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HomeMy WebLinkAbout104 S WEST AVE_014760_2026 Wow �3l�lif - r - � 1 Gill 1� �choof ECTION REPORT ti1N G 1' Permit No.: d 1-01100 Lot #: Q O� Address: 10 4 S w�- Contractor: OLe L t S 1 Oyk- O Owner: l�G� �'I�2P VI 93, I N G Date: APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approves, ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: / E OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑„Struct. Slab ❑ Wood Stove ❑ Rough-in Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢�1N G?'0 Permit No.: 0 — Lot #: nn _ Q' Address: 104 Y Contractor:l ixll� 9s, ,SO Owner: • N G Date: PROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ADrywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab Cl Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: CaaU.o�n� INSPECTION REPORT ¢ti1N GrO Permit No.:a� " y Lot#: Q' Address: 10 S LAJe St 9z Contractor:'�P\r--t �� 0 M0_4 Owner. _c IN C' Date: Q ' C 0 P ROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approves ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: tL"_ TYPE OF INSPECTION REQUESTED ❑ Under-floor Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ti1N�?' Permit No.: f-LT 0 Lot #: O Address: I r_ ' 4 �5 Ps Contractor: r v� O Owner: 9s�j N O� Date: ❑ APPROVAL AQ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: PE OF INSPECTION REQUESTED ❑ Under-floor Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Dainag . ❑ Insulation ��her: C� � a� � ov_ Permit No. City of Arlington 1 NOTICE and Irnsl pewtion Report Date Called Address W Time CAlle Contractor/Owno ByU Requested TYPE OF • ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping Footing ❑ Framing ❑ Woodstove /❑ Foundation ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough-in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required. IDOA Inspector Date Permit No. City of Arlington NOTICE and Inspe"- on Report Date Called —►-I i Address 16 U Time C Iled Contractor/Own By Requested b e L TYPE OF • REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing Framing ❑ Woodstove ❑ Foundation ❑ Drywall Nailing Ile Final ❑ Concrete Slab ❑ Rough-in Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other— - >K_APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Work listed below has been inspected and approved. ❑ CALL 435-0724 FOR REI PECTION-24 hour notice r red. 1 Inspector Date INSPECTION- REPORT Permit No.9 VLot # Address ioq S ��1 -/ /I Contractor Owner Date Taken By PROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required. Date TYPE F INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Plumb. ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation Other ,, -e A— CITY OF ARLINSYON CONSTRUCT I Ohl F}ERM I T PERM I T No- : O 1 —4760 Owner: CARMAN, KEITH & KATHY 857 OLYMPIC STREET CAMANO ISLAND 98282 Value of Work: $1, 379.00 Tax ID: 31051100201900 Phone: 360-387-3100 Describe Work: ALTER STAIRCASE Proposed Use: SFR Legal Description: Job Address: 104 S WEST AVE Contractor's Name Type Address License# PRECISION CONSTRUCTION GEN 8429 4TH PL SE PRECIC*013LA TOTALS Fee Permit Fee $53.30 Plan Fee $34.65 ►�c SIGNATURE: TOTAL FEE.... ........ .. ... $87.95 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS....... . . .... ..... $0.00 KNO HE SAME TO BE TRUE AND COR- REC LL PROVISIONS OF LA S AND TOTAL DUE. ..... ........... $87.95 ORD NA CES G ERNIN THI YPE OF Wi W LL BE MPLI WI WHETHER DATE RECEIPT # SIF ED HE OT. �� TV ���"` � ILO OFF CIAL l P ,SEP 2 r 1 T :jJA ! j31 i71 41-1 Y C I '_I P 't pip. v :A wits I 1 lv .: V o IN �C71/1 T i hl t� . 3• i .0 -i 1Ft'A..• _ ��/1'1 '�-'c 1 . •ti ` 11p i r�1 »:i b7.L1►- '-1c?Aw(1 vo wl ti//v i 1.,I i it��:. r 'T 1 n ;:TOW I"V3i;:139fi S4ttt(�KI'1.1 �r�f�ri i-A «1V1 s9:Z UAW ��.•i i '11iiY :'. :ii'•- �•I��:t.. � i.'�►.�1�:7 . . . . . . . ,.»I�'! !A1'1�'i mi+A tli I"�-'< iQ� i '?�• �I iri.�Ar; 'j�� �M1fA9 )"-.11 LZ MAP I}t. 'Ml.at- Mai Aa . . . . . .. . .. ... t',1 ?�T`TI 'ZSF1T i'TWIPl"I I u 1 �i:6 Op.Sid•• . .,. .. . . . =fit a JAif" NOMN118V-40 A_j 1� i66t E' Z 933 UJAWA8 Aut DITJ I r,v lug4Z47T T - - —,c 1. -. ..-_ IS 60PAT TKOW �_. . tit AHUNGTON 4 1V C� 1 t I •ilT j a.. . C � 4 In-- jq YO i .I` n C I-ry OF A RL I NG-rn1-5 CONR `RUCT I Ohl PERM I T F:�ERM I T NO- a 95—1797 Owner: TINGLY, VERN 454 S OLYMPIC AVE Value of Work: $64,500.00 Tax ID: Describe Work: RE-ROOF EXISTING BUILDING Proposed Use: RETAIL Legal Description: Job Address: 104 N WEST AVE Contractor' s Name Type Address License# JAMES EOFF G 3630 296TH PL NE EOFF*JF37ONT TOTALS Fee Permit Fee $50.00 SIGNATURE.- TOTAL FEE... . ..... ...... . . $50.00 I HEREBY CE IFY THAT I HAKE REA AND EXAMINED THIS APPLICATION AND O� PAYMENTS.. ... . .... ........$0.0 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE.... ..... .... .. .. $50.00 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. DATE�-fI�'I �_RECEIPT #J�117� B ILD NG FICIA i 4 '3 V , . . . . .:ate l !PFG7 :;ZIA uJ CITY OF ARLINOTON CONSTRUCTION HERMIT PE RM I Y No- 9 7-270.4 Owner: JURY, WILLIAM Value of Work: $3,700.00 Tax ID: 113-105-E-019-000 Phone Describe Work: REMODEL EXISTING DECK AND AWNING BUILD NEW DECK Proposed Use: SCHOOL Legal Description: Job Address: 104 S WEST AVE Contractor's Naue Type Address License# THE MASTERS HAND G 8401 HENNINGS DR # 29 MASTE**034RB TOTALS Fee Permit Fee $79. 00 Plan Fee $51.35 State fee $4.50 . SIGNATURE: TOTAL FEE... . . .... . . . .. . .. $134.85 I HEREBY, C RTIFY THAT A RE AND EXAMINED THIS APPLICAT AND PAYMENTS..... .. ... . ... ... .$0.0 KNOW THE SAME TO BE TRUE: AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE... . . . .... . .. . .. . $134.85 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CO LIED WITH WHETHER SPECIFIED HE'S -!N OR NOT. DATE IZ-1.--Ct-7 RECEIPT # $� � F n BUILDIN FICIAL MP I 1 a C I TY OF ARL. I NOTON CONEY RUCT I Ohl F}E RM I T F}E RM I T NO- 13 7-278a Owner: JURY, WILLIAM Value of Work: $2,000.00 Tax ID: 113-105- 019-000 phone: Describe Work: REROOF EXISTING Proposed Use: SFR Legal Description: Job Address: 104 S WEST AVE Contractor' s Name Type Address License# JACOBS ROOFING & CONSTRUCTION 5605 DELRIDGE WAY SW JACOBRC072C5 JACODS ROOFING & CONSTRUCTION G 5605 DELRIDGE WAY SW JACOBRC072C5 TOTALS Fee Permit Fee $50.00 State Fee $4.50 SIGNATURE: TOTAL FEE. .. . .. .. . .. . . ... . $54.50 I HEREBY 1;kRI IFY THAT I A E ll AND EXAMINED THIS APPLICA PAYMENTS. . .. . . . .. . .. . . . . . .$0.0 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. .. . . . .. .... . .. . . $54.50 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED "THER SPELtFIED H-�EIN 0 NO DATE i"Z)U.