HomeMy WebLinkAbout17428 74TH DR NE_BLD2089_2026 RESIDENTIAL PERMIT APPLICATION
Department of Community & Economic Development
� jNG,Cp City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE,
ADDITION, DECK, OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BYTWO(2) SETS
OF CONSTRUCTION DRAWINGS AND TWO(2) SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST
ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING
VERIFICATION MAY BE SUBMITTED PRIOR.
17428 74th Dr NE; Arlington, WA 98223
Project Address: Plat:
W1 Single-family ❑ Duplex ❑ Townhouse ❑ Addition ❑ Accessory structure
Proposed Area: 1"' Floor: 2"� Floor: Garage: Total SF:
Describe Proposal (include cross street):
replace water heater in garage
Valuation: $200.00
Owner: Aleksandr Nazarchuk
17428 74th Dr NE Arlington WA 98223
Address: City: State: Zip Code:
Phone:
425-327-7244 Email: alex.nazarchuk@yahoo.com
Applicant: same as owner
17428 74th Dr NE Arlington WA 98223
Address: City: State: Zip Code:
Phone:
425-327-7244 Email: alex.nazarchuk@yahoo.com
Contractor: Platinum Choice Plumbing, LLC
1429 Ave D, Ste 370 Snohomish WA 98290
Address: City: State: Zip Code:
Phone:
425-691-0512 Email: N/A
Contact Person: Mikal License Number: PLATICP822DG Expiration: 03/07/2020
6'16LP Page 1 of 3
RESIDENTIAL PERMIT APPLICATION
' Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE •Arlington,WA 98223 • Phone(360)403-3551
Plumbing Section (continue filling out K plumbing is involved)
(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 Water Heater x 1
❑ Hose Bibb (2.5) x Water Heater Model #
❑ Other (list) x Rheem - XG50T12HE4000
Plumbing Section Continued
Proposed Water Piping Size: Proposed DWV Material:
Proposed Piping Material: Proposed DWV Size:
• 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)
6/16LP Page 2 of 3
RESIDENTIAL PERMIT APPLICATION
' Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551
Mechanical Section (continue filling out if mechanical equipment is involved)
Select proposed appliances:
❑ Furnace (80+) Model # AFUE
❑ Heat Pump Model # SEER HSPE
❑ AC Unit Model # SEER
❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping
❑ Boiler ❑ Solid-Fuel Appliance ❑ PV System
❑ Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank
❑ Freestanding Stove ❑ Gas Piping ❑ Other
Gas Piping Information
Not Applicable:
Pipe Material: Pipe Size: Total BTU's of all Appliances:
Distance from Meter to Furthest Appliance:
• New gas piping requires a pressure test to hooking to any appliance
• Sediment traps (drips) are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper combustion air and venting required for all appliances
• A shut-off is required within 6 feet of all appliances
Cekaassa/�oeW.—�
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Applicant Signature: .,..00ff2c1f5aB�114... Occb6 Date: 08/02/2018
Print Applicants Name: Aleksandr L Nazarchuk
6/16LP Page 3 of 3
C Y OF ARLNGTON
v
238 N. OLYMPIC AVE- ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:17428 74th Drive NE Permit#.2089
Parcel#:01069900002300 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:NAZARC14UK ALEKSANDR/MARIA Name:AleksandrNazarchuk Name:Platinum Choice Plumbing,Inc.
Address: 17428 74TH DR NE Address:17428 74th Drive NE Address: 1429 Avenue D,#370
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Snoliomish,WA 98290
Phone: Phone:425-327-7244 Phone:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Platinum Choice Plumbing,Inc.
Address: Address: 1429 Avenue D,9370
City,State,Zip: City,State,Zip:Snohomish,WA 98290
Phone: Phone:.
LIC#: EXP: LIC#: EXP:
SOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS, OCC GROUP_
BUILDINGS. 1 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. IBC I I01IRC 110.
