HomeMy WebLinkAbout18204 59th Dr NE_014580_2026 4)
C I TY OF ARL I NOTON
CONSTRUCT I Ohl PERM I T
PE RM I T NO- a 0 1 —45BO
Owner: ARLINGTON AIRPORT
Value of Bork: Tax ID: 153105-4-012-0009 Phone:
Describe Work: GRADING 3.5 ACRES-EXTENDING TAXIWAY
Proposed Use: TAXIWAY AND RAMP
Legal Description:
Job Address: 18204 59TH DR HE
Contractor's Hawse Type Address License#
TOTALS Fee
Permit Fee $252. 50
Plan Fee $49.25
SIGNATURE: 1�Gl.t T.
TOTAL FEE. . . . . . . . . . . . . . . . . $381.75 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYKEHTS.. . . . .. . . . . . • • • - " $0.0 KNOW SAME TO BE TRUE AND COR-
hEC"T AL PROVISIONS OF LAWS AND
TOTAL DUE... .... .... . .. ... $381.75 ORD NAN .ES GOVERNING THIS C PE OF
WO WI L BE 0KKIE' WITH 'NETHER
SP IF ED HE 0 T.
DATE RECEIPT N
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MEMORANDUM
TO: Dale Carmen
FROM: Gregg Eaton
SUBJECT: Arlington Airport Grading Permit
DATE: May 25, 2001
Please be advised that the plans have been approved for bidding purposes only. To
complete the permit process the following information is required:
Fees:
Grading Permit:
➢ Quantities of material proposed to be removed and replaced needs to be
provided to determine appropriate fees.
Construction Permit:
➢ A cost estimate of the utility work to be performed shall be provided by the
engineer.
➢ The required fees shall be based on 2-1/2% of the estimated value of those
utilities.
➢ Two sets of construction plans will be required for signature prior to
construction.
Note: For rushing this through, for pushing other projects down in the queue, for
taking the risk of being screamed at by the folks that manage those projects, for
waiving the drainage calcs, and for waiving the standard plan revisions the
Planning, Building and Public Works Departments shall require 2 dozen donuts to
be delivered Friday morning(5/25).
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C I TY OF ARL I IVGTOIV
COh15TRUCT I Ohl PCRIYI I T
PERM I T h1O_ O 1 —4SSO
Owner: ARLINGTON AIRPORT
Value of Work: Tax ID: 153105-4-012-0009 Phone:
Describe Work: GRADING 3.5 ACRES-EXTENDING TAXIWAY
Proposed Use: TAXIWAY AND RAMP
Legal Description:
Job Address: 18204 59TH DR NE
Contractor's Name Type Address License#
CPO
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Me-mo
Date: 01/30/02
To: Gregg Eaton, Engineering
From: Linda Friddle
RE: BP#'s 01-4580,01.4510—grading permits
Gregg,
Is it okay to close these files? If yes please write on the front of the folder o.k. to
close and your initials
Thank you@,
Linda
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MEMORANDUM
TO: Dale Carmen
FROM: Gregg Eaton
SUBJECT: Arlington Airport Grading Permit
DATE: May 17, 2001
After the first round review the following comments need to be addressed:
Page Gl: 1. Add"General Standard Notes"
2. Add "Construction Sequencing" ve!7
Page C3: 1. Reference and show City of Arlington Standard Plan
Page C4: 1. Use RCP or Ductile Iron when cover is 24" or less
2. Address note by Bill Blake, Environmental Coordinator regarding (�1�'
storm water treatment
3. Fully valve new hydrant tee J
Page C8: 1. Address if the bio-filtration is lined or not. If not how will you ensure
full treatment?
