HomeMy WebLinkAbout19817 51ST DR NE UNIT A_035339_2026 C I TY OF ARIL I NGTON
C O N S T R U C T I O N P E R M I T
PE Ft I T NC3_ _ la3—S339
Ovner: FULLERTON, BOB & KATHY 21426 81ST AVE STANWOOD 98292
Value of Work: Tax ID: Phone: 360-654-8161
Describe Work: REPLACE WOODSTOVE W/FREE STANDING GAS
Proposed Use: SFR
Legal Description:
Job Address: 19817 51ST
Contractor's Name Type Address License#
GOODWORKS MECHANICAL MEC 24610 27TH AVE NE GOODWM*044K)
P E R N I T F E E S
Equipment and Fixtures Number Fee Total Charge
--------------------------------------- ------ -------- ------------
METAL FIREPLACE & CHIMNEY 1 $11. 00 $11. 00
GAS PIPING 1-4 OUTLETS 1 $6. 00 $6. 00
S U B T O T A L. . . . . . 017.00
TOTALS Fee
Equipment $17. 00
Mech Permit $24. 00
TOTAL FEE. . . . . . . . . . . . . . . . . $41.00 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNO THE SAME TO BE TRUE AND COR-
REC�' LL PROVISION OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $41. 00 ORD N HCE, GOV RNI THIS TYPE OF
WOR ILU E MPL D WITH WHETHER
IE H NOT.
DATE RECEIPT �f /+
LDING FF AL
-43 f�,
August 25, 2003
Expired Permits
This permit has been closed without final inspection. It is the
homeowners' responsibility to call in for inspection, after six months
the permit is expired.
Thank you,
Linda Friddle
Permit Coordinator
CITY OF ARLINGTON
CONSTRUCTIONS
PERMIT -as to
❑ COMBINATION ❑ BUILDING 0 MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NC►
j OWNER MAIL ADDRESS CITY zip. ►IIONE
Q i !Y ELA L L F c -Z 142 �& '*Wlb 2f`'is 63))6!5_4/ 9/b j
ARCHITECT OR DESIGNER' MAIL ADURESS CITY ZIP PIfONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PlIONE
MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE if
jjf
PLUMBING CON T RAC TOR MAIL ADDRESS CIIY ZIP PHONE LICENSE
eCLASS OF WORK
CONLW ❑AUDIT ION ALTERATION ❑REPAIR ❑DEMOLI[ION ❑BUILDING RELOCATION
= VALUATION OF WORK
ULSCRIBL WORK ` s,
p PRUPUSk U VSE Of BUILDING
P_ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
L l,Al U St:RIPf1UN OF PROP Itlr SHOWN ELOW UR A/TAC11 fUUR COPIES TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PR'
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
j Llll FILMIC • or 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
y TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION,PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
j 100ADOR SS I SIGNATUR F CONTRACTOR ORAUTHORIZIOAGENT DATE
(OPI''ICB US110NLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE PHE i'i FIXTURES NO. TYPE OF HQUIPMPNT PEE s9 PIXTURES
AT13R CLO5111 O1L6T 17.00 IR COND.UNITS-H.P. PA tl .Ilt"
AMITUH 17.00 LEFRIGERATION UNITS-H.P.B.A. IA .Ilt•"
VATORY ASH BASIN $7.00 30MERS—II.P.BA. 1glAp.Bt•"
fIOwm ST.00 AS PIRBD A.C.UNITS—TONHAOE HA.
TCHEN SINK A DISPOSAL 17.00 TORCED AIR SYSTEMS—B.T.U. MBA t
ISIIWASIIBR $7.00 NALL HEATERS—B.T.U. M $9.00
UNDRY TRAY 17.00 NIT HEATERS—H.T.U. M $9.00
LOTII99 WASHER. 17.00 3VAPORATIVISCOOLERS
ATER HEATER. $7.00 LOTIIES DRYERS . 3630
RINAL $7.00 ENTILATION FAN 1/30
RINKINO FOUNTAIN $1.00 OH IIOOD COMMERCIAL. $630
LOOR DRAIN 17.00 IR HANDLING UNIT- CPM
VACUUM BREAKERS 17.00 VE 16.50
OOP DRAINS-RAINLFADBRS $7.00 ETAL FIREPLACE A CHIMNEY 1630
INX SERVICE—BAR.ETC $1.00 TTBR IIBATER Cj
AS PIPINO '(up to S .'00,eddal.-1.75
"SquIpmeel. list mut be ptovided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTALPEB TOTALPBE
SIUI�RDStIBALK SIRLLFSLIBACK REAR YARD SETBACK PLAN CIIECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
UST /UNI LOT ARIA VACANT SITE
❑YES ❑No FEES VALUATION FEE
IYPt OF CONS1. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VO
3
SIZE OF BLU4• Np.Ot STORMS MAX,OCC.LOAD BUILDING
PLUMBING
I IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
C a A9__ bENERGY CODE SURCHARGE
PENALTY U.B.C.
EC 30318)
G WATER/SEWER FEES
1 r4 TOTAL
PERMIT VALIDATION
WI IEN PROPERLY VALIDATED IIN 71115 SPACEI 71I1S IS YOUR PERMIT 6 RECEIPT
0� �,RLIN PAID CRII BY
cc:ASSESSOR.APPLICANT,TREASURER,BLDG. DEPT. Bl1ILDINGOF►ICIAL DATE
nECOn09 COPY