SALES TAX NOTICE:r•Sales tax relating to construction and construction materials in the City of Arlin 710nust.41 reported on your st to return Iurm
and coded City of gt #3 t01.
atU Print Name Date V cleared By pug 7—t
CONDITIONS
Adhere to 2015 WSEC. Call for final inspection.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVCRS WORK TO BF,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
8/30/2018 Plumbing Permit Base Fee $25.00
8130/2018 ProcessinglTechnology Fee $25.00
8Y30/2018 Water Heater $25.00
Total Due: $75.00
Total Payment: $75.00
Balance Due: $0.00
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 \3
r. 'Y:
C1FYOF� ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:17428 74th Drive NE Permit#•2089
Parcel#:01069900002300 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:NAZARCHUK ALEKSANDR/MARIA Name:Aleksandr Nazarchuk Name:Platinum Choice Plumbing,Inc.
Address: 17428 74TH DR NE Address:17428 74th Drive NE Address: 1429 Avenue D,#370
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Snohomish,WA 98290
Phone: Phone:425-327-7244 Phone:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Platinum Choice Plumbing,Inc.
Address: Address: 1429 Avenue D,#370
City,State,Zip: City,State,Zip:Snohomish,WA 98290
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: 1 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. IBC1 I0/IRC110.
SALES TAX NO'I'ICF:Sales tax relating to construction and construction materials in the City of Arlin ton ust,6 reported on yours to return form
,,and coded City of Arlington#3101. /
Signature Print Name Date V cleased By Da
CONDITIONS
Adhere to 2015 WSEC. Call for final inspection.
THIS PERMIT AUTHORIZS 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
8/30/2018 Plumbing Permit Base Fee $25.00
8/30/2018 Processing/Technology Fee $25.00
8/30/2018 Water Heater $25.00
Total Due: $75.00
Total Payment: $75.00
Balance Due: $0.00
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
a - ��
•_I
Home Espafiol Contact
Search L&I
Labor low Industries
c Workplace Rights c Trades&Licensing c
Washington State Department of
" Labor & Industries
PLATINUM CHOICE PLUMBING LLC
Owner or tradesperson 1429 Ave D Ste#370
SNOHOMISH,WA 98290
Principals 877-417-4737
Williams,Jimmie Ray,PARTNER/MEMBER SNOHOMISH County
Doing business as
PLATINUM CHOICE PLUMBING LLC
WA UBI No. Business type
603 145 127 Limited Liability Company
Parent company
SPECIALTY INSULATION NW LLC
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.
PLATICP822DG
Effective—expiration
03/07/2018—03/07/2020
Bond
Western Surety Co $6,000.00
Bond account no.
63541136
Received by L&I Effective date
03/07/2018 02/26/2018
Expiration date
Until Canceled
Insurance
Federated Mutual Ins Co $1,000,000.00
Policy no.
6066960
Received by L&I Effective date
03107/2018 03/0512018
Expiration date
0 3/0 512 01 9
Sayin s
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.
L&I Tax debts
No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts
may be recorded by other agencies.
License Violations Help us improve
No license violations during the previous 6 1 3eriod.
Workers' comp
Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums.
L&I Account ID Account is current.
223,781-00
Doing business as
SPECIALTY INSULATION NW LLC
Estimated workers reported
Quarter 2 of Year 2018"7 to 10 Workers"
L&I account contact
TS/BETTY WHALIN(360)902-5137-Email:VABE235@lni.wa.gov
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
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RESIDENTIAL PERMIT APPLICATION
�
.j 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 A NEW SINGLE-FAMILY, DUPLEX, TOWNHOUSE,
ADDITION, DECK, OR ACCESSORY STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2)SETS
OF CONSTRUCTION DRAWINGS AND TWO(2)SETS OF STRUCTURAL CALCULATIONS. THE APPLICATION MUST
ALSO INCLUDE THE PLUMBING SUBMITTAL AND THE MECHANICAL SUBMITTAL FORMS. THE ZONING
VERIFICATION MAY BE SUBMITTED PRIOR.