Page C9: 1. All details shall be per City of Arlington Standard Plans ./
At the time of re-submittal the following fees will need to be paid:
➢ 2-1/2% of the estimated value of the waterline and storm drainage system
➢ Quantities will need to be shown so that grading permit fee can be established
➢ Being the grading application does not address infrastructure an additional
$110.00 per hour for the site civil will need to be paid. (Or in lieu of payment,
2 dozen rhubarb donuts from the Anacortes Donut Shop)
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City of Arlington
Department of Public Works
REQUEST FOR REVIEW FORM
PROJECT NAME: ARLINGTON MUNICIPAL AIRPORT
PROJECT MANAGER: Gregg Ea�Engineering Tech
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DATE OF CIRCULATION: May 2, 2001
RETURN THIS FORM BY: May 14,2001 /f
75
TYPE OF PROPOSAL: Grading Review iJ r
MARC H., STREETS TERRY C., WATEWSEWER
DAVE A., BUILDING TOM C.,FIRE
KRISTI R., PLANNING STEVE R., POLICE
TERRI L., GENERAL SERVICES ROBERT P., AIRPORT
BILL B, ENVIROMENTAL DEBBIE M., DRAINAGE
Project Summary: Airport taxiway B extension, apron and taxi lane
rehabilitation.
PLEASE PROVIDE YOUR COMMENTS IN MEMO FORM, ADDRESSED TO DEPARTMENT
OF PUBLIC WORKS.
PLEASE MARK ONE BOX, SIGN, DATE AND RETURN THIS FORM TO SONYA.
❑ MORE TIME REQUESTED, WILL SUBMIT ON
❑ COMMENTS FOR THIS REVIEW ARE ON DRAWING AND IN MEMO,
ATTACHED
,1 ' NO COMMENTS FOR TIIIS REVIEW
Signature Date
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City of Arlington
Department of Public Works
REQUEST FOR REVIEW FORM
PROJECT NAME: ARLINGTON MUNICIPAL AIRPORT
PROJECT MANAGER: Gregg Eaton, Engineering Tech
DATE OF CIRCULATION: May 2, 2001
RETURN THIS FORM BY: May 14,2001
TYPE OF PROPOSAL: Grading Review
MARC H., STREETS TERRY C., WATER/SEWER --
DAVE A., BUILDING TOM C., FIRE
KRISTI R., PLANNING STEVE R., POLICE
TERRI L., GENERAL SERVICES ROBERT P., AIRPORT
BILL B, ENVIROMENTAL --- DEBBIE NI.,I? :�
Project Summary: Airport taxiway B extension, apron and taxi lane
rehabilitation.
PLEASE PROVIDE YOUR COMMENTS IN MEMO FORM, ADDRESSED TO DEPARTMENT
OF PUBLIC WORKS.
PLEASE MARK ONE BOX, SIGN, DATE AND RETURN THIS FORM TO SONYA.
❑ MORE TIME REQUESTED, WILL SUBMIT ON
❑ COMMENTS FOR THIS REVIEW ARE ON DRAWING AND IN MEMO,
ATTACHED
❑ NO COMMENTS FOR THIS REVIEW
Signature Date
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City of Arlington MAY 2 - 2UUl
1!61 Department of Public Works
NAWW
REQUEST FOR REVIEW FORM
PROJECT NAME: ARLINGTON MUNICIPAL AIRPORT
PROJECT MANAGER: Gregg Ea�Engineering Tech
DATE OF CIRCULATION: May 2, 2001
RETURN THIS FORM BY: May 14, 2001
TYPE OF PROPOSAL: Grading Review
MARC H., STREETS TERRY C., WATER/SEWER
DAVE A., BUILDING TOM C., FIRE
KRISTI R., PLANNING STEVE R., POLICE
TERRI L., GENERAL SERVICES ROBERT P., AIRPORT
BILL B, ENVIROMENTAL DEBBIE M., DRAINAGE
Project Summary: Airport taxiway B extension, apron and taxi lane
rehabilitation.
PLEASE PROVIDE YOUR COMMENTS IN MEMO FORM, ADDRESSED TO DEPARTMENT
OF PUBLIC WORKS.
PLEASE MARK ONE BOX, SIGN,DATE AND RETURN THIS FORM TO SONYA.
