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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ BUILDING MECHANICAL `COMBINATIONoz; / — ❑ PLUMBING ❑ slcN PERMIT NO.
j OWN � bra 0,7r MAIL ADDRESS CITY IP PHONE
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CHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CIIADIICAL CO A MAIL ADDRESS CITY ZIP PHONE LICENSE II'
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
3 CLASS OF WORK
0�fNt W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION
Q VALUATION OF WORK
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W DESCRIBE WORK
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m PROPOSI D USE OF BUILDING
rn I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
W TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
z LLGAL DESCRIPTION OI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J
J LUT BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
Vi 0 b 11 0 b OD 2- 7 D 0 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
J TAX IDNUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
a CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR=1UTHIRIZED AGENT DATE
V106 ADURLSS
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(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPO OF EQUIPMENT FEE x's PIX
TU
ATER CLOSET(TOILET) IR COND.UNITS—H.P. EA ti .list** r✓v
ATHTUB
` PFRIGERATION UNTTS—H.P.FA igtip.list*«
AVATORY(WASH BASIN) 30MZRS—II.P.EA. ti .list*
fIOWER AS FIRED A.C.UNITS—TONNAGE EA. igtip.list'•
T'CHEN SINK&DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA
ISIIWASIIER ALL I(EATERS—B.T.U. M
UN DRY TRAY NIT HEATERS—B.T.U. M
:LO'CI-16 WASHER 3VAPORATIVECOOLERS
WATER HEATER 4ANGE
TH PS DRYERS
RINAL TiLATION FAN
RINKING FOUNTAIN HOOD COMMERCIAL
LOOR DRAIN HANDLING UNIT— CPM
ACUUM BREAKERS VE
OOF DRAINS—RAINLEADERS AL FIREPLACE&CHIMNEY
INK ERVICE—BAR,ETC. ATER HEATER
AS PIPING *(up to 5—S3.00,addol.=SJS
..Equipmeth list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTALFEE
TOTAL FEE
SIDL YARD SC I BACK STRLLI SL T BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE/ON[ LOT AREA VACANT SITE VALUATION FEE
YES ONO FEES
TYPL OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
BUTDING $
SILLOI BLDG. NO.OFSTORILS MAX.00C LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
O YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
U.B.C.
PENALTY SEC.303(a)
RECEIVED WATER/SEWER FEES
TOTAL
AUG 2 5 2000 PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT&RECEIPT
CITY OF ARLINGTON PAID CRR BY
BUILDING OFFICIAL DATE
c:ASSESSOR,APPLICANT.TREASURER.BLDG. DEPT. RECORDS COPY