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HomeMy WebLinkAbout20210 77TH AVE NE_993411_2026 C;I -ry OF "RL- INO-FON CON13-rRUCTION PRE:RMI -r Owner: ROH0 A L 1 1 Value (if Wor- (AJ j- 0!0 C, P i i o ri.e b 0 4 Describe Work.- i N!S I'A L L EX LE R T 0.� Proposed Use: D EN T A 0 F C E Legal Description-. Job Address: L 0 0 77IT' AVE `"E Contractor' s Name Type Address License# MEYE.R S'IfbNi ADt"'. Jwy 11)(' L--. TOTALS Fee �- el $9 SIGNATURE: q TOTAL FEE... . . . . . . . .. . . 8.62 R E B y .3 11 E,D S AP "ICATION AND PAYMENTS. . .. .. . . . .. . . . . . . . $0.0 �IL , Z LPL- 1RUE tA :D CUIR- PROVISIOW; OF W§F4NDC, TOTAL DUE. . . .. . .. . . . .. .. . . $98.62 �"ES 1-30VERNI ! Ti-h 2, PE ' f! TH WHETHER D T, tit) -- 3 10 v CONO-1rRUC-rION POIE:RMI -r F:),aRM17 NO- SB Owner: Vfl-!� Zr7 T, j 7= ;rn TEFF 4710*2' TIM C:"-7 E' RC:qD �),RLINGTI\' 98-23 bo 1,a x I -Z 021 T" -`?'T 0 G Dh Value of �orkz 0, L,� i Describe Work: PLU"NI'DIMSS S.-i Proposed Use: iLAiAL OFF: Legal Description: Job Address: 20-PI0 77ST Contractor' s Name Type Address License# MECuai-MI�C-AL P, E, 1--1 vrr�p,,- s;�nNSM*182DA P E R M I T F E E S Equipment and Fixtures Nu!iber Fee Total Charge PLUMBING FIXTURES i2 $7.01? $126.00 MEDICAL GAS 901PING S Y S �50. 00 $50.00 S U B T 0 T A L.. . .. . 176.00 TOTALS Fee E 9 u i p f-,e n,t 115 RD. 0 Fi)<tu-e 4 126.00 SIGNATURE: TOTAL FEE. — . .. . . . ..... . . . $201.00 T '------1Y 77.71FY THIA-1 11 !:'-,VE R:7AD P' -',IN.-rD THIS APPLICATION AND PAYMENTS. ..... . . . . . .. .. . . . $0.0 &7iME TO BEF TRJEE PIN"10 COM- PROVTSION!" .3 AND TOTAL DUE.. . . . . . . . . . . . . . . . $201.00 7S -RCS' TYPE OF ! UT H HER Irk-- NG OFFICIAL C I TY OF ARL I NE3TON 4--ONE97 RUCTION PERM I T PERM I T h10_ s 9$--3242 Owner: HULEATT, JEFF MD JEFF 17[02 JIMTC�-EEK ROAD ARLINGTON 98ZI-3 Value.of Work: 4207,948.6 Tax ID: 8291--000-005-0006 Phone: 3-60 435-2151 Describe Work: CONSTRUCT NEW DENTAL OFFICE. Proposed Use: DENTAL OFFICE Legal Description: Job Address: 20210 77TH ST Contractor's Name Type Address License* KIRTLEY COLE ASSOCIATES GEN P U BOX 11179 9IRTL-CA272RF TOTALS Fee Permit Fee 3i 282.50 Off Site Fee M3. 72 Plan F e e i 833.63 State fee $4.50 SIGNATURE, �- TOTAL FEE...... .... . .... . . $29534.35 t -REBY CERTIFY TH T I HUE. READ HN EXAMINED THIS APP;., ICATION AND PAYMENTS..... . . . ....... .. . $1,551.71 FhEN THE 5AME TO BE TPU AND COR- AL E-.L PROVISI S U. LAWS AND TOTAL DUE. ..... .. ..... . . . . $982.64 KR ANt�E ' GONER INS HIS TYPE OF WILL C IE WITH WHETHER.FIED E UP. ]1. DATE RECEIPT # /003 OQIN6 dFrIC United Association Medical Gas Certification Program x' cerli kale 9( xedicalGas Guar iiation Name Keith E: Swanson SS%SI No.537-36-3095 LU No. 265 TAMPERING WMi THE LAMINATION OF THIS CARD RENDERS