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Home My WebLink About112 S STILLAGUAMISH AVE_00694_2026 CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00694 OWNER MAIL ADDRESS CITY ZIP PHONE Elmer Knudson 112 S. Stillaguamish Arlington, WA 98223 435-4055 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 N CLASS OF WORK ❑NEW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK $ 7nn_ nn DESCRIBE WORK PROPOSE D USE OF BUILDING gL I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL�I DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOT C�& I L�LCCK 12 OF Giffords lst 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 OF THE PERFORMANCE OF CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 1 O O (,,11 J4 TURE OF CONTRACTOR OR AUTHORIZED AGENT DATE IOB•IJURLSS 112 S . Stilla uamish 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. BAIHTUB 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.U. MEA DISHWASHER WALL HEATERS- B.T.U. M LAUNDRY TRAY UNIT HEATERS- B.T.0 M CLOTHESWASHER EVAPORATIVECOOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN I AIN 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 SUBTOTAL $ SUBTOTAL ; PERMIT ; PERMIT ; TOTAL FEE $1 TOTAL FEE ; SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE LONE LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG SIZE OF BLDG NO.OF STORIES MAX,OCC.LOAD BUILDING ; 31 35 PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE 4 50 ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) PAID WATER/SEWER FEES TOTAL 35 85 6 C• l PERMIT VALI ON JJu WHEN PROPE Y V IDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID 7 26 91 # 241 0 CB IN, 17 cc:ASSESSOR,APPLICANT,TREASURER, BLDG, DEPT. BUILA5n COFILIAt E ORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.0 O14NE MAIL AOORESS CITY L? rGt� ARCHITECT OR DESIGNED/ MAIL ADDRESS CITY zw PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 11 PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ aNLWf WORO AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK s UESCRIB ORK PRUPO O USE OF LDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DEu RiPI ION OF PROPERTY(SHOIN.N,BELOW OR ATTACH FOUR C PIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOW/'y�/�BLIX:K ��-uF � 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 LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF TAX ID NUMBER CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. C/_ - 40/6- OGD C� SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE )OB ADDRESS // X (OFFICE USE ONLY) J MECHANICAL PLUMBING TYPE OF EQUIPMENT FEE NO. TYPE OF FIXTURE FEE NO. WATER CLUSEI (TOILET) AIR COND.UNITS -H P. EA. REFRIGERATION UNITS - H P.EA. BAIHIUB LAVAIUKY (WASH BASIN) BOILERS -H.P. EA GAS FIRED A.C.UNITS-TONNAGE EA. nICIILN MEA FORCED AIR SYSTEMS- B T.U. NK& DISP. MWALL HEATERS- B.T.U- R UNIT HEATERS- B.T.U. M RAYEVAPURAI I`JE COOLERS ASIiLR CLOTHES DRYERS W'AIER HLATLK VENTILATION FAN URINAL RANGE HOOD COMMERCIAL DRINKING FOUNIAIN I AIR HANDLING UNIT- CPM FLUOR DRAIN STOVE VACUUM BREAKERS METAL FIREPLACE &CHIMNEY KUUF DRAINS - RAINLEAUEKS ' SINK(SERVICE - BAR.ETC.) WATER HEATER GAS PIPING SUBTOTAL s SUBTOTAL s PERMIT s PERMIT s TOTAL FEE s TOTAL FEE S PLAN CHECK FEE SIDE YARD SE I BACK STREET SET BACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO USE ZONt LOT AREA VACANT SITE FEES VALUATION FEE ❑YES ❑NO TYPE OF CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG EsBUILDING $ SIZE OF SLUG. NO.OF STORIES MAX.000.