`c fl RECEIPT # D f, BUILDING OFFIC r � r 1 � 1 � 1 t H r —to our Lcrr 2- I 1 - - 1 - - - - - _. f - - - - - .__. - - - - - CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. D —j OWNER MAIL ADDRESS CITY ZIP C_.-%\ PHONE yes 35 -Q353 --�' yeeKt-4, CarV'la&1 957 401-fi pic ST Caw►a'%C :-slgJ C18Z137- 360 39'7 3100 ARCHITECT OR OESI ER MAIL ADDRESS CITY ZIP PHONE (AZ515-09 �55P4 GENERAL CONTRACTO/R� MAIL ADDRESS p CITY ZIP PHONE LIC NSE N X 1 reC1S1[.ri l n�.5`tI.4-t b�1 9,4Z'{ 4 1 L- SG Evedetl WA 99-�OJ pRECZC 'J� 0l3 L.A MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK ❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK f 1--I:l QC? DESCRIBE WORK PROPOSE D USE OF BUILDING _ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DES(cRIPTIONOF PROPERTY(SHOWN BELOWOR ATTACH EOURCOPIES) SIONSOFLAWS AND ORDINANCESGOVERNINGTHIS TYPE OFWORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE w r�fr j� Q_,1.2F Cc) GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX Ili NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF (�l� �, W egT QV t {per �n i U., f�f���(gZZ 3 CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 1r SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE JOB AUDRLSS (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILEI) AIR COND.UNITS -H.P. EA. BA I H I UB REFRIGERATION UNITS -H.P. EA. LAVATORY (WASH BASIN) BOILERS- H.P.EA SHOWER GAS FIRED A.C. UNITS-TONNAGE EA. KI ICHLN SINK& DISP. FORCED AIR SYSTEMS-B,T.0 MEA DISHWASHER WALL HEATERS- B.T.0 M LAUNDRY 1 RAY UNI1 HEATERS- B.T.U. M CLOT IIES WASHER EVAPORAI IVE COOLERS WA ER HEATER CLOTHES DRYERS URINAL VENTILATION FAN DRINKING,FOUN I AIN RANGE FIOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT- CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUB TOTAL $1 SUBTOTAL f PERMIT f PERMIT f TOTALFEE f TOTAL FEE f SIDE YARD SE[BACK STRELI SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE /Owl LOT AREA VACANT SITE FEES VALUATION FEE ❑YES CD NO TYPE Or CONSI OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG BUTDING f SIZE OF BLDG. NO.OF STORILS MAX.000.LOAD PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY U.B.C. SEC.303(a) WATER/SEWER FEES' TOTAL 1I 1 II^ Al b 2 Q 2001 t ` PERMIT VALIDATION t 1 WHEN PROPERLY VALIDATED IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CR# BY BUILDING OFFICIAL DATE cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT �`�. ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. ^/ j OWNER. MAIL ADDRESS CITY ZIP PN NE rrrr ARCTITTEffOlItDIESIGNER MAIL ADDRESS CITY tip PHONE GENERRA.L CON i ACTOR MAIL ADDR �) �r� CITY ZIP PHONE LK NSE N MECHANICAL CONTRACTOR LM IL ADDRESS CITY ZIP PHONE LICENSE/ PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK 0❑NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION _ Q VALUATION OF WORK w s 2 � uw ucst.RleE w F- - Co PRUP Sf U Us Of 8 tLDING `Y 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 uG.Y t r UN of PRUPLRT Y(Sh0WN BELOW OR ATTACH POUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUI BLOCK • OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO r VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF a CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 2 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE V 108 AUUR SS cc La o� x (OFFICE USE ONLY) PLUMBING MECHANICAL NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES ATER CLOSEC TOILET IR COND.UNPIS—H.P. FA u list•" ATHTUB FFRIGERATION UNITS—H.P.F.A. 7 Li .list— VATORY ASH BASIN OILERS—H.P.EA. 3qtip.list— HOWFR AS FILED A.C.UNITS—TONNAGEEA. 