HomeMy WebLinkAbout19907 54TH AVE NE_951821_2026 C I TY OF R RL I NGTOh!
CON—kY RUCT I Ohl ICE R M I T
RERMIT NO_ 9n-1821
Owner: SCHUELLER, KEN 19907 54TH DR NE ARLINGTON 98223
Value of Work: $1,000.00 Tax ID: Phone: 435-0600
Describe Work: RE-ROOF EXISTING RESIDENCE
Proposed Use: SFR
Legal Description:
Job Address: 19907 54TH DR NE
Contractor's NaEe Type Address License*
TOTALS Fee
Per^.it Fee $50.00
SIGNATURE: "A
TOTAL FEE. . . . . . . . . . . . . . . . . $5O.00 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS..... .. ......... ..$0.6 KNOW THE S TO BE TRUE AND COR-
RECT ALL ROV SIONS OF LAWS AND
TOTAL DUE. ................ $50.00 ORDINANVD �ERf
ERNING THIS TYPE OF
WORKOMPL ED WITH WHE ER
SPECI IIN
DATE RECEIPT #�f/
q1q
scz— �S p J BUILDI OFFICIAL
O I TY OF= A RL I NOYON
00"c3YRUOT I ON FDERM I -F
y P'ERMIT MO- = 9t!i-1aa1
Owner: SCHUELLER, KEPI 19907 54TH DR NE ARLINGTON 98223
Value of Work: $1,000.00 Tax ID: Phone: 435-0600
Describe Work: RE-ROOF EXISTING RESIDENCE
Proposed Use: SFR
Legal Description:
Job Address: 19907 54TH DR NE
Contractor's Name Type Address License#
TOTALS Fee
Permit Fee $50.00 !"
SIGNATURE: �✓
TOTAL FEE................. $50.00 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS.. ... .. ... .. .. ....$8.8 KNOW THrS TO BE TRUE AND COR-
RECT AL SIGNS OF LAWS AND
TOTAL DUE. ...... ...... .... $58.00 ORDINANVERNING THIS TYPE OF
WORK WTCOMPLIED WITH WHETHER
SPECI I £iN AR�30T.
DATE RECEIPT #
(Jq1q 5- 94 BUILDIPl OFFICIAL
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO UwNE MAIL ADDRESS Clly ZIP r ON►HE
L Zi
RCNITECTORoESIGNER J� ��G 7
.ram MAIL ADDRESS Cliv 21P PHONE
ENE AL CON AC O MAII ADDRESS CITY Ilr rlloNF LIC NSE� C
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZI► PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZII PHONE LICENSE
cc
CLASS OF WORK
CC❑NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI I ION ❑BUILDING RELOCATION
V/1LUAT ION OF�WORK
I SCRIBE WORK
oer=?p_
in O USE OF BUILDING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLC.AI DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES)
J SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
.J.1 LUI RLOCk OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
r VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
aUURlct SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
/99-67 Ole rjs x
(OPPICE USB ONLY)
PLUMBING MECHANICAL
NO.fAlliTUB
TYPE OF PIXTURB FEE :'a FIXTURES NO. TYPE OF EQUIPMENT FES :'a FIXTURES
CLOSET 1 $7.00 IR COND.UNITS—H.P. EA d .Rt•"
S7.00 FPRIGERATION UNITS—II.P.BA d .lit•RY ASH BASIN $7.00 ORLRS—II.P.EA d .lit'$7.00 3AS PIRED A.C.UNITS—TONNAGBEA. igtip.lit•"
TCHEN SINK d:DISPOSAL 37.00 ORCED AIR SYSTEMS—B T.V. MBA S9.00
ISHWASHER $7.00 ALL HEATERS—B.T.U. M S9.00
UNDRY TRAY S7.00 NIT HEATERS—B.T.U. M 59.00
LOTHES WASHER S7.00 APORATIVECOOLERS
ATER HEATER f7.00 LOTHES DRYERS $630
RINAL $7.00 1BRTILATIM PAN 5430
RINKING FOUNTAIN $7.00 OB HOOD COMMERCIAL 3650
LOOR DRAIN S7.00 FASPIPING
HANDLING UNIT— CPM
ACUUM BREAKERS $7.00 VE $630
OOP DRAINS—RAINLBADERS 117.00 AL FIREPLACE A CHIMNEY S630
INK ERVICE—BAR,ETC. $7.00 ER HEATER 2630
•u to S-S3.00,sdduL-S.7S
"Squipment lit most be proyMed
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL PBS IM TOTAL PBE
SIDE YARD lot IBACK STREET SETBACK :ACANT
EARYARDSETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE/ONE LOT AREA SITE
❑YES ❑NO FEES VALUATION FEE
TYPE Of CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
S
SILE Of BLDG. NO.OF STORIES MAX.OCC.LOAD BU'LDING
PLUMBING
F IRE SPRINKLERS REpU1RED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B C.
SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT b RECEIPT
PAID CRN BY _
cc:ASSESSOR,APPLICANT,TREASURER,BLDG. DEPT BUILDING OFFICIAL DATE
RECORDS COPY