HomeMy WebLinkAbout17904 SMOKEY POINT BLVD_003943_2026 CITY OF ARLINOTON
CONSTRUCTION PERMIT
PE RM I T NO- 00-39 z+3
Owner: SWANSON, G.L. 6325 NE 157TH KENMORE 98028
Value of Work: $250.00 Tax ID. 203105-4-001-0005 Phone: 425-488-9779
Describe Work: ADD GAS OUTLET, RANGE, BAR-B-0
Proposed Use: RESIDENTIAL
Legal Description:
Job Address: 17904 35TH AVE NE
Contractor's Name X/A License#
DAY R NITE PLUMBING , �� 1021 DAVNIPH044GM
C P C
(�"- .� F E E S
Equipment and Fixt umber Fee Total Charge
------------------ --- - --------
RANGE 1 $10.65 $10.65
RANGE 1 $10.65 $10.65
GAS PIPING 1-4 OUTLETS 1 $4.75 $4.75
S U B T 0 T A L...... $26.05 '
TOTALS Fee
Permit Fee $23.50
Equip-ent $26.05
SIGNATURE:
TOTAL FEE................. $49.55 I HEREBY CWYTHAT I HAVE READ
AND EXAMINED THI_ APPLICATION AND
PAVNENTS..................$0.0 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE................. $49.55 ORDINANCES GOVERNING THIS TYPE OF
WORK L BE COMPLIED WITH WHETHER
DATE RECEIPT # SPEC j D r.
I � ✓✓.may''`,
D BUILDING OFFICIAL
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER+ MAIL ADDRESS ,I TV ZIP / PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE
QA L' ( 5 6 1 w � ��8 iR i r'
MECHANICAL CONTRA( ILADDR $aX CI Y ZIP PH E LICENSE
4�0 77S'
TLUMBINGCONTRAC70R ^MAIL ADDRESS CITY ZIP PHONE LICENSE
N ,4y ,; 1 C_ 1 i i ! v� l v�r h �rJil/elloo,� �1X�`>/�0 9'�oG LSD ' !!A.✓.J/ Pr+o�ly
3 CLASSOF WORft
Co❑NLW ❑AUDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
Q VALUATION OF WORK
Z S 7iL�� 60
3 UESC 8E WORK
►- Agid 6 Li r Fc 4 V! z '�W-
m PRUPU$I D USE OF BUILDING
N 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLG AL UISCRIPIIUN UT PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LUI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
Q GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
VIOLATE OR CAN EL THE PROVISIONS OF ANY OTHER STATE OR
J TAX ID NUMBER F OM PROPERTY TAX STATEMENT LOCAL LAW REG ATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRU I RMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
lJ SIGNATURE O O CT R OR AUTHORIZED AGENT DATE
V 109 AUURLS$
(OFFICE USE ONLY)
PLUMBING ECHAN ICAL
NO. TYPE OF FIXTURE FEE i s FIXTURES NO. TYPE OF EQUIPMENT FEE is FIXTURES
ATER CLOSET TOILET IR COND-UNITS—H.P. EA. 3glip.lit""
AT;TUg EFRIGERATION UNITS—H.P.Btu tip.list**
VATORY ASH BASIN OILERS—H.P.EA 3qtip.lit—
FLOWER AS FIRED A.C.UNITS—TONNAGE EA. 3qLip.lit""
TCHEN SINK k DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA
)ISHWASHER ALL HEATERS—B.T.U. M
UNDRY TRAY JNTT HEATERS—B.T.U. M
LOTHES WASHER IVAPORATIVE COOLERS
WATER HEATER LOTHES DRYERS
RINAL ENTILATION FAN
RTNKING FOUNTAIN ANGE HOOD COMMERCIAL
LOOR DRAIN 11R HANDLING UNIT— CPM
ACUUM BREAKERS OVE 10
OOP DRAINS—RAINLEADERS ETAL FIREPLACE R CHIMNEY
INK SERVICE—BAR,ETC. WATER HEATER
1f GAS PIPING *(up to 5=$3.00,addnl.=S.75
—Equipment list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTALFEE TOTAL FEE
SIUL YARD SL I BACK SMELT 5L TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE I RECEIPT NO.
USk /UNf LOT AREA VACANT 511E
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BUTDING 4
SIZE 01 BLDG. NO.OF STORILS MAX.000.LOAD
PLUMBING
F IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
WATERISEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CR# BY
cc: ASSESSOR.APPLICANT,TREASURER. BLDG. DEPT BUILDING OFFICIAL DATE
RECORDS COPY