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE U.B.C. PENALTY SEC.303(a) WATER/SEWER FEES PAID TOTAL tif INPERMIT VALIDATION IJ V L. WHEN P V(U.1 EO IIN THIS SPACE) IS ISPERMIT YOUT&RECEIPT � PAID Clklt /tL/JJ, DATE BUILDING OFFICIAL cc:ASSESSOR,APPLICANT,TREASURER, BLDG DEPT RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE 101 �7�h4eY Xl1u5 — 5 > ARCHITECT OR DESIGNER MAIL ADDRESS CITY TIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF ONEWF wo 0 ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK s 7JT r D— DESCRIBE WORK PRDPUSt D USE OF JJILD19G I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DES(RIPI IUN OF PR)Pt RTY(S.H9WN BELOW OR ATTACH FOU COPIES) SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK /�/� 1 WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE LUI/5__& .BLOCK r1Z OE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF TAX ID rJUMBER CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE j 108 ADDRESS //� S ��l 6- x (OFFICE USE ONLY) ITN{ HANICAL PLUMBING FEE NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT WATER CLOSET (TOILET) AIR COND. UNITS -FI.P.EA. REFRIGERATION UNITS - H P.EA. BAIIIIUB LAVATORY (WASHBASIN) BOILERS-H.P. EA (;AS FIRED A.C.UNITS -TONNAGE EA. SHOWER KI ICIIEN SINK& DISP. MEA FORCED AIR SYSTEMS-B.T.U. WALL HEATERS- B.T.U. M UIS14WASIIER UNIT HEATERS- B.T.U. M LAUNDRYiRAY EVAPORAI I`JE COOLERS CLOI IILS WASHER CLOTHES DRYERS WATER HEATER VENTILATICN FAN URINAL DRINKING,FOUNIAIN RANGE HOOD COMMERCIAL AIR HANDLING UNIT - CPM FLOOR DRAIN VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE 6 CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING S SUBTOTAL SUBTOTAL s S PERMIT $ PERMIT 4 TOTAL FEE $ TOTAL FEE S PLAN CHECK FEE SIDE YARD SE 1 BACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. USE JUNI LOT AREA VACANT SITE FEES VALUATION FEE ❑YES ❑NO TYPL OF CONS I OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUILDING S SIZE OF BLDG. NO.OF STORIES MAX.000.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE U.B.C. PENALTY SEC.303(a) WATER/SEWER FEES ' v TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS �✓ _ TC IS SEI 'S U BYERMITc R PT PAID R� �V BUILDING OFFICIAL DATE cc: ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION [A BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00695 OWNER MAIL ADDRESS CITY ZIP Pill iNE Elmer Knudson 112 S. Stillaguamish Arlington, WA 98223 435-4055 ARCHITECT OR DESIGNER MAIL ADDRESS CITY Zsp PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE W PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# CLASS OF WORK ❑NEW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK ; 700. 00 DESCRIBE WORK Reroof Shed PROPOSED 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- LE.GAL DESCRIPTION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI 1 5-1 CLOCK 1 2 OF 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 4554^012^015^0000 CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE jOBADDRLSS 112 S. Stillaguamish 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_ BAIHTUB REFRIGERATION UNITS-H.P. EA. LAVATORY (WASH BASIN) BOILERS -H.P.EA SHOW'LR GAS FIRED A.C.UNITS-TONNAGE EA. KI ICHEN SINK & DISP. FORCED AIR SYSTEMS- B T.0 MEA DISHWASHER WALL HEATERS- B.T.0 M LAUNDRY TRAY UNIT HEATERS- B.T.U. M CLOIHESWASHER EVAPORATIVECOOLERS WAIERHEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN I AIN 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 ; SUBTOTAL ; PERMIT ; PERMIT $ TOTAL FEE $1 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 FEES VALUATION FEE YES NO TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUILDING $ 31 35 SIZE OF BLDG. NO.OF STORIES MAX,OCC.LOAD PLUMBING I FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE 0 PENALTY U.B.C. SEC.303(a) PAID WATER/SEWER FEES (} TOTAL 3 5 8 j n S�� PERMIT VALIDATION WHEN PROPERLr'.NLIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT PAID 7-2 /191 CR# 24140 BY CB 1F cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BUI R FEI RECORR DS COPY