3gtip.list— TCHEN SINK R DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA 1SHWASHER NALL HEATERS—B.T.U. M UN DRY TRAY JNIT HEATERS—B.T.U. M LOTHES WASHER APORATIVECOOLERS WATER HEATER LOTH ES DRYERS RINAL IVENTHATION PAN >RINKING FOUNTAIN GE HOOD COMMERCIAL LOOR DRAIN IR HANDLING UNIT— CPM VACUUM BREAKERS VE LOOP DRAINS—RAINLFiYDERS VIETAL FIREPLACE R CHIMNEY INK(SERVICE—BAR,E1'C.) NATER HEATER AS PIPING *(up Lo 5=$3.00,addnl.=S.75 ui ment list must be rovided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTAL FEE TOTAL FEE SIUL YARD SE IBACK STRLE] SLTBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USF /ONE LUI AREA VACANT SITE ❑ FEES VALUATION FEE ❑YES NO TYPE OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG (i BUTDING $ SIZE Of BLDG NO.Of STORIES MAX.000.LOAD PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE - PENALTY SECC303(a) �� n CITY OF _ )`� WATER/SEWER FEES TOTAL ,lJ Q D PERMIT VALIDATION � ,f WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT ARLINGTON, PAID CR# BY BUILDING OFFICIAL DATE cc:ASSESSOR,APPLICANT,TREASURER,BLDG DEPT RECORDS COPY CITY OF ARLINGTON �n CONSTRUCTION PERMIT 9 7 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. (2:7L OWNER MAIL ADDRESS CITY ZIP PHONE 11111 \�� Vd L6 W ARCHITECT OR DESIGNER MAIL ADDRESS CIFY ZIP PHONE Z-�IZrf CI1Y ZIP PHONE LICENSE GENERAL CONTRACTOR , MAIL ADDRESS T _ DZ•i,1' z`f �3.VyjV�CR "N t�1�S 1 E' T' LICENSE 1 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP � -'`t� PHONE J cl 'i'b 4z�—� I- PLUMBING CONTRACTOR MAIL ADDRESS i Y too NLIN WOR�DDITION ❑ALTERATION Q REPAIR ❑UEMOLI LION ❑BUILDING RELOCATION Q VALUATION OF WORK W Ili• ��P><��tZ � V_bNM��,L ��( �51 k�, >�t C� w DESCRIBE WORK �U 3 o�___>< _ DO : N �itV� ���titi�tiL 1Vv C�G`r,'luvs T�f�� �' �X 6T�tu m PROPOSt D USE OF BUILDINGf I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- w Z LL(,AL DES(RIPI ION OI PRUPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE J LOI BLOCK - OF GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO Q VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR w LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE O 1- ��AX ID NUMBER FROM PROPERTY TAX STATEMENT CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE, — ` 0�_— 7— d 1.11 �(1 O t i� SIGN LIRE OF CONTRACTOR`OR AUTHORIZED AGENT DATE 17 \ T� U. IOB AUDRLSS (\ \ T S. . C I L ► `5 Z X uuu!!! (ormc#USE ONLY) ECHANICAL PLUMBING TYPE OF EOUIPMENT FEE x'a PDcIURFS NO. TYPE OF FIXTURE PER x's PIXIURFS NO. IRCOND.UNITS—Ii.P. FA. " .1'#*, A•TER C1.OSGF TOILET) Er d •li t— RIG13RATFON UNITS—H.P.Fes. AITITUB tip.lijt'• OILERS—H.P.EA. VATORY(WASH BASIN) ti�list- AS FIRED A.C.UNITS—TONNAGE E.A- HOWFR —— ORCED AIR SYSTE4:a—B.T.U. MEA ITCHEN SINK do DISPOSAL ALL F iP.A"TELLS— B.T.U. A9 — ISI FWASHER NIT HEATERS—B.T.U. M UNDRY TRAY ?VAPORATI V E COOLERS 'LOTIIES WASHER 'L071lPS DRYERS ATER HEATER Ell"1'ILATION FAN RI NAI. GE HOOD COMMERCIAL RINKING FOUNTAIN IR FlANULiNG UNTI'— CPM LOOR DRAIN O V L' ACUUM BREAKP.RS — EI"AL FiREPI.ACEA.CHIMNEY -- OOF DRAINS—RAINLEADERS Al'ER 1}P.ATER INK SERVICE—BAR,ETC-) - 'AS PIPING 1(uE to 5=S3.00,addnl.