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HomeMy WebLinkAbout17901 79TH DR NE_067080_2026 23! INSPECTION REPORT "; • Permit No.: vl?, 7 o y Lot #: re Address: 1 -71 o 1 -71h io a— Contractor: • Owner: Date: 9- --�� 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. 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 X0 Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT Q Permit No.: o6 7 0 8 o Lot#: t® 2 Address: i "7 `i Contractor: S p r • Owner: Date: gt—i ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION fuLCORRECTION REQUESTED d,KCorrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. n GoN.•J Zx <�yid 44,,j L4-- rt:. /LJ4n/Grc� J rXYt A !?i J--n '&-r- cdT/ I N S 7-)q l C"J rx-e'T RA41J4 Lr /k Qy10 ea L_ �L�- irtQ' Nt� 1`fUlt�t .--) OrL ti.Y�7�7 _ Inspector: Date: 9-/9-07 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 W,Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT � i;IN rPermit No.: CSC- 20?0 Lot #: / �`�Address: / � '10/ — ? ?7'� y�r Contractor: Owner: Date: 7 S� ��7 04 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. 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: INSPECTION REPORT ¢ti1N Gl'O Permit No.: <26 '20f1�Lot #: l Q' Address: • S .T�'� Z Contractor: 9s, , .0 Owner:_ IN G Date: •3 9 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. h G, C aY J G t✓c��. J 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 0 Other: AAIPI� INSPECTION REPORT '1-7 i1N N G T PermitNo.: d4 -20FOLot #: /Co)Address: J��r - 29TyContractor: GOwner: 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: S-Q Date: 7 - 2- 6 -0-7 TYPE OF INSPECTION REQUESTED ❑ Under-floor 4 Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: 4i7 INSPECTION REPORT 1;i PermitNo.: o(- ?cp,,--) Lot #:Address: 1 -790 r '7 9 0Contractor:D Owner: ' Date: 7- zo—o-7 Ak 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: 7 cu TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork 0-Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove j& Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: �JA INSPECTION REPORT ii T Permit No.: 06-�l� LotAddress: 7 9-Contractor:Owner: � Date: 4 -�7 Pry 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. 01 Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing )4 Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: ONSPECTION REPORT �\1 ¢ti1N G?'O Permit No.: Lot #: f0-? Q' Address: 1 7 5G/ _ Z Contractor: 9s, ,SO Owner: �I N O 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. elagg�c)V(,-W- Inspector. —t ' '�'�' 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: PA INSPECTION REPORT ¢ti1N GTO Permit No.: 06 7G 9'0 Lot #: Q Address: ) 7 9d 1 `1 F/h ,d r Z Contractor: 4�s� Owner: /jNC'� Date: 191 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: �,,t TYPE OF INSPECTION REQUESTED ki Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final Cl Masonry ❑ Drainage ❑ Insulation ❑ Other: you INSPECTION REPORT ¢titN G?'O Permit No.: a 1 'l U 80 Lot #: /o z Address: 1-7 9 0 1 -1 q o &_ Contractor: Ong- P,a c__ 9` GAO Owner: IN Date: •-'L.i-a -7 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 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: KV 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 <6d Drainage ❑ Insulation ❑ Other: A_�_)Om INSPECTION REPORT ii r Permit No.: �G�7D �� Lot #: /�'� Address: SContractor: 171 Owner:Date: — 02 _. ❑ 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 435-0674 FOR RE-INSPECTION -24 hour notice required. 