❑ MORE TIME REQUESTED, WILL SUBMIT ON
❑ COMMENTS FOR THIS REVIEW ARE ON DRAWING AND IN MEMO,
ATTACHED
NO COMMENTS FOR THIS REVIEW
Signature Date
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City of Arlington
Department of Public Works
REQUEST FOR REVIEW FORM
PROJECT NAME: ARLINGTON MUNICIPAL AIRPORT
PROJECT MANAGER: Gregg Eaton, Engineering Tech
DATE OF CIRCULATION: May 2, 2001
RETURN THIS FORM BY: May 14, 2001
TYPE OF PROPOSAL: Grading Review
MARC H., STREETS TERRY C., WATER/SEWER
DAVE A., BUILDING TOM C.,FIRE
KRISTI R., PLANNING STEVE R.,POLICE
TERRI L., GENERAL SERVICES ROBERT P., AIRPORT
BILL B, ENVIROMENTAL DEBBIE M.,DRAINAGE
Project Summary: Airport taxiway B extension, apron and taxi lane
rehabilitation.
PLEASE PROVIDE YOUR COMMENTS IN MEMO FORM, ADDRESSED TO DEPARTMENT
OF PUBLIC WORKS.
PLEASE MARK ONE BOX, SIGN,DATE AND RETURN THIS FORM TO SONYA.
❑ MORE TIME REQUESTED, WILL SUBMIT ON
xw-C OMMENTS FOR THIS REVIEW ARE ON DRAWING AND IN MEMO,
ATTACHED
❑ NO O NTS FOR THIS REVIEW
0
nature Date
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City of Arlington
Department of Public Works
REQUEST FOR REVIEW FORM
PROJECT NAME: ARLINGGTON MUNICIPAL AIRPORT
PROJECT MANAGER: Gregg Eaton,Engineering Tech
DATE OF CIRCULATION: May 2, 2001
RETURN THIS FORM BY: May 14,2001
TYPE OF PROPOSAL: Grading Review
MARC H., STREETS TERRY C., WATER/SEWER
DAVE A., BUILDING TOM C.,FIRE
KRISTI R., PLANNING STEVE R.,POLICE
TERRI L., GENERAL SERVICES ROBERT P., AIRPORT
BILL B, ENVIROMENTAL DEBBIE M.,DRAINAGE
Project Summary: Airport taxiway B extension, apron and taxi lane
rehabilitation.
PLEASE PROVIDE YOUR COMMENTS IN MEMO FORM, ADDRESSED TO DEPARTMENT
OF PUBLIC WORKS.
PLEASE MARK ONE BOX, SIGN,DATE AND RETURN THIS FORM TO SONYA.
❑ MORE TIME REQUESTED, WILL SUBMIT O
❑ COMMENTS FOR THIS REVIEW ARE ON DRAWI G AND IN MEMO,
ATTACHED C,
❑ NO COMMENTS FOR THIS REVIEW
Signature ' MAY 7 Date
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City of Arlington
Department of Public Works
REQUEST FOR REVIEW FORM
PROJECT NAME: ARLINGTON MUNICIPAL AIRPORT
PROJECT MANAGER: Gregg Ea�Engineering Tech
DATE OF CIRCULATION: May 2, 2001
RETURN THIS FORM BY: May 14,2001
TYPE OF PROPOSAL: Grading Review
MARC H., STREETS TERRY C., WATER/SEWER
DAVE A., BUILDING TOM C., FIRE
KRISTI R., PLANNING STEVE R., POLICE
TERRI L., GENERAL SERVICES ROBERT P.,AIRPORT
BILL B, ENVIROMENTAL DEBBIE M.,DRAINAGE
Project Summary: Airport taxiway B extension, apron and taxi lane
rehabilitation.
PLEASE PROVIDE YOUR COMMENTS IN MEMO FORM,ADDRESSED TO DEPARTMENT
OF PUBLIC WORKS.
PLEASE MARK ONE BOX, SIGN,DATE AND RETURN THIS FORM TO SONYA.
❑ MORE TIME REQUESTED, WILL SUBMIT ON
❑ COMMENTS FOR THIS REVIEW ARE ON DRAWING AND IN MEMO,
ATTACHED
NO COMMENTS FOR THIS REVIEW
Signature Date
MAY - 7 - 2001
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City of Arlington
Department of Public Works
REQUEST FOR REVIEW FORM
PROJECT NAME: ARLINGTON MUNICIPAL AIRPORT
PROJECT MANAGER: Gregg Eaton,Engineering Tech
DATE OF CIRCULATION: May 2, 2001
RETURN THIS FORM BY: May 14,2001
TYPE OF PROPOSAL: Grading Review
MARC H., STREETS TERRY C., WATER/SEWER
DAVE A.,BUILDING TOM C.,FIRE
KRISTI R., PLANNING STEVE R.,POLICE
TERRI L., GENERAL SERVICES ROBERT P., AIRPORT
BILL B, ENVIROMENTAL DEBBIE M.,DRAINAGE
Project Summary: Airport taxiway B extension, apron and taxi lane
rehabilitation.
