HomeMy WebLinkAbout19915 54TH DR NE_9676_2026 CI_rY OF RRLIh (3-r"1 `
CONOY RUCTION PE RM I T
PERM I T NO_ c36--7&
Owner: HIGDON, KENNETH 19915 54TH DR NE ARLINGTON 98223
Yalue of Work: $27000.00 Tax ID: 4264-000-002-0001 Phone: 435-9985
Describe Work: RE-ROOF
Proposed Use:
Legal Description:
Job Address: 19915 54TH DR
Contractor's Nave Type Address License#
TOTALS Fee
Permit Fee $50.00 t
SIGNATURE•
TOTAL FEE. ..... ....... .... $50.08 I HEREBY CERTIFY T I h, REND
AND EXAMINED THIS APPLICATION AND
PAYMENTS.. ... ......... .. ..$0.0 KNOW THE SAME TO DE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. ................ $50.00 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPIIED ITH WHETHER
SPECI HERD _R
DATE RECEIPT # I/7 7S5
n BIJILDIN6 OFFICI
dJ
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT CIO.
j OWNER MAIL ADDRESS CITY zip. 7 PHONE
46'0 av -la� ALe�4�
-AW1111EC OR DESIGNER MAIL ADDRESS CITY zip PHONE
GENERALCON RACIURMAIL ADDRESS Cl/y ZIP hmt LICENSE
CUNT RAC TOR MAIL ADDRESS CITY ZIP PHONE LICENSE If
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 9
3 CLASS or WORK
Q❑NLW ❑AUDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
(Zja IALUA2iIONQF WOORK�
(jJ DESCRIBE UWORR1K
PROPUSI V USE Ot BUILDING
w I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLIC-A-
j L GAl U SC.RIPI ION OI PROPERTY SHOWN BELOW OR AV TACIT FOUR CURES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUr BLUCK - or WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT,THE
a _ GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER FnoM pnopEFITY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
I A SIGNTURE Or CONTRACTOR OR AUTHORIZED ACENT DATE
loB avvatss '
x
(OF�ICQ USQ ONLY)
PLUMBING SISCIIANICAL
NO. TYFII OF FIXTURE PER s's FIXTURES NO. TYPE OF EQUIPMENT FBH is PUITURES
ATER CLOSBT TOILI3T 37.00 IR COND.UNITS—II.P. FJ1. lqwp.list"
A'1TITUB $7.00 UWRICERATION UNITS—H.P.EUL l4ulp.Tit•'
VATORY ASH BASIN $7.00 OILBR9—II.P.RA. IgIAP.Bt•"
fiOWFR $1.00 3ASPMEDA.C.UNITS—TONNAORIlk 3qulp.Ilt'"
!fR
HN SINE do DISPOSAL $1.00 ORCED AIR SYSTEMS—B.T.U. META $9.00
ASIIER $7.00 ALL HEATERS—B.T.U. M $9.00
RY TRAY 17.00 NIT IISATERS—H.T.U. M 19.00
139 WASHER $7.00 VAPORATIVBCOOLERS
IIHATElt $7.00 LOTHIIS DRYMt9 f630
L 17.00 ENTIIATION FAN 1930
RINKINU FOUNTAIN $7.00 GE HOOD COMMERCIAL 16.50
WOR DRAIN 11.00 IR HANDLING UNIT— CPM
VACUUM BREAKERS 17.00 V B 36.50
FII OOF DRAINS—RAINLDIIR9 I7.00 BTAL FIREPLACER CIIIMNHY 1630
INK SERVICE—BAR,SEC. $7.00 ATBR HEATER $630
A3 PIPING '(up to S-$3.00.addul. 1.73
'Equipment Iln mu* lie torlded
SUBTOTAL SUB TOTAL Ill I
PIRtMIT PERMIT
TOTALPBB11 TOTALFRE
SIULY.VtUSLIBALk STREEISLIBACK REAR YARD SE18ACK PLAN CIIECKNUMBER PLAN CHECK FEE
FEE RECEIPT NO,
UST" /UNI LOT AREA VACANT SITE
El YES ❑No FEES VALUATION FEE
IYPE UT CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
i
SinUI RLp4, NO.Of STORIES MAX.OCC.LOAD BUTTING
PLUMBING
I IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.SEC.303(+)
WATERISEWER FEES
TOTAL
PERMIT VALIDATION
WI IEN PROPERLY VALIDATED ON 71115 SPACEI THIS IS YOUR PERMIT&RECEIPT
PAID CRN,_ BY
cc!ASSESSOR.APPLICANT,TREASURER,BLDG. DEPT. BURD_1NGOrT'Clnt DATE
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