ❑ Struct. Slab ❑ Final ❑ Insulation INSPECTION REPORT PN GO Permit No.: 49n L t #: Address: Contractor, ► , , 0 Owner: SING Date: APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: Date- �''<) � �' — N REQUESTED ❑ Framing ❑ Drywall, Nailing IShear Nailing ❑ Grid ❑ Rough -in ❑ Drainage ❑ Gas Piping ❑ Consultation ❑ Groundwork ❑ Struct. Slab ❑ Final ❑ Insulation INSPECTION REPORT Permit No.: l Lot #: Address: Contractor: Owner:, Date: APPROVAL ❑ PARTIAL APPROVAL VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. TYPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: _ ❑ Framing ❑ Gas Piping ❑ Drywall, Nailing ❑ Consultation ❑ Shear Nailing ❑ Groundwork ❑ Grid ❑ Struct. Slab ❑ Rough -in ❑ Final ❑ Drainage ❑ Insulation 14SPECTION REPORT Permit No.: i Lot #: r Address: Contractor: Lee ►)^ � _ Owner: Date: //APPROVAL ❑ PARTIAL APPROVAL a VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPF-CT19DN - 24 hour notice required. TYPE OF INSPECTION REQUESTED ❑ Under -floor ❑ Footing ❑ Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: ❑ Framing ❑ Gas Piping ❑ Drywall, Nailing ❑ Consultation ❑ Shear Nailing ❑ Groundwork ❑ Grid ❑ Struct. Slab ❑ Rough -in ❑ Final ❑ Drainage ❑ Insulation INSPECTION REPORT Permit No.: tAddress: ii Contractor: Owner: Date: ' �r APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. TYPE OF INSPECTION REQUESTED ❑ Under -floor O Footing ndat'ron ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: ❑ Framing ❑ Gas Piping ❑ Drywall, Nailing ❑ Consultation ❑ Shear Nailing ❑ Groundwork ❑ Grid ❑ Struct. Slab ❑ Rough -in ❑ Final ❑ Drainage ❑ Insulation INSPECTION REPORT G�� OHO Permit No.: t b"7 —7 Lot #: Address: Contractor:Alt Owner: IN Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE -INSPECTION - 24 hour notice required. Inspector: ! Dater'` TYPE OF INSPECTION REQUESTED ❑ Under -floor 0 Footing Foundation ❑ Mechanical ❑ Wood Stove ❑ Masonry ❑ Other: ❑ Framing ❑ Drywall, Nailing ❑ Shear Nailing ❑ Grid ❑ Rough -in ❑ Drainage ❑ Gas Piping ❑ Consultation ❑ Groundwork ❑ Struct. Slab ❑ Final ❑ Insulation y. / e G I TY OF ARL I NCCT'Ohl G O N S T R U G T I M M P E R M I T PERM I T MCI- a 02-4E377 Owner: MY-ED CONSTRUCTION PO BOX 1012 EVERETT Value of Work: $155, 000. 00 Tax ID: Describe Work: NEW DUPLEX Proposed Use: SFR-2 Legal Description: SMITH SHORT PLAT LOT 4 Job Address: 5026 CEMETERY RD Contractor's Name MY ED CONSTRUCTION PUGET HEATING CO INC. MARYSVILLE PLUMBING INC. Equipment and Fixtures PLUMBING FIXTURES FURNACE/UNIT HEATER MISC EQUIPMENT VENTILATION FANS DRYER WATER HEATER GAS PIPING 1-4 OUTLETS Type GEN MEC PLB Address 98206 Phone: 425-334-3487 PO BOX 1012 PO BOX 336 LK STEV 13318 SR530 NE P E R M I T License# MYEDCI0558T PUGETH*2648D MARYSP101JE F E E S Number Fee Total Charge 20 $10.00 $200.00 2 $15.00 $30.00 2 $11.00 $22.00 8 $7.00 $56.00 2 $11.00 $22.00 2 $15.00 $30.00 2 $6.00 $12.00 S U B T O T A L...... $372.00 TOTALS Fee Permit Fee $1, 384. 50 School Mitigation $0.00 Equipment $172.00 Fixture $200. 