HomeMy WebLinkAbout18218 59th DR NE_1189_2026 CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN ® �117J
PERMIT NO:
OWNER MAIL ADDRESS CITY ZIP PHONE
Prnn Sinn RAGtavrant 1 R71 R riAtrl�lvn Mr, Arl i ngi-nn 98991 659-7421
ARCHITE OP
DESI ER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE N
Suburban Propane 12820 34th Ave NE Marysville, 98270 659-1251 SUBURPD088PA
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NEW ❑ADDITION [2 ALTERATION ❑REPAIR ❑DEMOLI FION ❑BUILDING RELOCATION
VALUATION OF WORK
f 810
DESCRIBE WORK
Inside and outside gas piping for range
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
restaurant TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DES(RIPT ION OF PROPERTY(SHOWN BELOW ORATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT-BLOCK - OF 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
153105-4-012--000 CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
108 ADDRESS
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE (�
(/
18218 59th. Ave NE Arlington X L (
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND. UNITS - H P EA
BATHTUB REFRIGERATION UNITS - H P EA
LAVATORY (WASH BASIN) BOILERS - H P. EA
SHOWER GAS FIRED A C. UNITS - TONNAGE EA,
KI ICIILN SINK & DISP. FORCED AIR SYSTEMS- B T U MEA
DISHWASHER WALL HEATERS- B.T.0 M
LAUNDRY T RAY UNIT HEATERS - B T U M
CLOTHES WASHER 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
1 GAS PIPING
SUB TOTAL f SUBTOTAL f 9 156
PERMIT $ 1 PERMIT $1 15 ' 00
TOTAL FEE f 1 TOTAL FEE $1 23 50
SIDE YARD SE I BACK STREET SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONE LOT AREA VACANT SITE
❑ FEES VALUATION FEE
❑YES NO
TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG
BUTDING f
SIZE OF BLDG NO-OF STORIES MAX.OCC.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑ ❑ MECHANICAL 23 50
YES NO
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
U B,C.
PENALTY SEC 303(a)
PAID
WATEPUSEWER FEES
I�f G 0 `F 1993' TOTAL 23 50
Mechanical only PERMIT VALIDATION
1 commercial range only WHEN PRORL UDATED (IN THIS SPACE) THIS IS YOUR PE IT T
PAID
fry / C B RAJ
4 IL �'G OFFfGAt DATE
cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT RECORDS COPY
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
COMBINATION C] BUILDING MCCTJANICAL w PLUMBING SIGN PERMIT NO.
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ARCN1Tf4:T OR OjSIGNER MAIL.AUURESS city ZII r401,1E
GENERAL LUN L IQR MAILADOAf.55 (fly ZIP P}tONE -� 1,17Ng i _
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INLW pAhtllTl(]N pALt[RATION pREPAIit ❑UEMOLIIION BUIIUfNC RELOCATION
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sR�)WJ V VfE O+ BUILDING
I !iL•RF [-FRTIfY TI IH7 I IIAVE READ ANC EXAMINED THIS Ai'PLlCA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROM-
Ltf,At ut sE RIPTION Of 1R()PL R1 SHDWN BELOW f)R A f T AL11 r Qtjlt Cvrlt Si SIONS OF LAWS AND ORDINANCES C,QVERNING THIS TYPE OF WORK
WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OP,NOT.THE
GRANT ING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY Tn
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
uJ / - LOCAL LAW REGUL.ATINGCONSTRUC?ION OF THE PERFORMAN+�EOF
TAilin r+ MeEUa
CONSTRUCTION, PERMIT EXPiRF.S 1 YEAR FROM DATE OF ISSUAW-1.
SIGNATURE Of C.ONT0ACtr)*OR A4-1ti-*9,17tO AGENT ()AT(
[liF4'li l-IISE.ONLY)
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I.fYI•tll?SWA-SIIP,R --f100 -`- VArORAT1VT±C001-i:RS
-_ - 1.(TIIE'-S DRYERS $6.50
pvq'l'6R HT?A'T'iiR s7.uo : _ ---_ -- _
�IRNTtLATION PAN 1430-- -- -- _
S?-o ANOT31400DC OMMSRCIAL 3663300 1
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SlatN-illt+SLIBACK STRLETSETBACK REAR YARDSEISACK twel1111T" fEf RECEIPT NO,
vsT i'"""'ti.•1— LOt AIt1A vAcANr cIIE VALUATION FEE
pYlis pIMQ � fEEs
ri!OT CONS1 6CC6PANrcyGROU0 NO-OfOWEIIfNC,UNITS PLAN CHECKING VG
BU'LDING
51/•LOf SLEV-, NO.Or 51VRIL3 MAX-OCc LOAD
PLUMBING
1IRE SPR!NkLE RS RtOUIRCI)
p YES [)No
MECHANICAL
STATE SLIX.CODE
COMMENTS ENERGY CODE SURCHARGE
U.SEC
PENALTY SEC ]0]1r1
F ' WATEIUSfMP FEES
CEI Q
TOTAL
FERMIT VAIIOATION
WHEN vWPERLY VALIDATEA ON TMS SPACEI THIS IS YOUR f-frAt i R ctwT
_ Iry�l✓\`1' PAID CAM_ dY
✓I�� 0� pFcLINGTON '
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