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CITY OF ARLINGTON
CONSTRUCTION
PERMIT �--
❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
j 'OW1NJR ` f/ MAIL ADDRESS CI Y ZIP PHONE
1L�:
ARCHITECT OR DESIGNER , MAIL ADDRESS CITY ZIP PHONE
en 1 we__
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LIC NSE 0
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IY
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
3 CLASS OF WORK
Co(@ NEW ❑AUDITION ❑ALTERATION ❑REPAIR U DEM0L1 TION U BUILDING RELOCATION
M VALUATION OF WORK
z s OOp . (Do
3 DESCRIBE WORK
I— I x Z E)Lu
i Pr
PRVPVSf D USE OF BUILDING
� � G��` R� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLGAL DLSCRIPI ION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J
J LUI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
w VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
Cu,-TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
1L / CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
nn SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
SS
? 108�:g '�o .CS��� kw..�� �v2 t�r1�� n A, x -
(OFFICII USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE PER x's FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES
ATER CLOSET TOILET M COND.UNITS—H.P. EA, 3qtip.list"
ATHTUB LEFRIGERATION UNITS—H.P.EA. ' lip.list•'
VATORY ASH BASIN IOI.ERS—H.P.EA. 7 ti .list•'
HOWER AS FILED A.C.UNITS—TONNAGE EA. W .list—
ITC11EN SINK DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA
iSHWASHER ALL HEATERS—B.T.U. M
UNDRY TRAY NIT HEATERS—B.T.U. M
LOTHES WASHER VAPORATIVE COOLERS
WATER HEATER LOTHFS DRYERS
RINAL 61ENTILATION FAN
RINKING FOUNTAIN tANGE HOOD COMMERCIAL
7LOOR DRAIN KIP,HANDLING UNIT— CPM
ACUUM BREAKERS IrOVE
OOF DRAINS—RA)NLEADERS ARTAL FIREPLACE&CHIMNEY
'INK SERVICE—BAR,ETC. WATER HEATER
AS PIPING *(up to 5=$3.00,addnl.=$35
_Equipmcot list must be provided
SUB TOTAL SUB TOTAL
PERMIT PERMIT
TOTAL PEE TOTAL FEE
51DL YARD SL IBAC _ STRLLI SL1 BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
r
USE ION[ LOT AREA VACANT SITE
El YES O FEES VALUATION FEE TYPE OF CONS1. JOCCUPANCY GI�VLIP NO OF DWELLING UNITS PLAN -7
CHECKING '4G �— (
UBU'LDING $
SILL Of BLDG NO.OF STORILS MAX.OCC.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE ! I,
ENERGY CODE SURCHARGE `C
PENALTY U.B.C.
RECEIVED SEC303(,)
6_' WATER/SEWER FEES
18 1999 TOTAL
PERMIT VALIDATION
CITY OF ARLINGTON WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID. _ CR# BY
BUII DmtG OFFICIAL DATE
cc: ASSESSOR,APPLICANT,TREASURER. BLDG. DEPT. RECORDS COPY