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C I TY OF ARL_ I NC3-rMM
CONSTRUCT I OIV PERM I T
PE Ft I T NO - = 02-5 16 4
Owner: A S D #16 401 N FRENCH AVE ARLINGTON 98223
Value of Work: $4, 000. 00 Tax ID: 310515-004-012-01 Phone: 435-5528
Describe Work: TENNANT IMPROVEMENT c.a
Proposed Use: FRESHMAN ACADEMY/EDUCATION -- A�►Vur�,C/L�� D
Legal Description:
Job Address: 19109 63RD HE UNIT 1 & 2B
Contractor's Name Type Address License*
OWN
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
--------------------------------------- ------ -------- ------------
PLUMBING FIXTURES 2 $10. 00 $20. 00
S U B T O T A L. . . . . . $20.00
TOTALS Fee
Permit Fee $103. 00
Fixture $20. 00
Plan Fee $ . 95 W
Plumb Permit $
2525. 00
State fee $4. 50
SIGNATURE:
OL
TOTAL FEE. . . . . . . . . . . . . . . . . $219. 45 I HEREBY CERTIFY THAT 3 AVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $6.09 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $219. 45 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER
SPEC�r 7HR N R HOT.
DATE RECEIPT #
,511``� BU D OFFI L
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M swCity of Arlington
e- .16, Building Department
REQUEST FOR REVIEW FORM
PROJECT NAME: -41` ILP
PROJECT ADDRESS: l g t O`j
BP #: e''
PROJECT MANAGER: David Anderson, Building Official
DATE OF CIRCULATION:
RETURN THIS FORM BY:
TYPE OF PROPOSAL: T`�1�lylar.-f- � �ya V I�e✓L�'
PROJECT SUMMARY:
RESPONDING DEPARTMENTS:
IJ TOM C., FIRE
IJ JIM T., GALE & GALE
TERRY C., KAREN L., UTILITIES
PLANNING DEPARTMENT
IJ SHARREE L., GENERAL SERVICES
IJ GREGG E., ENGINEERING
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments, either on the drawings or in memo form, to the Building Department. If you have no comments,
please return the form with the"No Comments"box checked.
PLEASE MARK ONE BOX, SIGN, DATE, AND RETURN THIS FORM TO LINDA.
13 MORE TIME REQUESTED, WILL SUBMIT ON
IJ COMMENTS FOR THIS REVIEW ARE ON ATTACHED DRAWING
rJ COMMENTS FOR THIS REVIEW ARE IN ATTACHED MEMO
NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE PERMIT
�j
REVIEWED B DATE 3)d
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FIRE DEPARTMENT CHECKLIS
PERMIT# �_ �- DATE:
NAME:
I t l �G✓?7 LY`�/2!� �Z /Vt' LEGAL:
BUILDING USE: L( (...G )/' OCCUPANCY CLASSIFICATION:
A B E F H
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I M R S U
1.1 1 1.2 F2T3 1 F 3 1 1 2 1 3 1 4 5 1 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. ONE-HOUR N ONE-HOUR N H.T. ONE-HOUR N
Item inspected&completed
Signature & Date:
Site Plan: Approved f� Z�'V1-
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Required:
Fire lane:
Sprinkler system- it,)C /e m t Ficf?7&.✓ —1i'A��
Alarm system: `7� i---'
Knox Box:
Fire extinquishers:
Hydrant:
# of hydrants required:
Location of Hydrant:
Location of Knox Box:
Location of Fire Extinquishers:
Fire Flow requirements:
Location of address on building:
FIRE DEPT: ��— Date:
Signature
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BUILDING USE: ;u C aA 0;"L OCCUPANCY CLASSIFICATION:
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I M R S U
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TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. ONE-HOUR N ONE-HOUR N H.T. ONE-HOUR j N
Item inspected& completed
Signature & Date:
Site Plan: Approved Denied
Access Requirements:
Required:
Fire lane:
Sprinkler system:
Alarm system:
Knox Box:
Fire extinquishers:
Hydrant:
# of hydrants required:
Location of Hydrant:
Location of Knox Box:
Location of Fire Extinquishers:
Fire Flow requirements:
Location of address on building:
FIRE DEPT: Date:
Signature
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