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HomeMy WebLinkAbout17127 SMOKEY POINT BLVD_024932_2026 C I TY OF ARL I NGTON CONSTRUCTION PERMIT PERM I T NO- a OR—A*Saa Owner: 7-11 STORE 17127 SMOKEY PT BLVD ARLINGTON 98223 Value of Work: Tax ID: 31 Vg- ftne: 360-654-3353 Describe Work: INSTALL REFRIGERANT LINE FOR SLURPEE MACHINE Proposed Use: RETAIL STORE Legal Description: Job Address: 17127 SMOKEY PT BLVD Contractor's Name Type Address License# PRO STAFF MECHANICAL MEC 902 N 127TH ST PROSTMI022NG P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge --------------------------------------- ------ -------- ------------ MISC EQUIPMENT 1 $15.00 $15.00 S U B T 0 T A L...... $15.00 TOTALS Fee Equipment Mech Permit $24.00 cc GNATURE: TOTAL FEE............. .... $39.00 ! I HEREBY CERTIFY THAT I HAVE READ AND E INED THIS APPLICATION AND PAYMENTS.................. $0.00 KNOW H SAME TO BE TRUE AND COR- RECT L PROVISIONS OF L 5 AND TOTAL DUE................. f39.00 ORDI AN ES GOVERNIN THI TYPE OF WO K WI L BE MP W TiWHETHER SR C F ED-H N NOT DATE RECEIPT # _q 40 J � d j DING ICI L MAR 0 Jan. 31 2002 10'6wH' ` FROM : CITY_OF_RRLINGTON FAX N0. : 360 435 3906 CITY OF ARLINGTON CONSTRUCTION o PERMIT L� Cl PLUMBING ❑ SIGN PERMIT N ❑ BUILDING NLCNANICAL ��„ N COMBINATION ❑ /M C 11Y MAIL A lla155 ��, /� ♦,4 f � G �V/ W L /1P PI10NE EIf1 ARCH I I ECT OR OESIGNLK MAIL AOUREI1 LIC NSEE Ilr PHON +r `D CITY S L �J GCNCRAL CONiaA IUR NAIL ADDRESS 6I�LILENSE T/ PHONE ZI► A Cliv U MlC1�jAR�SS Lr LICENSE/ ZIP /NONE CITY PLUMBINGCONTRACIOR MAIL AOURESS TION CLASS OF WORK BUILDING RELOCA ❑NL.W LU AUUITION AI TERATION REPAIR ❑UEMULIL ION ❑ VAI.UATIOf'OF WORK uEualA URK i l Ex WINED THIS APPLIU- r THE SAME TO BE TRUE AND CORRECT ALL WORK ►RUP051 U USE Of RWLO NG ROVl- I){EREBY CERTIFY THAT I HAVE READ AND TION AND KNOWIVERNINCTHISlYPE SIONS Of LAWS ANDORDINANCES CiC EC F ED HERIN ORON011 OHE LL"LULSIRIPIIUNOI DR(PCRfY $"O`ANBELOWURAIIALNPUURCOPIES) WILL BE COMPLIED tTH METH PRESUMETOGIVEAIJTHORMYTO LDI HLOCK Or CRANTINGOFAPERM OF ANY OTHER STATE OR NCEOF VIOLATE OR CANCEL THE PROVISIONS NSTRUCTtON Of THE PERfORMA ' LOCAL LAW REGULATING CO F ISSUANCE. CONSTRUCTION,PERMIT EXPIRES 1 YEAR FROM DATE O D� TAX 10 NUMBER .vIVALT OR AUTHDRiZEO AG° U S:GNAIUR LOB AUURI SS _ X / 1 MECHANICAL FEE (OFFICE USE ONLY) TYPE OF EQUIPMENT PLUMBING FEE NO. II.P-EA NO TYPE OF FI%TUKE 41K CVNU.UNITS- H P EA / WATLKCLOSEI(IOILE1) KEpRIGLRATIONUNITS- - BAMIUS BUTLERS-H.P.EA TONNAGEEA- L AV AIURY{IXASII BASIN) GAS FIRED A C,UNITS- )AEA fUKCEU AIR SYSTLMS-B. M yl{()WLK WALL HEATERS-B I U KI ICIILN SINK 6 UISP, UNI1 HEALERS' B T.0 M UISIIWASIIER E,VAPURAT WE COOLERS LAUNUKY IRAY L y WAS""I[K CLUI NES DRYERS LL0111 W VENTILATION FAN AILk IIEATLK KANGE)WUO COMMERCIAL CPM UKINaI I/KINKINL.GUUNI AIN AIR HANDLING UNIT- STOVE IMNEY I LOUR URAIN MLI AL FIKEPLACE A CH VACUUM BRLAICE RS WATER HEATER KUUI DRAINS KAINLLAUERS GAS PIPING SING ISCKVICC-BAR.LTC-) f SUU TOTAL f PERMIT f f SUBTOTAL TOTAL FCE CN ECK FEE PERMIT S DLAN I/T NO. f RECE TOTAL FEE PLAN CHECK Nv)+o1a FEE STR1L1 SIIBALK REAR YARD SET BACK FEE SIUI v,\uu SLIRACK _f_ VALUATION VACANT StiC FEES I)$1,/UVI LOT ARCH (3VES ❑NO PLANCHECpNG VG pCCUPANLY GROUP NO OF OWE LLING UNITS I,I YDL UV C(N:57 sU'LT)ING NO.Or S101111.5 MAX.OCC.LOAD lllt Ot 4lU(,, PLUMBING FIRE SPRINKLE AS REOUIREO O No STATE YES STATE BLOC.CODC ENERGY CODE SURCHARGE U 0 C. COMMENTS E SLc Toad R E� PENALTY EV./ATERISEWER FEES 0 5 TOTAL FF�p� 2002 PERMITVA1tDATlON 71+ISISYOUaPE"40�O� S� *HtN ppp/ERLY VMIDA7E0 UNTMS SPACE BY CRP!" PAID —�� CITY OF ARLINGTON � DAf� A55E550H.APPLICANT,TREASURER.SLOG.OE:PT RECORDS COPY —r certTTy L�i�C`ZhTs is._��tue ind—co�rect 'c'pr of ocument in the possession of U S' QG�.n-,.' as of this date. — - gated: a - n . - �,� ,• . /�� i� (Signature of Notary Public) % OSSeaf'db;St�kr) I v0w1/ � •c.: 1•/111j. 1�: . i Title fly aPPainteent eipires ��o -0 1 I DEPARTMENT OF LAI)OR AND INDUSTJ' 1I;S 0 REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL dt 1,1 .' DATE EXP;. • .yQ},,' MI0.721VG.';06/3,0/2002 ')'�08�;Q,7/1993 PRO••,STAF.F MECHANICAL INC PO BOX 33370 SEATTLE WA 98133 [r-625"�5�2-CM M 97► RECEIVED FEB 0 5 7002, • (CITY OF ARLINGTON