HomeMy WebLinkAbout18623 35TH AVE NE_056475_2026 ` )INSPECTION REPORT ")
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?. PermitNo.: o.5 (ti7S� Lot #:
Address: i S - 2.Contractor: L_a2
Owner:
Date: (0—
-b, APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required.
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing AGas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
11 Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
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Owner: TAYLOR, GREG PO BOX 4j,(-'j A RL I N GTO N 9 8 2-23
Value of Work: 00 1 D: 3 105 2 1 -00 2-0 1.1 - 00 Phr-ynk-�: 3f.-i71. 403. 8300
Describe Work: INSTALL GAS PIPING AND DRYER
Proposed Use: IS FR
Legal Description:
Job Address: 18623 J5'fH AVE NE ' 3'
Contractor's Name Type Address License*
OWN
P E R H I T F E E S
Equipment and Fixtures Number Fee Total Charge
DRYER 1 $11, 00 $11. 00
';JAS PIPING 1-5 OUTLETS 1 $6. 00 $6. 00
S U 8 T 0 T A L . . .
TOTALS Fee
Equipment 517. 00
Mech Permit $24. 00
SIGNAT E:
TOTAL FEE. . . . . . .. . . . . . . . . . . -e;;41. 00 1 HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED 'r, HT TON S APPLICAI AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $41. 00 ORDINANCES GOVERNIG' THI - TYPE F
WORK ILL I W HER
I 1,�" COMP �'D W
SPEC D F. TN
DATE RECEIPT #
L
17 /0,(?
4 0& 774/
Y RESIDENTIAL MECHANICAL
9 PERMIT APPLICATION" 60-5;
� NGO 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.
Type of Permit: (✓) Residential ( ) Commercial /1
Project Address: 18(o Z 3 J3 35 , Ave, ME A r-t,, Parcel ID#: 310S 210o Ze I 100
Lot#: N Subdivision: N A
Gr-s Er s��P / J �G /-ye v-
Project Description:--�0'n� �
Owner: G re-r 0 r X � I-Q 1 nr Phone Number: 360 - y633-0 30 0
Address: 1-1-71`'{ /l7 rk 54. N.E. City: Ar. '" State: ��,,�'. Zip Code: 902 ,Z3
Contact Person: Se_ l7a�"`� Phone Number:
Cell Phone: `t 25 23 -� q Fax: 36C L17q. � � E-mail:
Address: City: State: Zip Code:
Please List quantity of fixtures Below:
I CLOTHES DRYER FURNACE UP TO 100K BTU GAS OUTLETS
_ FURNACE OVER 100K FLR FURN INSTALLIRELOCATE 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 1 OK 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
Contractor: 5�«/ ��'"ie a� "b6VQ- 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.
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Applicants Signature Date
reg ay o,-
Print Applicants Name
Forms/MECH-1