17428 74th Dr NE; Arlington, WA 98223
Project Address:_ Plat:
el Single-family ❑ Duplex Townhouse ❑ Addition LJ Accessory structure
Proposed Area: 111 Floor: 2"d Floor: Garage: Total SF:
Describe Proposal (include cross street):
replace water heater in garage
Valuation: $200.00
owner:Aleksandr Nazarchuk
Address:
17428 74th Dr NE City: Arlington State:WA Zip Code:98223
Phone: 425-327-7244 Email: alex.nazarchuk@yahoo.com
Applicant:same as owner
Address: 17428 74th Dr NE City: Arlington State: WA Zip Code:98223
Phone:
425-327-7244 Email:alex.nazarchuk@yahoo.com
Contractor: Platinum Choice Plumbing, LLC
Address:
1429 Ave D, Ste 370 City:Snohomish State:WA Zip Code:98290
_
Phone:
425-691-0512 Email: N/A
Contact Person: Mikal License Number:PLATICP822DG Expiration: 03/07/2020
Received
AUG ® 2 ?018
6/16LP Page 1 of 3
RESIDENTIAL PERMIT APPLICATION
^• 1
Department of Community & Economic Development
City of Arlington• 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551
,
C 6
Plumbing Section (continue filling out if plumbing is involved)
(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 Water Heater x 1
❑ Hose Bibb (2.5) x Water Heater Model #
❑ Other (list) x Rheem - XG50T12HE4000
Plumbing Section Continued
Proposed Water Pipinq Size: _ Proposed DWV Material:
Proposed Piping Material: Proposed DWV Size:
• 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)
6/16LP Page 2 of 3
RESIDENTIAL PERMIT APPLICATION
y ?
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE •Arlington, WA 98223 • Phone(360)403-3551
Mechanical Section (continue filling out if mechanical equipment is involved}
Select proposed appliances:
❑ Furnace (80+) Model # AFUE
❑ Heat Pump Model # SEER HSPE
❑ AC Unit Model # SEER
❑ Type II Hood ❑ Commercial Cooking Appliance ❑ Hydronic Piping
❑ Boiler ❑ Solid-Fuel Appliance ❑ PV System
❑ Fireplace Insert ❑ Outdoor BBQ ❑ Storage Tank
❑ Freestanding Stove ❑ Gas Piping ❑ Other
Gas Piping Information
Not Applicable: P�
Pipe Material: Pipe Size: _ Total BTU's of all Appliances:
Distance from Meter to Furthest Appliance:
• New gas piping requires a pressure test to hooking to any appliance
• Sediment traps (drips) are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper combustion air and venting required for all appliances
• A shut-off is required within 6 feet of all appliances
Applicant Signature: Date: 08/02/2018
Print Applicants Name: Aleksandr L Nazarchuk
6/16LP Page 3 of 3
I
1
I
I
I
CITE'' OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:17428 74th Drive NE Permit#:2089
Parcel#:01069900002300 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:NAZARCHUK ALEKSANDR/MARIA Name:Aleksandr Nazarchuk Name:Platinum Choice Plumbing,Inc.
Address: 17428 74TH DR NE Address:17428 74th Drive NE Address: 1429 Avenue D,#370
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Snohomish,WA 98290
Phone: Phone:425-327-7244 Phone:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Platinum Choice Plumbing,Inc.
Address: Address: 1429 Avenue D,#370
City,State,Zip: City,State,Zip:Snohomish,WA 98290
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: 1 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 HISMER 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. IBCI10/IRC1l0.
SALES TA Q`t I'E•Sales tax relating to construction and construction materials in the City of Arlin rtt ust.-6 reported on your s-k taX return form
and coded City of gt #3101. r+
i atu kip
Print Name Date cleased By Da
CONDITIONS
Adhere to 2015 WSEC. Call for final inspection.