=$:fS •T ui men( list Inust be provided SUBTOTAL SUB TOTAL PERMIT PERMIT TOTAL FEE TOTAL PER _ PLAN CHECK FEE SIDE YARD SE I BACK STREET St IBA REAR YAQY•SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. _ /� USt /ONt/ LOT ARE A / �❑:]YES NO FEES VALUATION FEE / YES TYPL OF rppf i � OCCUPANCY GK( NO.OF UWEL PLAN CHECKING NG _I UNITS �j r _ BU'LDING $ / SIZE OI B/I NO OF S1UR1� MAX.000 1 PLUMBING FIRE SPRINKLERS RE RED ❑YES NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE U.B.C. PENALTY SEC.303(a) / WATER/SEWER FEES TOTAL _ 1 D PERMIT VALIDATION I WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT ARLI N GTON PAID CR#_BY__-- Q all Rq DATE RVIt DING OFFICIAL. CC: ASSESSOR,APPLICANT,TREASURER, EiLDG DEFT I RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT COMBINATION BUILDING MECHANICAL❑ ❑ ❑ ❑ PLUMBING ❑ SIGN I PERMIT NO. j OWNER f` MAIL ADDRESS 'A CITY ZIP PHONE ARCHITECT OR DESIGNER M IL AU RESS CITY ZIP PHONE EN AL CON I RAC TOR MAIL ADDRESS CITY ZIP PHONE LIC NSE Ur HANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N N CLASS OF WORK O NEW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLI IION [:]BUILDING RELOCATION CC UATIONOF WORK Zf CQ �DOQ uaUL,SLRIBE WORK m PROPOSE D USE OF BUILDING H 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- W TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- ? LEGAL ULSLRIPIIUN Ol PROPERTY(SHOWN BELOW OR AT1A(H FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LUr BLOCK _ OF 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 W ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF a CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGN ATU E OF CONTRACTOR OR AUTHORIZED AGENT DATE U 10 ADURLSS — (OFPICE USE ONLY) PLUMBING MXIANICAL 77 NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES WATER CLOSET(TOILET) S7.00 %IR'EQND.UNITS—H.P. EA. Lip.list— ATHTUB $7.00 ZEFRIGOtATION UNITS—H.P.EA u .list•' VATORY ASH BASIN) $7.00 301LERS—thP,FA. Iqu .list— HOWER $7.00 3AS FIRED A.C. ITS—TONNAGE EA. 34Etip.list'" ll�VTCHEN SINK R DISPOSAL $7.00 7ORCED AIR SYSTE —B.T.U. MBA $9.00 1 ASHER $7.00 ALL HEATERS—B.T. . M S9.00 UND TRAY $7.00 NIT HEATERS—B.T.U. M $9.00 LOTHES HER $7.00 IVAPORATIVECOOLERS ATER HEATER $7.00 LOTIIES DRYERS $6S0 RINAL $7.00 ENTILATION FAN $4.50 RINKINGFOUNTAIN $7.00 PANGSTIOOD COMMERCIAL $6.50 LOOR DRAIN S7.00 VAR LING UNIT— CPM ACUUM BREAKERS $7.00 $6.50 OOF DRAINS—RAINLEADERS $7.00 REPLACE&CHIMNEY 6S0 INK(SERVICE—BAR,ETC. S7.00 ATERG •u to 5=$3.00,addul.=$.75 t list must be provided SUB TOTAL SUB TOTAL PERMIT PERMIT TOTAL FEE TOTALFEE SIDL YARD SL I BACK SFRLLI SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO USE /ONE LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPL OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG SILL Of BLDG. NO.OF STORILS MAX.OCC LOAD B LNG V PLUMBING FIRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY U B.C. SEC.303(a) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT&RECEIPT PAID CR# BY cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BUILDING OFFICIAL DATE RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING Ej SIGN 1397 PERMIT NO: OWNER MAIL ADDRESS CITY ZIP PHONE ,The Home School 104 S West Avenue Arlington 98223 