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C I TY UF= ARL I 114GTQh1
CONSTRUCT I OIV F=1EFtM I T
FEE Ft I T NC3 _ ID5-6 353
Owner: BOYD, KENT 17721 W. COUNTRY CLUB DR. ARLINGTON 98223
Value of Work: $0. 00 Tax ID: 310523-002-005-00 Phone: 435-6658
Describe Work: REPLACE FIXTURES
Proposed Use: CONSTRUCTION OFFICE
Legal Description:
Job Address: 18705 67TH AVE NE
Contractor's Name Type Address License#
OWN
P E R M I T F E E S
Equipment-and-Fixtures Number Fee Total Charge
---- - ---- --- ------ --- ---
PLUMBING FIXTURES 5 $10. 00 $50. 00
S U B T O T A L. . . . . . $50. 00
TOTALS Fee
Fixture $50. 00
Plumb Permit $25. 00
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $75. O0 I REBY CERTIFY THAT I HAVE READ
A D EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 K 0 THE SAME TO BE TRUE AND COR-
R `T ALL ROVI-IONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $75. O0 R I ANC ti
GOV RN NG THIS TYPE OF
B MP IED WITH WHETHER
DATE � RECEIPT # �� c. IFIEI N R NOT.
—/6 U L ING (F C A
L)
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it
Kent Boyd
18705 67th Ave NE
Arlington, WA
360-631-2453
Replace the following fixtures
uanit
(1) each Toilet
(1) each Kitchen Sink
(1) each Restroom Sink
(1) each Shower Stall
Fixtures Removed
(1) each Toilet
(1)each Kitchen Sink
(1) each Restroom Sink
(1)each Tub& Shower Combo
RECEIVED
FEB 2 3 2005
ClOA BUILDING DEPT
4 G``Y °� COMMERCIAL PLUMBING
,7 o PERMIT APPLICATION ? -�353
�N G�
Department of Community Development
City of Arlington• 238 N Olympic Ave. •Arlington,WA 98223 • Phone (360)403 3431 • FAX (360)403 3447
THIS APPLICATION MUST BE ACCOMPANIED BY EIGHT(8) SETS OF CONSTRUCTION DRAWINGS,AND EIGHT
(8) SETS OF FIXTURE SPECIFICATIONS(CUT SHEETS). CALCULATIONS ARE REQUIRED FOR GREASE
INTERCEPTOR IF APPLICABLE
Type of Permit: ( ) Commercial N Commercial Addition/Alteration
Project Address: ' Parcel ID#:
Lot#: Subdivision:
Project Description:
Owner: `i`� ��� �\ Phone Number:
Address: ���� S) 6�(� � � City: N� '� State: \1-0tN Zip Code:
Contact Person: t�� `>3`'�� Phone Number:
Cell Phone: Fax: E-mail: j—��Joy�eSv� V�� •`�'
Address: S�'�� City: State: Zip Code:
Please List quantity of fixtures Below:
,C WATER CLOSET BATH TUB 1 SHOWERS
LAVATORIES CLOTHES WASHER LAUNDRY TUBS
FLOOR DRAINS FLOOR SINKS SINKS
URINALS SUMPS DISHWASHERS
WATER HEATERS ROOF DRAINS WATER PIPING
DWV ALTER/REPAIR LAWN SPRINKLERS DRINKING FOUNTAINS
MISC PLUMB FIXTURE GREASE INTERCEPTOR GREASE TRAP
Contractor: < Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
Applicants Sig ature Date
Print Applicants Name
RECEIVED
FEB 2 3 2005
45&
COA BUILDING DEPT
Forms/PLUMB-1
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