00 Mech Permit $24.00 Plan Fee $899.93 Park Mitigation $2, 000. 00 Plumb Permit $25.00 State fee $4.50 Traffic Mitigation $2, 076. 00 TOTAL FEE ................. $6,785.93 PAYMENTS .................. $927.23 TOTAL DUE ................. $5,858.70 DATE RECEIPT # G1_3e10d-- 4 cV08 SIGMATU I HEREB ER IFY 4 01T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE C MPLIED WITH WHETHER SPECTF3.ED -WEREI& DR NOT. BUILii PMG OFFI 'AL G I T Y M F A R L I MG T M M GOM S T R U C T I O M PE R M I T P E R M I T M Q_ a Owner: MY-ED CONSTRUCTION PO BOX 1012 EVERETT 98206 Value of Work: $1,000.00 Tax ID: 310516-004-016-00 Phone: 425-334-3487 Describe Work: INSTALL FREE STANDING FIREPLACE Proposed Use: SFR Legal Description: SMITH SHORT PLAT LOT 4 Job Address: 5026 CEMETERY RD Contractor's flame Type Address License# JEFF J & C HEATING MEC 120 SE EVERETT MAL WAY JCHEA#«005RJ P E R H I T F E E S Equipment and Fixtures Number Fee Total Charge --------------------------------------- ------ -------- ------------ METAL FIREPLACE & CHIMNEY 1 011.00 $11.00 GAS PIPING 1-4 OUTLETS 1 $6.00 $6.00 SUBTOTAL...... $17.00 TOTALS Equipment Mech Permit TOTALFEE ................. PAYMENTS.................. TOTAL DUE ................. DATE RECEIPT # /l-ik_0d- 4 51-�q� Fee $17. 00 $24. 00 SIGNATUR $41.00 I HEREBY ER IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND $0.66 KNOW THE SAKE TO BE TRUE AND COR- RECT ALL PR VI NS OF LAWS AND $41.00 ORDIN CES GO RNI T IS TYPE OF WORK��L BE OMP EITH WHETHER SPEC D R EI T. CITY OF ARLINGTON CONSTRUCTION ' PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONRAC� J MAIL A7;�?rlelt?12_ CITY ZIP / PHON� LICENSE N LCIIANI L`CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE i 7-- PLUMBING CONTRACTOR I MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK NL W ❑ ADDITION ❑ ALTERATION Cl REPAIR Cl DEMOLI FION Cl BUILDING RELOCATION VALUATION OF WORK S UESLRJIS WO PRUPOSE D USE OF trUiLDING - I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK 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 LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRA ,Q UTHOREZE AGENT DATE r LLG AL DES('RI ION 01 PROPERTY ISHOWN BELOW OR ATTACH FOUR COPIES) L0I BLOCK _ OF _ _ TAX 10 NUMBER 105 AUDRI 55 (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) AIR COND. UNITS - H.P. EA. BA I I11 UB REFRIGERATION UNITS - H.P. EA. LAVATORY (WASH BASIN) BOILERS - H.P. EA SHOWLR GAS FIRE_ D A.C. UNITS - TONNAGE EA. KIICIILN SINK & DISP. FORCED AIR SYSTEMS - B T-U- MEA DISHWASHER WALL HEATERS - B.T.U. M LAUNURY 1 RAY UNIT HEATERS - B.T.0 M CLOI IILS WASIILR EVAPORAI I`/E COOLERS W'AIER HEATLR CLOT HESDRYERS URINAL VENTILATICN FAN DRINKING FOUN IAIN RANGE FIOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT - GPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE & CHIMNEY SINK (SERVICE - BAR, ETC.) WATER HEATER GAS PIPING SUB TOTAL PERMIT f $I SUBTOTAL $ PERMIT f TOTAL FEE SIUL YARD SL I BACK STRLL1 SL FBACK $1 REAR YARD SETBACK PLAN CHECK NUMBER TOTAL FEE f PLAN CHECK FEE FEE RECEIPT NO. USE /ONI LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE PLAN CHECKING VG TYPE OF CONS OCCUPANCY GROUP NO. OF DWELLING UNITS BU'LDING f SIZE OI SLUG. NO. OF STORIES MAX.000. LOAD PLUMBING COMMENTS ��' f ® NOV 18 2002 CITY OF AR.LINCTON F IRE SPRINKLERS REQUIRED ❑ YES ❑ NO MECHANICAL STATE BLDG. CODE ENERGY CODE SURCHARGE �o Q PENALTY U.B.C. SEC. 303(a) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT & RECEIPT PAID CRII BY cc: ASSESSOR, APPLICANT, TREASURER, BLDG. DEPT. BUILDING OFFICIAL RECORDS COPY DATE r-eq o t-7 ,, i i / 30 4FICE COPY_ I fing- j 1-7i�%l�`= cc� 7�1 o�_-L4k77 RECEIVED JAN 0 4 2002 CITY OF ARLINGTON G CITY OF ARLINGTON CONSTRUCTION PERMIT Oa -4/V ? ❑ COMBINATION Cg BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL AD RES CITY ZIP PHONE ce el ARCHIT'FT OR DESIGNER MAIL ADDRESS '"' `CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICIENSE N MECIlA>WoL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE Ir h � PLUP413INCtZONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I LASS OF WOR LW ❑ AUDITION ❑ ALTERATION ❑ REPAIR Cl DEMOLI PION []BUILDING RELOCATION VALUATION OF WORK S I LaZL6py DESCRIBE WORK PR PUSk U SE OF UILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK OR NOT. THE L LUA L DLSCRIPI (ON OF PROPERTY (SHOWN IFE LOW 0R�ATT ACHqU R COP Ili S) OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN L0rZlY-/---.BL0C'K GRANTING OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF TAX IDNUMBER CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. SIGNATU CO RACTO LORAUTHO ZED AGENT DATE fi,`-CAL IOB.IUURL55 (OFFICE USE ONLY) MECHANICAL PLUMBING. NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILLI) AIR COND. UNITS - H.P. EA. f BAIHI UB REFRIGERATION UNITS - H.P. EA. LAVATORY (WASH BASIN) BOILERS - H.P. EA SHOWER GAS FIRED A.C. UNITS - TONNAGE EA. KI ICHEN SINK & DISP. 2 1 FORCED AIR SYSTEMS - B.T.0 MEA DISHWASHER HEATERS - B.T.0 M LAUNDRY TRAY UNI1 HEATERS -B.T.U. M e -- CLOIIILS WASHER EVAPORAI IVE COOLERS WAIERHEATER CLOIHES DRYERS URINAL VENTFLATICN FAN DRINKING FOUNIAIN RANGE FIOOD 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 $ SUBTOTAL S PERMIT S PERMIT S TOTAL FEE S TOTAL FEE f SIULYAIRON IBACK STRLEISLTBACK REAR YARD SETBACK PLANCHECKNUMBER l.�1� ANCHECK FE z't E L, % I �1 F � T Q �L USE Nk LOT ARLA VACANT SITE FEES LUAT FEE YES ❑NO PLAN CHECKING VG >,�/ ^ IY E F CON . OCCUPANCY qROUP NO, OF DWELLING UNITS BU'LDING s % ✓ / .i �^ J _ L L SILL 1 BLDG. NO. OF STUAILS MAX.000. LOAD PLUMBING _1 FIRE SPRINKLERS REQUIRED MECHANICAL G, ❑ YES ❑ NO COMMENTS p,_ STATE BLDG. CODE ENERGY CODE SURCHARGE PENALTY 1rFt f * �� S C. 303(a) q'] E 13IiE ® WATER/SEWER FEES allk5 j `? , TOTAL 0� CITY OF ARLINGTON cc: ASSESSOR. APPLICANT. TREASURER. BLDG. DEPT. PERMIT VALIDATION t/ Plain SY a WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT & PAID CR# BY iLDd FICIAL DATE RECORDS COY J