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HomeMy WebLinkAbout103 E 3RD ST_00544_2026 CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION X❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00544 OWNER MAIL ADDRESS CITY ZIP PHONE Donald Black 24211 19th_ Ave NE Arlington, WA 98223 435-2469 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE SAME GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# SAME MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK ❑NEW ❑ADDITION ❑ALTERATION ®REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK ; 7, 000. 00 DESCRIBE WORK Reframe Roof Structure PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- Commercial TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DES(RIPTION OF PROPS RTY ISHOWN BELOW OR ATTACH POUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK L0r11/12LOCK 1 OF McMahon "A 1 ct WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO 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 AUDRLSS 103 E. Third Arlington, WA (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 SHOWER GAS FIRED A.C. UNITS—TONNAGE EA. KI ICHLN SINK& DISP. FORCED AIR SYSTEMS— B.T.0 MEA DISHWASHER WALL HEATERS— B.T.0 M LAUNDRY TRAY UNIT HEATERS— B.T.U. M CLOT I iES WASHER EVAPORAT IVE COOLERS WAIERHEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUNTAIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT— CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE— BAR,ETC.) WATER HEATER GAS PIPING SUB TOTAL S SUBTOTAL $ PERMIT ; PERMIT $ TOTAL FEE $ TOTAL FEE ; SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE ZONE LOT AREA VACANT SITE 1-11-91 58, 50 22967 ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG SIZE OF BLDG NO,OF STORIES MAX.OCC.LOAD BUILDING ; 90 00 PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE 4 50 PENALTY U.B.C. SEC,303(a) Re-Roof Only PAIL WATEP/SEWERFEES — g/�A` TOTAL 4 150 �J NV 28 199E PERMIT VALIDATION WHEN PERLY VALIDATED IN THIS SPACE)THIS 15 YOUR PERMIT& Cfl PAID `�� IN c /l7-9l cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BUI RE OFflRA DATE RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑' PLUMBING ❑ SIGN PERMIT NO. MAIL ADDRESS _CITY ZIP PHONE OWNER �Y��f% !- ��°J7��=1W:. 4 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ✓ZIP PHONE j !. PHONE LIC NSE# GENE ALCONTRACTOR MAIL ADDRESS CITY 11P ZIP PHONE LICENSE# MECHANICAL CONTRACTOR MAIL ADDRESS CITY 1/ .I CITY ZIP PIIONE LICENSE# PLUMBING CONTRACTOR MAIL ADDRESS CLASS OF WORK ION Q REPAIR ❑DEMOLITION ❑BUILDING RELOCATION ❑NLW ❑AUDITION ❑ALTERAT VALUATION OF WORK DESCRIBE WORK j //I G PRUPUSk D USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL UES(.RIPIIUN 01 PROPERTY(SHOWN STADIA UR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK /'' L�fl� WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE LOI//fr/ BLOCK Z Of GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO U�9Ja' VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF TAX ID NUMBER CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IOB AUDRLSS Y / ? x (OFFICE USE ONLY) MECHANICAL PLUMBING - TYPE OF EQUIPMENT FEE NO. TYPE OF FIXTURE FEE NO. WATER CLOSET (TOILET► AIR C U.UNITS -H.P.EA. REPRICE T ION UNITS-H-P.EA. BAIIIIUB SDISHWASH (WASIT BASIN) BOILERS- .EA GAS FIRED A.C. NITS-TONNAGE EA. MEA FORCED AIR SYSF S- B.T.U. INK&UISP. WALL HEATERS—B. M UNIF HEATERS— B.T.U. M LAUNURYTR EVAPORA71`JE COOLERS CLU I I ILS WASHE CLOTHES DRYERS W'AI ER HEATER VENTILATION FAN URINAL RANGE FIOOD COMMERCIAL DRINKING FOUNTAIN AIR HANDLING UNIT- CPM FLOUR DRAIN VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS ET METAL FIREPLACE&CHIMNEY SINK(SERVICE - BAR.ETC.) \ WATER HEATER GAS PIPING SUBTOTAL f SUBTOTAL f PERMIT f PERMIT f TOTAL FEE f TOTAL FEE f PLAN CHECK FEE SIDE YARD SE(BACK STRLET SETBACK REAR YARD SETBACK PLAN CAE NU�� RECEIPT NOy�j USE F LOT AREA VACANt SITE FEES VALUATION FEE YES ❑NO TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUILDING $ SIZE OF BLDG. NO.OF ST S MAX.OCC.LOAD PLUMBING ESPRINKLERSREQUIRED YES NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY U.B.C. EC 303(a) WATER/SEWER FEES ._...�r TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT RECEIPT PAID CR# BY � DING OFFICIAL DATE I BUILDING cc:ASSESSOR.APPLICANT.TREASURER.BLDG.DEFT. RECORDS COPY