HomeMy WebLinkAbout17914 59TH DR NE_962268_2026 C I TY OF A RL I NO-ro 1
CONO-rRUCT I OIV RERM I T
RERM I T No_ _ SG—aa68
Owner: CITY OF ARLINGTON 238 N. OLYMPIC ARLINGTON 98223
Value of Work: $42,000.00 Tax ID: 4482-17-36-00 Phone: 435-0724
Describe Work: REMOVAL OF METAL ROOF AND REPLACEMENT
Proposed Use:' HANGER BUILDINGS
Legal Description:
Job Address: 17914 59TH DR. N. E.
Contractor's Name Type Address License*
CREST NORTHWEST CONSTRUCTION G 3813 168TH ST NE #2 CRESTNCO86K2
TOTALS Fee
Permit Fee $0.00 X
SISNATUFUE:
TOTAL FEE...... ........... f0.00 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS....... ........... $0.00 KNOW THE SAME TO BE TRUE AND COR-
RECT A L PROVISIONS OF LAWS AND
TOTAL IM1E................. $0.08 ORDI N S GOVERNING THIS YPE ur
WORK WIL BE .::OM IED WI WHET R
SP FIE HEREI NGT
DATE RECEIPT #
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CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. /
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j OWNE / MAIL ADDRESS CITY ZIP PHONE
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ARCH TECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CQNIRA TOR. / MAIL ADDRESS S�/'� AI' Z CITY 1 ZIP PHONE LIC NSE N
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MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
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PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
3 CLASS OF WORK
CO❑NLW ❑ADDITION ❑ALTERATION ❑-MEPAIR ❑DEMOLI IION ❑BUILDING RELOCATION
Q VALUATION OF WORK
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W DESCRIBE WORK/ //- 7
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Co PRUPOS D USE OF BUILDING
Cn I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
W TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
z LLUAL DES RIPTIUN O{ PROPERTY (Sf0WN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LUr BLOCK _ OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
r 53 �`_ ._ z - G�C� VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER FROM PROPERTY TAX STA MENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
a n y s� T� 2 CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
� ./ w �N SIGNATURE NT R OR AUTHORIZED AGE DATE
JOB ADURLSS
T x f'
(OFFICE USE ONLY)
PLUMBING ECiinNICAL
NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE z s FIXTURES
AT13R CLOSE?)'(TOILED) IR COND.UNITS-H.P. EA. ! .list-
A TUB, EFR1Gr!RATiON UNITS IT.P.CA 3qtip.list'
.AVA' RY' ASII BASIN IOILERS-II.P.EA. 3 ti .list"
IIOWPR AS FIRED A.C.UNITS-TON GEEA. 3qtip.list-
TCIIEN SIN &DISPOSAL ORCED AIR SYSTEMS-B.T.U. MEA
DISHWASHER ALL HEATERS-B.T.U. M _
UNDRY TRAY JNIT HEATERS-B.T.U. M
LOTHES WASHER IWAPORATIVECOOLERS
ATER HEATER LOTHES DRYERS
RINAL IVENTILATION FAN
KINKING FOUNTAIN GE HOOD COMMERCIAL
LOOR DRAIN kIR HANDLING UNIT- CIP
ACUUM BREAKERS MOVE
OOF DRAINS-RAINLBADERS ASTAL FIREPLACE&CHIMNEY
INK(SERVICE-BAR, NATE HEATER
AS PIPING *(up to 5=$3.00,addnl.=3.75 4.
*Equipment list must be provided
SUB TOTAL SUB TOTAL
Ptmmt,r \ PERMIT
TOTALFEE TOTALFEE h
SIUL YARD SL I BACK STREET SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ONE LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES ONO
TYPE OE CONS] OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG
BU'LDING $
SIZE OF BLDG. NO,OF STORILS MAX.OCC.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
/ ENERGY CODE SURCHARGE
/ PENALTY SEC.303(a)
WATER/SEWER FEES
�1
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CR# BY
cc:ASSESSOR,APPLICANT.TREASURER,BLDG, DEPT. BUILDING O FILIAL DATE
RECORDS COPY