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Home My WebLink About19907 54TH AVE NE_972489_2026 tt`U` City o f .Ara n NOTICE and Inspection gton Permits A?�.�y Phone# ection Report Date Called Lot# V C! Address �. lime Called By Contractor/Owner ! Requested by ❑ Setback ❑ Roof Diaphragm ❑ Plumb GW ❑ Insulation ❑ Framing ❑ Footing Gas Piping Drywall Nailing ❑ Foundation ❑ ❑ Final ❑ ❑ Rough-in Plumbing Shear Wall ❑ Reinspechon Rk-Meahanical ❑ Other ROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. k listed below has been inspected and approved. ❑ CALL 435 724 FOR REINSPECTiON_24 hour notice required. Inspector Date v C I TY OF RRU I NO-roN CONO-r RUCT I Ohl F Oe RM I T F}ERM I T No_ Owner: DAVID ANDERSON 19907 54TH DR ARLINGTON 98292 Value of Work: $10,000.00 Tax ID: 4264-000-001-0002 Phone: 435-0600 Describe Work: NATURAL GAS PLUMBING Proposed Use: Legal Description: Job Address: 19907 54TH DR Contractor's Name Type Address License* KALAF'S SERVICE & REPAIR M 14431 132ND ST NE KALAFSR101DN Equipment and Fixtures N ■ -umber Fee Total Charge --------------------------------------- -------- - GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00 y WATER HEATER 1 $9.50 $9.50 S U B T O T A L.... .. $14.50 TOTALS Fee Equipment $14.50 Mech Permit $22.00 SIGNATURE.' � � �-Pf TOTAL FEE......... ..... ... $36.58 I HEREBY CER IFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS................ ..SO.@ KNOW THE SAME TO BE TRUE AND COR- RECT A PROVISIONS OF LAWS AND TOTAL DUE...... ..... ...... t36.50 ORDINA C S GOVERNING THIS TYPE OF WORK AIR COMPLIED W H W ETHER SPE I IE HERE R N DATE - EC # -j ' D / UIL,DING OFF CIAL CITY OF ARLINGTON CONSTRUCTION PERMIT `f? ❑ COMBINATION ❑ BUILDI MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 2 i r 4 OWNER AILIADDREW CITY ZIP PHONE I t �I a.. L>;nn ARCHITECT OR DESIGNER MAIL ADDRESS CITYJ ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# MLCHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT &a 1Glp � �'tI)cr� {I)^ )�lN=� !�,a_ �+ tt r >� ►►n�, � Q,� Cj.s,1 tam -90/ PLUMBING CONTRACTOR MAIL ADDRESS CITY a ZIP P1xONE L-IGvm/ f0 3 CLASS OF WORK 0❑NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION Q VALUATION OF WORK ZIll S Uj DESCRIBE WORK C' C� l Ll� ,(V m PRUPOSt U USE OF BUILDING N 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- ul TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z L!l,AL UES('RIPIIUN UI PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LOI BLOCK - OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO 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 L-�Z(o G _ C)Q 0 -oc D 0 O -Z.— CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. OSIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE C) IOB ADURLSS t I Q q o' -ice x (OFFICE USE ONLY) PLUMBING MOCILANICAL NO. TYPE OF FIXTURE FEE X's FIXTURES NO. TYPE OF EQUIPMENT FEE X's FIXTURES WATER CLOSEC(TOILET) TR COND.UNITS—H.P. EA. lqLip.list*' ATHTUB EFRIGERATION UNITS—H.P.EA u _list'• VATORY(WASH BASIN) 3OILERS—H.P.EA 3qtdp.list** ROWER 3AS FIRED A.C.UNITS—TONNAGEEA. 3qLip.list— TCHEN SINK&DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA IS14WASIIUR WALL HEATERS—B.T.U. M UNDRY TRAY JNIT HEATERS—B.T.U. M LOTH ES WASHER VAPORATIVECOOLERS q��rQZ I LOTHES DRYERS RINAL 61ENTILATION FAN RINKING FOUNTAIN FLANGE HOOD COMMERCIAL LOOR DRAIN IR HANDLING UNIT— CPM ACUUM BREAKERS TOVE OOP DRAINS—RAINLEADERS AETALFIREPLACE&CHIMNEY INK(SERVICE—BAR,ETC. WATER HEATER AS PIPING *(up to 5=$3.00.addnl.=$35 ui ment list must be provided SUB TOTAL SUB TOTAL PERMIT PERMIT Ov TOTAL FEE TOTAL FEE SIUI_YARD SL I BALK STRLLT SLTBACK >IARV SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USL /ON( LOT AKFA VACANI S11E FEES VALUATION FEE ❑YES ❑NO TYPL OF CONS OCCUPA NO.OF DWELLING UNITS PLAN CHECKING NG BUTDING f SIZE Of BLDG. WO.OF STORILS MAX.00C. PLUM LOAD- PLUMBING FIRESPRINKLERSREQUIREU [—]YES ❑NO MECHANICAL -- Z SlAIE-BLDG-G99f- C NTS PENALTY U.B C. SEC.303(+) WATER/SEWER FEES TOTAL PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT PAID CR# BY cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT, BUILDING OFFICIAL DATE RECORDS COPY