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Pa$ ..•. ..... �n .. _�_-- f ., y._ r 1. �, L3 N A'A"U L!. A L. L L. . . . . . . . . . . . . . . . . '!' i 3'/. 4 a i�A YALA L`'ca. . . . . . . . . . . . . . . . . . `-�7 E.aJ40 Orr TOTA I, Dill... . . . . . . . . . . . - Sq6D q,lq_d I �_ rr i i i � i i � �t �'`�Y °�> s, 1GLE FAMILY RED )DENCE BUILDING PERMIT APPLICATION t'ING O 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, SIX(6)ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO(2) SETS OF ENERGY CODE APPLICATIONS. TYPE OF PERMIT: Building ( ) Mechanical �) Plumbing ( ) Combination Project Address: %/Z AJ-,,!AC �(f fa�'L�fi�r/l' Parcel ID#: Q� � 1 '` 1013 Lot#: —! ' Subdivision: Project Description: Owner: __1412 1214 Ldke"_l Phone Number: Address: �q�h�J City: State Zip Code Contact Person: Phone Number: Cell Phone: Fax: E-mail: Address: City: State: Zip Code: Lending Agency: Phone Number: Address City State: Zip Code: / � Contractor: �� ?��/� ( q�ST f�C Phone Number: 44) Address:,, ?� City- State: Zip Code:y���� Contractor's License Number:f btt R��C 11�2 TH Expiration Plumbing Contractor. 50 /U4164;� Phone Number: r '�' T�7-Z Address. City: State: Zip Code: Contractor's License Number: Expiration: Mechanical Contractor: Phone Number: Address: City: State: Zip Code: Contractor's License Number: Expiration: FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Pagel of 2 5/05 dwa �- � y � to ' * . .; I �~ - 07 .>_ S OGLE FAMILY REfIDENCE BUILDING PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3431 • FAX (360)403 3447 Number of Plumbing Fixtures (Including Rough-Ins) Plumbing Fixtures Accessory Main Unit#X Total Fixture Total Number Fixtures Dwelling Unit Residence Units Multiplier Bar Sink X 1.0 = 1 Bathtub or Combination Bath/Shower '- X 40 = Clotheswasher , X 4.0 = Dishwasher X 1.5 = Hose Bibb X 2.5 = Kitchen Sink X 1 5 = Laundry Sink X 20 = Lavatory(Bathroom Sink) 2— X 1.0 = Shower(Stand Alone) Each Head X 20 = Water Closet(Toilet) 2— X 2.5 = Whirlpool Bath or Combination X 4.0 = Bath/Shower Water Heater l Total Fixture Other Units Traps (other than above items) Column Totalsn AUG 1� `uU0 Estimated Project Valuation u Building Square Footage ��y y0 t %y+• + {��.1 <<s. 151 Floor �/! 2"d Floor 3`d Floor _ Basement Deck_ Garage Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: feet. f C. Difference in elevation between meter and highest fixture: •� _feet above meter or feet below meter D. Pressure in street main: psi. (Measure with gauge or check with Water Department) I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- descr'beJ property will be in act ante h the laws, rules and regulation of the State of Washington. 6 Applicants Signature Date FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 2 of 2 5/05 dwa l � �� 'w a. r , 1 ' q - � —�� A/ xirf _r 13 } LAJ r . 120 �(FC1r;C -LI LtAA '` X n t N��c y RECEIVED S of bac4 I 1 Ex�S-,1j /fOWl " 6r t/COA PERMIT CENTER 2 Fy'o,n PIL y(,Cd C�J JD`7 0 13 Oo ode K"A- ' f 14— AF+er' al(-tru�.Ks lent. Y-e l.o !, T ei Y 1 T v