PLEASE PROVIDE YOUR COMMENTS IN MEMO FORM, ADDRESSED TO DEPARTMENT
OF PUBLIC WORKS.
PLEASE MARK ONE BOX, SIGN, DATE AND RETURN THIS FORM TO SONYA.
❑ MORE TIME REQUESTED,WILL SUBMIT ON
❑ COMMENTS FOR THIS REVIEW ARE ON DRAWING AND IN MEMO,
ATTACHED
NO COMME TS FO T S REVIEW
Signat a Date
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MAY - 4 2001
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City of Arlington
Department of Public Works
Nqw%v
REQUEST FOR REVIEW FORM
PROJECT NAME: ARLINGTON MUNICIPAL AIRPORT
PROJECT MANAGER: Gregg Ea�Engineering Tech
DATE OF CIRCULATION: May 2, 2001
RETURN THIS FORM BY: May 14,2001
TYPE OF PROPOSAL: Grading Review
MARC H., STREETS TERRY C., WATER/SEWER
DAVE A., BUILDING TOM C.,FIRE
KRISTI R., PLANN-ING STEVE R.,POLICE
TERRI L., GENERAL SERVICES ROBERT P.,AIRPORT
BILL B, ENVIROMENTAL DEBBIE M.,DRAINAGE
Project Summary: Airp ort taxiway B extension, apron and taxi lane
rehabilitation.
PLEASE PROVIDE YOUR C OMMENTS IN MEMO FORM, ADDRESSED TO DEPARTMENT
OF PUBLIC WORKS.
PLEASE MARK ONE BOX, SIGN,DATE AND RETURN THIS FORM TO SONYA.
❑ MORE TIME REQLSESTED, WILL SUBMIT ON
❑ COMMENTS FOR 7X THIS REVIEW ARE ON DRAWING AND IN MEMO,
ATTACHED
NO COMME TS Fo T S REVIEW _
Signat a Date
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: MEMORANDUM to Mr. Baldwin;
SUBJECT: Perimeter Description for Arlington Air Field.
Beginning at the northeast corner of the Wz of the E2 of the
SE4 of Section 15, Township 31, North, Range 5 East, W. M.; thence
southerly along the east boundary of said W2 of the E2 of SE4 to
f the south boundary of said Section 15; thence westerly along said
south boundary to the east boundary of the W2 of the:Nff-;1i of the
BE4 of Section 22, Township 31 North, Range 5 East W. M.; thence
southerly along the East boundary of said W2 of the NW-1 of the NE4
of Section 22 to the north boundary of the SV 4 of:the NE of said
Section 22; thence westerly along the said north boundary of the
;•l S of the NE-1 to the north and south center line of Section 22;
thence southerly along said north and south center line to the north
right-of-way line of that- certain county road which is located upon '
the south boundary of said Section.22; thence.westerly along-said
north right-of-way line of said county road to its intersection with
the east right-of-way line of that county road located upon the north-` `
south.center line of Section 215 Township 31 North, Range, 51ast W. M.;
thence northerly along said east right-of-way line to its intersection
with- the east-west center line of said Section 21;' thence..westerly
along said-east-west center line to the west boundary of the E2 of:the
W2 of the'N74-of said Section 21; thence northerly along said West
1
C - boundary--of,the'E21 of the Wz of the N4 of Section •21; tb- the south
right--of- a line of that certain county road located_ upon the north
boundary line of said Section 21; thence easterly along said south right-
of-way line to its intersection with the western margin of the Li.of
the"SE4 of`Section' 16; Township'31 North;`Range"5 East''`W. M:; thence 4
northerly along said West boundary of the E2 of the i4 of Section 16,
to the east-west center line of said Section 16; thence easterly along
the east-west center lines of Sections 16 and 15 to the point of begin
ring, located in Snohomish County, Washington
_ EXCEPT the following described parcels of land located in
Snohomish County, Washington:
Parcel 1 The NE4 of the SEa of Section 16, Township 31,
North, Range 5 East, containing 39.40 acres, more or less.