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 14 Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢ti1N G TO Permit No.: 6LI_ 7000 Lot #: Address: / 79rll - ? Contractor: 5A// 9s, G,S4 Owner: IN Date: t� 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. dll e Inspector: Date: G 5-- CG7 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation 01 Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry . ❑ Drainage ❑ Insulation ❑ Other: , 4A INSPECTION REPORT iiG?' Permit No.: Qor^-2et90 Lot #:Address: / 79�- 2l 7"A_ Contractor:Owner:' Date: 5 > j)-e-72 4-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 435-0674 FOR RE-INSPECTION -24 hour notice required. S C.iC� /D'✓cam , Inspector: 4111 `�' Date: S'- Ci2 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping JU Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: Work _ _ ,,Y:..._ ► _: - ... r �17xNC'7'C Ar'�=">L. 'I'ihu Y ' �:cyl;.t.1►:II:nL and fixtures Humhex I:t Tor.:;! t' - - 1 S U I! T U '1' A L. . . . . . 1=ev, ANL>y: het;iXii iJ A:- n l ':; , 1'.J] . 17 -:m.jw 'I.IjL- ..A 1:.' •TO 1!:_ _: A." i N A :51� 13.E GI -1:iX tit' 1'1 J '0A x J 1 �• v 10 04, K�^ L. 0+ 0 SIB 'rLE FAMILY RES�7ENCE BUILDING PERMIT APPLICATION Department of Community Development City of Arlington • 238 N Olympic Ave. •Arlington, WA 98223 • Phone (360) 403 3431 • 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, SIX(6)ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO(2) SETS OF ENERGY CODE APPLICATIONS. TYPE OF PERMIT: KBuilding ( ) Mechanical ( ) Plumbing ( ) Combination Project Address: 1 7 hR ®t+" F Parcel ID#: 0/079 _ 90D Lot#: 1 e x Subdivision: no I 0 w Project Description: Me Ltz sl Felmily (fo vG , Owner: SP'g+t/e Pq c-i�C_ i C !7 om P_-.S s✓l C- . Phone Number: _360- 6-5-7 - yl "I V :.dares P. D. Sa X D3 pity: (State: lI A Zip Code: 8-1, o Contact Person: �e- ���2n Phone Number: I .-ky- " 'SS0- ` onx �/ S'e.�f 9 I lest @ S eq+--/e Cell Phone S q rY► p Fax: 360- 6S7 -y399 E-mail: Pqc -FIG h offIGS . <-- QM Address? �d X3 City B-gn YS Ville State: Zip Code: 81` Q Lending Agency: 01v_P 8-In k Phone Number: Address: City: State: Zip Code- ­7I Contractor: Se-.1 Pgcd�.C- NOm?.I 1/)G. _Phone Number: , 360 - 6S i ` q p Address: I�p ,• O QoX la3 City:AlgndSV1Ujl State: W Zip Code 7-O Contractor's License Number: s EA IT Ph( O O S Q LA Expiration: 1 -1) - 6-7 - i Plumbing Contractor C k P/l/MD;0 !%,__ Phone Number: q�S-SO 9 - -7 Oy Address: P. O dX /70 City: RO-A eil State: VA Zip Code:�_a Contractor's License Number: C K P L L4 1 9 zs� lam/ Expiration: Mechanical Contractor: A /leE n l%G e r/ e<a+i n q Phone Number: �aS- 3 7 ii 'l t• v Address: City: State: Zip Code: Contractor's License Number: .C1 : R F . D l y d K Expiration: • ;� ] y LU t o ? 7 C $(? R STAFF USE ONLY701) LS Permit# R Eccepteay f -W PlourWeceived Receipt# Date Received WEB Forms-46 it f.- . }' t of 2 5105 dwa 0 C'_ °f SIC "GLE FAMILY RESr7ENCE 7 z BUILDING PERMIT APPLIC,A►TIQN O'ING'� Department of Community Development City of Arlington - 238 N Olympic Ave. -Arlington,WA 98223 - Phone (360) 403 3431 - FAX (360)403 3447 Number of Plumbing Fixtures (Including Rough-Ins) Accessory Main Total Fixture Total Number Fixtures Plumbing Fixtures Unit#X Units Dwelling Unit Residence Multiplier Bar Sink X 1.0 = —' Bathtub or Combination Bath/Shower X 40 = [� Clotheswasher X 40 = (� Dishwasher X 1.5 = I s Hose Bibb X 2 5 = S'i (� Kitchen Sink X 1 5 Laundry Sink X 20 U Lavatory (Bathroom Sink) X 1 0 = r 0 Shower�SIa....A!c n.e) Ea--h X 20 = _ ' , Water