659-6188 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N Doug' s Lighting 29410 W Scouten Loop Rd Arlington 98223 DOUGSLM113Bt MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE III CLASS OF WORK Kl NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI[ION [-]BUILDING RELOCATION VALUATION OF WORK ; 200 DESCRIBE WORK Doug's lighting will remake signs from existing building and relocate PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- Book:s-tore TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DES(RIPT ION 01 PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION. P RMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGN aw'1100 OJAIJTHOPIZED AGENT DATE IOB ADORE SS 104 S West Ave (OFFICE USE ONLY) MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE WATER CLOSET (TOILLT) AIR COND_ UNITS - H P EA. BAIHIUB REFRIGERATION UNITS - H.P. EA LAVATORY (WASH BASIN) BOILERS - H.P. EA SHOWLR GAS FIRED A.C.UNITS -TONNAGE EA. KI ICHLN SINK & DISP FORCED AIR SYSTEMS- B T U MEA DISHWASHER WALL HEATERS- B T U M LAUNDRY T RAY UNI1 HEATERS- B T.U. M CLOTHLSWASHLR EVAPORATIVECOOLERS WAILRHEATLR CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN IAIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR,ETC.) WATER HEATER GAS PIPING SUB TOTAL S SUBTOTAL S PERMIT S PERMIT S TOTAL FEE sj TOTAL FEE f SIDL YARD SE IBACK SiRLLT SLTBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE FEE RECEIPT NO. USE LONE I.OT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPE OF CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG SIZE OF BLDG. NO.OF STURILS MAX.OCC LOAD BUTDING Sign ; 460 PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY U.B C SLC.303(a) Sign only Yr WATER/SEWERFEES PAID TOTAL 46 0 'MAP _� � 199A PER�ITVALID. N WHOPE 'V UDATEO (IN THIS SPACE( THIS IS YOUR PE 7R RECEIPT PAI CI� BY cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT, BLfiLbk0GO ICIAL j DATE RECORDS COPY CITY OF ARLINGTON SIGN PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING �El SIGN PERMIT NO'. I � OWNER MAIL ADDRESS CITY ZIP PHONE w Lk S. _ ARCHITECT OR DESIGNER MAIL AHDRFSS CITY 711' PHONE GENERAL CONTRA t0R r MAIL ADDRESS CITY PHONE LIC NSE I _Das `' w b K -5 �->L F4 � 71r7; 'D0aa5LMl 13 6T_ MECHANI ALCONI -T R MAIL.ADORE SS CITY Pr rIIONE LICENSE IT slbti�k - PLUMBING CONTRACTOR �/. MAIL ADDRESS CITY ZIP PHONE LICENSE/ SV've OR rNLW OF WORK ADDITION ❑ALTERATION ❑REPAIR ❑DEMOI-IIION ❑BUILDIN(;RELOCATION 'VALUATION OF WORK F UESLRIBE WORK Hoag \C� ,�,vc ,ir�;.�1� .S►c-�r:►5 ,�I ►RUPUSI U USE OF BUILDING ( HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- kS ac_c_ TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLL,AL UES(RIPI ION Of PROPERtY(SHOWN BELOW UR At IA(II FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUI BLOCK Of - WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE V,5DG GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX 10 NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF jtttL CONSTRUCTION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. f 1 0 �. SIGNATURE OF C RA OR OR AUTHORIZED AGENT DATE IOB AUURI 55 APPLICATION IS HEREBY MADE FOR PERMISSL19 TO [ ] ACT [ ] ALTER [ ] REPAIR [ ] PROJECTING [ ] TEMPORARY _[ ] GROUND L-A ROOF KWALL [ I OTHER, DESCRIBED AS FOLLOWS: -c;OF -f �E h r- • l SIGN of a type similar to that checked and described below, fastened and secured by approved supports, and it is hereby agreed that if this application is approved the sign will conform in every detail with the requirements of the Building Code, Sign Code, Zoning Ordinance and all City Ordinances and State Law. Sign will be: [ j'illuminated [ ] non-illuminated [ ] plain wood �Klectric Size: Wgt.