Parcel 2 - The SE4 of the SE2,6 of Section 16, Township 31 North,
Range 5 East, W. yi. - containing 40 acres, more or less.
Parcel 3 - All of the NPF4 of the SEA of the SE-1 in Section 15.
Township 31 North, Rage 5 East, W. M. All of the SW-14 of the S 4
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RECEIVE®
Exhibit A
MAY 01 2001 ;
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j in Section 15, Township 31 North, Range 5 East, N. M. and the
following described tract of land; Beginning at the center of
Section 15, Township 31 North, Rouge 5 East, W. M.; thence south
�i 10 25Y East along the north and south center line of .said Section
15, for 123.77 feet to the true point of beginner; thence south
840 48' West for 278.18 feet; thence south 690 16f 'Nest for 241.3
feet; thence south 420 54' West for 574.2 feet; thence south:-790
59' West for 463.6 feet; thence south 750 19, Nest for 494.37feet,
thence south 510 06, West for 176.4 feet;. thence south 750 57' 30"
West for 143.5 feet; thence south 490 261 30" West for 110.4 feet;
thence south 740 111 West for 285.7 feet; thence north 800 381 West
for 89.88 feet more or less to the west line- of the-northwest one-
quarter of the southwest one-quarter in Section 15, thence south
10 09' 2011 East along ,the west line of said. Section 15for 178.77
feet to the southwest corner of the northwest one-quarter of the
southwest one-quarter of said Section 15; thence south 890 421 15"
East along the- south line of the northwest one-quarter of the
southwest one-quarter for 1289,27 feet to the northeast corner of
the southwest one-quarter of the southePest.one-quarter; thence
continue south 690 42",15" East along the south line of the north -
eastone-quarter of the southwest one-quarter-for 1289.27'feet to
:..r. .,........._ ,. :.i o en _ ection. 15 ..thence. north
e north and south .center ter ]are .of� sa.�.d S ;.
°`25'` West along'the�'north "and south center line of said Section
15 for 1210.33 feet, .more or less, to- the true point of beginning,
containing 118.8 acres, more or -less.
Parcel 4 - The W2 of the W22L of the SEW'- of the SV i and a L�-
foot;istri of land off the south side of the East 3/4 of the SE4
df L-the SW,, for a road, less the-]Marysville and Arlington Railway
right-of-way in Section 15, Township 31 North, Range 5 East,. W. M.
containing 9.84 acres, more or less.
Parcel 5 E' of the I of the SE4 of the SPIT and the W'z of
the E- of the SE4 of the SP�, less a 12-foot strip off the south
side, less the Marysville and Arlington Railway right-of-way in
Section 15, Township 31 No'rth, Range 5 East, W. M. containing 18.96
acres, more or less.
Parcel 6 - The 12 of the * of the E2 of theE- of the SE4
of the SWQ 7 less the Marysville and Arlington Railway right-of-way
in Section 15, Township 31 North, Range 5 East, 71. M. dontaining
2.32 acres, more or less.
Parcel 7 - The S2 of the E2 of the E2 of the SE4 of the S'f' ,
less 12 feet off the east and south sides in Section 15, Township
31 North, Range 5 East, W. M. containing 4.57 acres, more or less.
Parcel 8 - The E2 of the 12 of the E2 of the E2 of the SE-:11
of the Spy less the .south 12 feet less the Marysville and Arlington
Railway right-of-way',in Section 15, Township 31, North, Range 5 East,
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W. M. containing 2.27 acres, more or-less.
Parcel 9 The south 12 feet of the E2 of the N21- of the E2
of the EZ of the SE4 of the SV+T4 and the east 12 feet of the S2 of
the E- of the E- of the E- of the SE4 of the SVF4'--, except a piece.=
of land 12 feet square off the south end thereof, in Section 15,
Township 31 North, Range 5 East, W. K. containing .25 of an acre.
