HomeMy WebLinkAbout17915 33RD AVE NE_056339_2026 G I T'Y QF AFiL_ I NC3-IF aN
CONST "U(__"T' I C)" FEE HM I T"
F01E Ft I T NO _ _ 92�S-6 :33c3
Owner: SPAR, JOSEPH 17915 33RD AVE NE ARLINGTON 98223
Value of Work: $500. 00 Tax ID: 006213-000-059-00 Phone: 360-659-0462
Describe Work: REPLACE FURNACE
Proposed Use: SFR
Legal Description: PONY ESTATES LOT 59
Job Address: 17915 33RD AVE NE
Contractor's Name Type Address License#
DAY & NITE PLUMBING & HEAT MEC P 0 BOX 1021 DAVNIPHO44CM
P E R M I T F E - E S -
Equipment and Fixtures Number Fee Total Charge
--------- ----------------- - --- -- �
FURNACE/UNIT HEATER 1 $15. 00 $15. 00
5 U B T O T A L. . . . . . $15.00
TOTALS Fee
Equipment $15. 00
Mech Permit $24. 00
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $39. 00 I HEREBY C rY AT I HAVE READ
AND EXAMINEDAPPLICATION AND
PAYlIENTS. - . . . . . . . . . . . . . _ _ . $0. 00 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LA S AND
TOTAL DUE. . . . . . . . . . . . . . . . . $39. 00 ORDINANCES GOVER ING HI TYPE OF
WORK WILL B C P I W TH HETHER
PE FIEB E N OR NO .
DATE RECEIPT #
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4 G'`Y °f kESIDENTIAL MECHANICAL
7 o PERMIT APPLICATION
�fNG�
Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3431 • FAX (360)403 3447
THIS APPLICATION TO BE USED FOR ONE AND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS
APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, AND TWO(2) SETS
OF WASHINGTON STATE ENERGY CODE APPLICATIONS. 7
Type of Permitl: "Residential ( ) Commercial /
Project Address:-1 Parcel ID#: ��/`
Lot#: -�^ Subdivision:
Project Description: -�—�✓�� %��� �Se � � � S �'L��
Owner: �� � Phone Number: ����-� ��
Address: /4-7-0-IVIC- city: LUr✓l-7 State: W/t Zip Code:
Contact Person: &0+4A.) &4-0CL!F1- Phone Number: L/
Cell Phone: Fax:tJ' -(p-74' 5;V E-mail:
�' '',, �
Address: �l��I l S te" City: L '�'I //
1 State: � Zip Code:
Please List quantity of fixtures Below:
CLOTHES DRYER FURNACE UP TO 100K BTU GAS OUTLETS
FURNACE OVER 100K FLR FURN INSTALURELOCATE SUSPENDED HTR/UNIT HTR\
APPL VENT/OTHER APPLIANCE REPAIR BOILER UP TO 3 HP
BOILER UP TO 4-15 HP BOLIER UP TO 16-30 HP BOILER UP TO 31-50 HP
BOILER 51 HP AND UP AIR AHNDLING UP TO 1OK CFM AIRHANDLING OVER 10K CFM
EVAL COOLER VENTILATION FANS OTHER VENTILATION SYSTEM
VENT HOOD DOMESTIC INCINERATOR COM/IND INCINERATOR
ALL OTHER UNITS FREESTANDING STOVE FIREPLACE INSERT /
��� Al I j� PL--�tMeizA!- � I tYI7►�d- Phone Number: 77 �/
Contractor:t r
Address: ( (�'('/`r 'XY, Aw'u) City: State: ��— Zip Code: � �2
Contractor's License Number: �' r ' �` Expiration:
hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
describe roperty will be in ac rdance with the laws, rules and regulation of the State of Washington
Applicants Signature Date
99-y l'A-1Q L1-") ���
Print Applicants Name EIVEL),
FEB 14 1005
COA 8U1LDrNG D
EPr
Forms/MECH-1
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