HomeMy WebLinkAbout19331 45TH DR NE_BLD20080032_2026 " °f RESIDENTIAL ADDITION/ALTERATION
9� o PERMIT APPLICATION
Itl N G, Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone(360)403 3551 • 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, TWO(2)
ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO(2) SETS OF ENERGY CODE APPLICATIONS, ONE
(1) CROSS CONNECTION CONTROL SURVEY(if adding plumbing).
TYPE OF PERMIT: ( ) Residential Addition ( ) Residential Alteration
q ( ) Plumbingn /�1 /� ( ) {Meecha9nical ]COProject Address: I `33� q5 D A-►" C nr��n4oA `��2 Parcel ID#: 0�_�O006 111 1
Lot#: J� Subdivision:
Project Description: Valuation:
Owner- ki S 2-e0e_A a- Phone Number:
Address: %CO-) 46_"_hC 14E City: K1 State: WA Zip Code:91saa3
Contact Person: nu-) (\ !Ir Phone Number:
Cell PhoneC3 40) 0 3 /O a—I Faxlj��5_^5'O$--J 66% E-mail:
Address: City: State: Zip Code:
Building Area(Sq Ft): 1st Floor: 2nd Floor: 3►d floor:
Deck: Garage/Carport: Basement:
�i
Project ValuationL�.
Contractor: Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration
Plumbing Contractor* Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
Mechanical Contractor: Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
�esu 5 ?-e oeda
Applicdnts Signature Date
Print Applicants Name RECEIVED
FOR STAFF USE ONLY FEB 4 2008
Permit# Acce ted By Amount Received Receipt# COARRUMCENMR
WEB Forms—39 Page 1 of 2 1
3/07 dwa
I
G`T" °� RESIDENTIAL ADDITION/ALTERATION
PERMIT APPLICATION
IN
Department Department of Community Development
City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360)403 3551 • FAX(360)403 3447
Water Supply Piping
A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units
B. Distance from meter to most remote outlet: feet.
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)
Number of Plumbing Fixtures (Including Rough-Ins)
Plumbing Accessory Main Total Fixture Total Number
Fixtures Dwelling unit Residence #X Multiplier Fixtures Units
Bar Sink X 1.0 =
Bathtub or Combination Bath/Shower X 4.0 =
Clotheswasher X 4.0 =
Dishwasher X 1.5 =
Hose Bibb X 2.5 =
Kitchen Sink X 1.5 =
Laundry Sink X 2.0 =
Lavatory Bathroom Sink X 1.0 =
Shower Stand Alone Each Head X 2.0 =
Water Closet Toilet X 2.5 =
Whirlpool Bath or Combination Bath/Shower X 4.0 =
Water Heater
Other TOTAL
Traps(other than above items) FIXTURE UNITS:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-
described property will be in accordance with the laws, rules and regulation of the State of Washington.
Applicants Signature Date
Print Applicants Name
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
WEB Forms—39 Page 2 of 2 3/07 dwa
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