THIS PERMIT AUTHORIZS 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
8/30/2018 Plumbing Permit Base Fee $25.00
8/30/2018 Processing/Technology Fee $25.00
8/30/2018 Water Heater $25.00
Total Due: $75.00
Total Payment: $75.00
Balance Due: $0.00
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
CITY OF ARLINGTON
238 N. OLYMPIC AVE - ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:17428 74th Drive NE Permit#:2089
Parcel#:01069900002300 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:NAZARCHUK ALEKSANDR/MARIA Name:Aleksandr Nazarchuk Name:Platinum Choice Plumbing,Inc.
Address: 17428 74TH DR NE Address:17428 74th Drive NE Address: 1429 Avenue D,#370
City,State Zip:ARLINGTON,WA 98223 City,State Zip:Arlington,WA 98223 City,State Zip:Snohomish,WA 98290
Phone: Phone:425-327-7244 Phone:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:Platinum Choice Plumbing,Inc.
Address: Address: 1429 Avenue D,4370
City,State,Zip: City,State,Zip:Snohomish,WA 98290
Phone: Phone:
LIC#: EXP. LIC#: EXP:
JOB DESCRIPTION '
PERMIT TYPE: Residential Plumbing CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: 1 OCC GROUP:
BUILDINGS: 1 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 Arlin ton uwra reported on yours tad return form
and coded City of Arlington#3101. /
L
Signature Print Name Date V eleased By Da
CONDITIONS
Adhere to 2015 WSEC. Call for final inspection.
THIS PERMIT AUTHORIZS 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 T
Date Description Fee Amount
8/30/2018 Plumbing Permit Base Fee $25.00
8/30/2018 Processing/Technology Fee $25.00
8/30/2018 Water Heater $25.00
Total Due: $75.00
Total Payment: $75.00
Balance Due: $0.00
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
Permit#: 2089
Permit Date: 08/07/18
Permit Type: RESIDENTIAL PLUMBING
Project Nam e Nazarchuk
Applicant Nam a Aleksandr Nazarchuk
Applicant Address: 17428 74th Drive NE
Applicant, City, State, Zip: Arlington,WA98223
Contact: Aleksandr Nazarchuk
Phone: 425-327-7244
Em al: alex.nazarchuk@@oo.com
Scope of Work: HWT replacem mt
Valuation: 0.00
Square Feet: 0
Num ber of Stories: 0
Construction Type:
O xupancy G ioup:
ID Code:
Permit Issued: 09/06/2018
Permit Expires:
Form Permit Type:
Status: LASERFICHE
Assigned To: Launa Black
Property
Parcel# Address L egal Description O wner Nam e Ovner Phone Zoning
NAZARCHUK 111 Single Fam iy
01069900002300 1 7428 74TH DR NE ALEKSANDR/MARIA Residence-
Detached
Contractors
Contractor P rim ay Contact P hone A ddress C ontractor Type L icense License#
Platinum Choice 1429 Avenue D, PLUMBING
Plum ling,Inc. #370 CONTRACTOR Labor&Industries PLATICP822DG
Fees
Fee D escription N otes A m aunt
Plum ling Base P erm i Fee $ 25.00
Processing/Technology $25.00
Water Heater(Tank) $25.00
Total $ 75.00
Attached Letters
Date Letter D escription
08/30/2018 Building Perm i
Paym sits
Date Paid By D escription P aym art Type A ccepted By A m wnt
08/08/2018 Aleksandr Nazarchuk 7 1192597 c c $75.00
O rtstanding Balance $0.00
Uploaded Files
Date File Nam e
09/06/2018 3907464-2089 Issued Permt.pdf
08/07/2018 3795706-17428 Residential Perm i 1JK5oOpzDZBbZV.pdf