Parcel 10 - The W-2 of the -SV 4 of the SE4 less the south 20
feet in Section 15, Township 31 North, Range 5 East, W. M. contain-
ing 19.67 acres, more or less.`��
Parcel 11 - The :EZ'of the SPl4 of the SE4 less the south 20
feet in Section 15, Township 31 North, Range 5 East, W. M. contain-
ing 19.67 acres; more or less. ,
Parcel 12 - The railroad right-of-way, formerly lMown as
the Marysville and Arlington Railway, -in the SE4 of the Svi in
t..,..,,. . Section 15,: Township, 31-North, Range 5.East,,,; M. contain 1.9
acres, more or less, r-T
THE EXCEPTION is the perimeter description of the .present
1 existing',Arlington (Naval) air station.
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CITY OF ARLINGTON
� �Pz CONSTRUCTION
1� PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERM IT NO. `lfflw
j OWNER ppl�CAn MAIL nUDRE55 CITY 11► ►HONE
ARCHITECT OR 1)E514NER MAIL nUURESS CI1 Y ZIP PFIONE
GLNERAL CON KACIOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
i a t^ de.+zrrI:ne�Ll
MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
3 CLASS OF WORK
®NI.W ❑AUUIiION ALTERATION ®REPAIR ❑UEMULI LION ❑BUILDING RELOCATION
QVALUAI ION OF WORK
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iZ .- :� �ru- .off �,r >, f��� cxn-� -}-u• IG�na .
m PRUPUSI U USE OF BUILDING
w I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LGAL IASCRIPI ION UI PROPLRTY SFTOWN BELOW OR AT TACIT FOUR COPIT S) TION AND KNOW THE SAME-TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT BLOCK Or =�� �~�d WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
w VIOLATE OR CANCEL.THE PROVISIONS OF ANY OTHER STATE OR
AX10NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
(L 15 7 t D 5- - (�i - -G r CONSTRUCTION,PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
O I 8.\UURI.tS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
(OPPICH USTI ONLY)
PLUMBING MMIANICAL
NO. 7'YPR OF PIXTURB PRB a's FIXTURPS NO. TYPR OF BOUIPMPNT PBB X'•PIXTURPS___
AMR CLOSRI ILLRAIR COND.UNITS—II.P. P.A. r ti .lilt••
IATIITUQ 1WRIGMtATION UNITS—II.P.RAL AulF.11r,
AVATORY ASII BASIN IOILBRS—II.P.RA. 4p.list..
110W[9t AS PIRBD A.C.UNITS—TONNAORRA.
ITCIIBN SINK A DISF09AL 7ORCED AIR SYSIM3MS—B.T.U. MEA
ISHWASHER WAU.11HATERS—D.T.U. M
AUNDRY TRAY JNITIITTATP FLS—D.T tI� M
:LOTIIES WASIIBR SVAPORATIVBC001 CRS
ATBR IISATMt LOFl1fS DRYERS
1RINALAY&TILATION PAN
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FLOOR DRAIN AIR IIANDLINO UNrr— CPM
ACUUMBIt11AKBRS \, TOVB
LOOP DRAINS—RAINLE 1DBRS Erl'AL PIRBPLACB!CI IIMNBY
•INK BRVICB—DAR.ITPC. ATUR I IP.ATER
AS PIP117G__ •u to S=S).00,sddnL w S.7S •
..Equl merit Ili mijX be provided
SUB TCrrAL 9 SUB TOTAL `-
PERMIT PFAMIT
TOTAL FUll TOTAL PBB
SIDI.YARD SLIBALK SrRLLI SLIBACK REAR YARD SEIBACK PLAN CIIECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USI /UNI LOT AKFA VACANT SITE
❑YES ONO FEES VALUATION FEE
IYPL OF CONS OCCUPANCY GROUP NO.Of DWELLING UNITS PLAN CHECKING VG
f
SI/LOT BLOC.. NO.UFyTURI1.S MAX.000.LOAD BU'LDING
PLUMBING
I IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
MAY 0 1 2001 PENALTY U.B.C.
SEC.303121
CITY OF ARUM TON WATER/SEWER FEES
l l TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CRN BY
cc-ASSESSOR.APPLICANT,TREASURER,BLDG. DEPT. BUILDIN(.orrICIAL DATE
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