`LOL40 lbs length 1 /5 width -A,S face sq ft Face area: sq. ft. Sign is 2-faced: distance from N S property line: E W Lower edge will be r®/ -� feet inches above grade. Inner edge will be yes from the building. Outer edge will be '' '' "inches from the building. Lower edge will be feet inches above the alley, sidewalk or private property grade. Sign will extend feet inches above the building. Of what material will the si n be constructed? Face:. „ r;��C'� t� ;; Vpr+ i XA>'1 Frame: ._ Wording of sign 1��rE 1,1r I�rlc Sc�ticc For Office Usc Only SIULYARDSLIBALK STREET SIIRACK REAR YARD SETBACK bA1EpE( O PLAN CIIECKFEE FEE RECEIPT NO, USF /ONI LUI nuI n VAC AN SItE VALUATION FEE �11j �� ❑YES �i0 FEES TYPE OF CONST. OCCUPANCY GROUP NO,OF DWELLING UNI IS PLAN CHECKING VG 'i 001) 0 T o SOI.LofBLDG. NO.OFSIORILS MAX.OCC.LOAD 5: ,s vi L PLUMBING f IRE SPRINKLERS REOUIREII U YES ❑NO MECHANICAL STATE BLDG.COUF COMMENTS ENERGY CODE SURCHARGE A��r,�'22 c PENALTY U.B.C. 301(s) �fl 5 l� ,Nry O [�(1 1 J '��/1 WATER/SEWER FEES "� l !C \ l T o TOTAL J PERMIT VALIDATION �V WHEN PROPERLY VALIDATED IIN THIS SPACE(THIS IS YOUR PERMIT b RECEIPT • PAID CRtI --By GATE cc:ASSESSOR.APPLICANT.TREASURER.BLDG. DEP1 BUILDING OFFICIAL RICCORDS COPY .7''2 7' CITY OF ARLINGTON CONSTRUCTION PERMIT N� _ 13'75 ❑ COMBINATION E] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAI AD RESS CITY ZIP PHONE Wm H "Bill" Jury Jr 10� S West Ave Arlington 98223 659-6188 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N Wm H. "Bill Jury Jr 104 S West Ave Arlington 98223 659-6188 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N CLASS OF WORK ❑NLW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI FION []BUILDING RELOCATION VALUATION OF WORK f 3snn DESCRIBE WORK unheated structure on rear of building matching existing contours of house PROPOSED USE OF BUILDING storage for backstocked inventory I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LEGAL DESCRIPTION Of PROPERTY(SHOWN BELOW OR ATTACH 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 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 113105-2-019-00.00. CONSTRUCTION.EERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SI=0\, THORIZEOAGENT DATE TOB ADDRLSS 104 S West Ave 3- -1 -Iq Ii (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 ICHLN SINK & DISP. FORCED AIR SYSTEMS- B.T.0 MEA DISHWASHER WALL HEATERS- B T U M LAUNDRY TRAY UNII HEATERS- B.T.U. M CLOTHES WASHER EVAPORATIVECOOLERS WATER HEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUNIAIN RANGE HOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY SINK (SERVICE - BAR, ETC.) WATER HEATER GAS PIPING SUBTOTAL f SUB TOTAL f PERMIT f PERMIT f TOTAL FEE f TOTAL FEE f SIDL YARD SE IBACK STRLLT SETBACK REAR YARD SETBACK DATE RECEIVED PLAN CHECK FEE 7 22 40 FEE RECEIPT NO, 2/23/94 40. 