IT VOID j r REGISTERED AS PROVIDED BY LAW AS CONST CONT SPECIALTY AC AD REGIST. # EXP. DATE CCACAD SWANSM*182DA 03/07/1999 EFFECTIVE DATE 03/01/1982 SWANSON MECHANICAL 16831 MCRAE RD ARLINGTON WA 98223 ' d Signature RECEIVED Issued by DEPARTMENT OF LABOR AND INDUSTRIES DEC 3 - 1993 Keith Swanson CjTf OF ARLiNGTON SiiA/APJ6iu1%l MECHANICAL Commercial Plumbing S Piping 16831 McRae Road • Arlington, WA 98223 (360)652-7471 • Mobile (425)339-7877 03/09/1999 09:21 360-424-5212 MEYER SIGN & ADV CO PAGE 02 :. /IIp7N • P i- rill a Od ID 0 Ira �j •M1 { ig> in. l rn CV �I 03/09/1999 09:21 360-424-5212 MEYER SIGN & ADV CO PAGE 04 r-r r x'; 0 W 0 W 3 Q rn CD(U CD(a C ((DD \ Q X Q (D m m ? 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F 2 3 STORAGE S �+ be 809801 3 - - 0 4 CAII�. I �z C :2& I� S e GOAT t� �� `✓ � HOOKS r4 �L WAITIN6 2 4 - - 2 1 _ 16;11�� date � � a EXAM . �lz �n� 8/21 /98 ° 1V ( I 4 4 � MOVE 1 21j Li ... ✓ F15H n II ! P I 18 > I TOILET 9 L �� y • x D 1 ' • • 4 �� � v, I revisions COFFEE 4 ; 4 a i I Av/ � n 0 C, — — ok -4 1 ----- L OFFICEi I o o I e �s n —1 I o�IGE 4 =1:2 I'-0.o I2q 12 c °' N -nog S �I I J 0 O i ` �✓ a�art w 1226 ' e �L1/9N/�G�-ice 1.(J'/ � z cG 5 --r---�- 4 4 3 4 2'I � - o ;� A4 Cb sheet title 1;0��ACA ME $• FLOOR PLAN 11'.�• I�.�• 4'-0- ► SCHEDULES & 64'-2' NOTES RECEIVED DEC 4 - 1998 sheet CITY OF ARUNGTON FLOOR PLAN FP.DWG SCALE: 1/8"= V—p" 9 8 4 3 2148 SF INSrECTCON REPORT 1 Permit No. •_3Z,I Lot # Address Contractor _ �'71?T Owner �1 Date APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice req ' d. Inspector Date TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage. ❑ Insulation Other '�S4r � �_' INSPECTION-REPORT Permit No. �Y Lot # Address 2 Contractor Owner IV& Date 3-2Y —5I OVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required. i Inspector Date T OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ oundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ElStruct. Slab Wood Stove 7 ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other INSPECTION REPORT Permit No. 12 Lot # Address ra06_?-10 '77 lrf4 ,,�e Contractor Owner Date — " ❑ APPROVAL U ARTIAL APPROVAL ❑ VIOLATION PCORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required. � S In�pesior- Date - r TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other INSPECTION REPORT Permit No r33�3 Lot # � Address `7 7 1 Contractor Owner Date(M � APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0724 FOR RE-INSPECTION - 24 hour notice required. Inspector /' I 1A z I x C, Date f•� �' TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing _ ❑ onsultation ❑ Foundation ❑ Shear Nailing Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove gh-{r-r— ❑ Final ❑ Masonry �Qrainage ❑ Insulation ❑ Other