95 29346 USE /ON[ LOT AREA VACANT SITE CB 120x140 ❑YES ®NO FEES VALUATION FEE TYPE OF CONS] OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG VN R3 & M 0 BLPLDING f 63 00 SIZE OF BLDG. NO.OF STORILS MAX.00C.LOAD 312 2 PLUMBING FIRE SPRINKLERS REQUIRED ❑YES NO MECHANICAL COMMENTS STATE BLDG.CODE 4 0 ENERGY CODE SURCHARGE SEC. PENALTY SEC rr 303(a) Adler WATER/SEWER FEES 1994 TOTAL 67 0 l PERMIT V I TION WHEN PRO ERL VALIDATED TIN THIS SPACE)THIS IS OURPE SIT RECEIPT PAID — — C 34 cc:ASSESSOR,APPLICANT, TREASURER, BLDG, DEPT. IL OPMEIAL DATE RECORDS COPY CITY Or ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING SIGN PERMIT NO. OWNER ++ i }rrrIl, { MAIL/ATRESS 11 6 CITY ZIP PRONE uom {� �I P)(Ilg r I l� JIZ `(li� 9 V�J�csr �[S=_t'� lllT.Ci_y1 �UZZ�3 -�OL�C3 ARCHITECT OR DESIGNE R MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE f MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f PLUMBING CONTRACTOR TOR MAIL ADDRESS CITY ZIP PIIONE LICENSE IF _ tj CLASS OF WORIt ❑NLW 0UUITION ❑ALTERATION ❑REPAIR ❑OEMOLIIION ❑BUILDING RELOCATION VALUAIIONOF WORK UESLRIBI WORK t, C ' c rt c PRUPOSI D USE OF BUILDING ( t I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- 1,0 C- � 1 S l iVVENT�Q TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LEGAL DES(RIPI ION OI PROPERTY(SHOWN BELOW OR AIIALH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNINGTHIS TYPE OF WORK LOI 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 FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF ��3�05-2-©t�-©�o� CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONT CT OR AUTHORIZED AGENT DATE .r AUURLSS _jOe t_ Cz3 —.. --- �3, (O I(;li I)SI?ONLY) -.�-- — » I:CIIANICAL I•I.I1 ISIN(i_ _ __ ___ NO. _ '1'YI'Is OF PIXTUILE PEG i s FIX'i'URES TYPE OF EOUIPMENT PEE x's FIXTURES TER CLOSET(1.011'T) - _ $7.00 IR COND.UNITS-ILP.CA. :quip.list* S VVI '111I3 - $7.00 IGERATION UNITS-H.P.EA. --quip.list- - AVA IY(WASHBASIN) $7.00 O1LE -Ii.P.EA. guiP.list•« I' 'IIOWHR $7.00 mHiRPN6.c.UNTTS-TONNAGE EA. 1 Uip.list' I'I'CIIEN SIN &DISI'OSAI, E7.00 •ORCED AIR •EMS-B.T.U. MEA $9.00 )ISHWASHER $7.00 WALLIIEAIERS- :['.U. M $9.00 .ATINURY'I'RAY $7.00 JNITliFATERS-13:T. . M $9.00 LOT)IES WASHER $7.00 I.VAPORATIVECOOLE f ATFRIITsATER _ E7.00 ___ — IO711ESDRYERS $6.50 1JIEINAT, _—_-- $7.00 vaNTiLATioN PAN $4.50 ffDRINKING FOUNTAIN $7.00 tANGEIIOODCOMMERCIAL 16.50 t LOOR DRAIN --E7.00 IR IIANDLING UNIT- CPM ACUUM 13REAKEIL5 - .--• $7.00 J 1'OVE f 6.50 LOOF DRAINS-RAINI. ADERS $7.00 13TALFIREPLACE&CIIIMNEY f6.50 E INK 11?ILVICI:-BAR,FTC.) NATURHEATER $6.50 I 'AS PIPING •(up to 5 i •Equipmcnl list must be pro--dcd __,_ ___•___ _ _- _ - SUBTOTAL — -- ^-- - -...�- SUBTOTAL - — TOTALITE �. TOTAL FEE PLAN CHECK FEE SIDLYARDSLIBACK STREET SETBACK REAR YARD.SETBACK p/( FEE D RECEIPT NO. 17/ IL-V LA USE /UNI LOT ARIA VACANT SITE � �,.,�) iy� f S VALUATION FEE �+I/L IZ0 X 1` 0 ❑vE5 �dNo IYPE OF CONSI OCCUP OUP NO.OF DWELLING UNITS PLAN CHECKING VG mk] SIZE Of BLDG. NO,UT STORIES MAX.00C.L AD PLUMBING ►IRESPRINKLERS SQUIRED ❑YES t NO MECHANICAL STATE BLDG.CODE SO COMMENTS ENERGY CODE SURCHARGE PENALTY SEC.303(+) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT E RECEIPT a' a PAID— -- CRIT -BY -- BUILDING OFFICIAL DATE cc ASSESSOR,APPLICANT.TREASURER,BLDG. DEFT RECORDS COPY 16LA S f \d�-5T All - -- � A I� � (LC 40 PRE- E- x ► S -rIN � - W 11 i V t � CA, - - -- Lrr- S 1' W CITY OF - c ARLI N GTON