Closet(Toilet) X 25 = 7, S Whirlpool Bath or Combination X 40 = BathiShower Water Heater Total Fixture Other Units s Traps (other than above items) Column Totals / j- Estimated Project Valuation o\7 7 U 1 Building Square Footage L A 15t Floor _ 1 � 8 1 2nd Floor I '0 3"J Floor AIA '3asernent NA Deck 1116- Garage -7 9 ) Water Supply Piping A. Fixture Units: Number of Fixtures X Fixture Units=Total Fixture Units B. Distance from meter to most remote outlet: 7 feet. C. Difference in elevation between meter and highest fixture. I feet above meter or feel below meter. ID. Pressure in street main: / C) psi. (Measure with gauge or check with Water Department) I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above- described pro erty will be in accordance with the laws, rules and regulation of the State of Washington. Y- 1 � -U - Applicants Signature Date FOR STAFF USE ONLY Permit# Accepted By Amount Received Receipt# Date Received WEB Forms-46 Page 2 of 2 5105 dwa '1 �1 F?L•_ I: iq C3,1- ?M (�CJ h4f "T FZ tJ G`T C U tV P E_ R f" I T FaE-7 RM I "T' Nil ., c IZI6 7 fell Fr;"j Llwnur: _:EATTLE PACIFIC HOME PO BOX 121 44AFtYSVI1 I.E `?T3-70 Value of Work: �dd3'�, 000. 00 'rax 1D: o1o4.7y_,00Ctt!�:? 00 Phone: .aE�!d• P_.z;7. Describe Work: SFR-2125 SOFT. , iS'T'- 1:32;3, 2- 1644, PURCH- 85, GARAGE,- 71,> Proposed Use: RESIL7E,'CE Legal Description: LOT 102 MAGNOLIA MEADOW Job Address: 17901 79:'H DR NE ARL Lart (0& Contractor's Hasse Type Address License# SEAT T LE PACIFIC HOMES GEN PO BOX 123 SEA r - - P E R M I T F E E S -- - - - Equipment and Fixtures Humber Fee Total Charge ' PL.U!"BI3vG FIXTURES F'URNACH/UNIT HEATER 1E -L'' � 1 ai60. 00 ' ' VENTILATION FANS I �' ��" S1Lti. oO I DRYER 6 '7• V^Q) 642, 00 ' ='' ' 1�. ' METAL FIREPLACE & CHIMNEY -• �' , � 0.0 '• i WATER HEATER 1 : '' vo. $11. 0!zr � 1 GAS PIPING 3_5 OUTLETS 1 ''• 0'd $15. 00 1 1 55. C ' S U H T U T A Lam.. . . . -- $260. 00 TOTALS Fee Equipment $100. 00 Fixture $160. 00 Mech Permit $24. 00 Permit Fee $2 550. 10 Plan F eerm3t $1, 527• 57 Mate fee $4. 50 4 TOTAL FEE. . . . . . . . . . . . . . . . . $4 . 1�7 14ATUN! / 191 '�6y CERTIFY THAT 1 HAVE RLA,D PAYMENTS. . . . . . . . . . . . . 'kKINED THIS APPLICA!""' d AND ,:1, 200. Vl� F' 5ZANE TO ac TRI IE AND avi:3?i TOTAL DUE. . . . . . . . . . . . . 92, 931. I? : IZ i7 AWS AND I S TYPE CFl- DATE RECEIPT � N w 14 6' N �•� a S O p N 2 .. 2 � 0) 0 CY)ko N 0 CO T T i�i N \ - ! Cl) p m N Q H rn �s a - <<< _WED ' LL c E 0 ---------- 0 - JCIJ ` IF \ ca CO / OP N - 0) CV ice LL- E 1 /�� C� cn o (a64.69CD O � a � N ch c W Li.. 0 io 'v 1j C aw0 m � O co rn Q N co O in F- O T 0 '� LL N J N `v 0) C II �NJ 0 9 T2 U W m>- `-- U tOQ o (n IL C � 0 N Y NEW SINGLE FAMILY `.ZSIDENCE 7 o BUILDING PERMIT APPLICATION �rNG� Department of Community Development City of Arlington- 238 N Olympic Ave. -Arlington,WA 98223 - Phone (360)403 3431'- FAX (360)403 3447 THIS APPLICATION TO BE USED FOR ONEAND TWO DWELLING UNITS RESIDENTIAL STRUCTURES. THIS APPLICATION MUST BE ACCOMPANIED BY TWO(2) SETS OF CONSTRUCTION DRAWINGS, SIX(6)ACCURATE, FULLY DIMENSIONED PLOT PLANS AND TWO(2) SETS OF ENERGY CODE APPLICATIONS. ` L_, TYPE OF PERMIT: Building O Mechanical O Plumbing O Combination ,,, J fl p Project Address: '7 9 o/ -7 9 A DR NE Parcel ID#: 6�D �j a �'Oa'b0+�L Lot#: /0 'L Subdivision: M 9 �n o l 9 M G qJ o w S Project Description: Ate ui Fqm i I y C O 0 64-(`v et i O i) Owner: S e9 I 1 C- r-7 6 M CS I A C . Phone Number: �b d - 65 y Address P o. g o x a 3 City: / r q r YS V I II a State:.VA— Zip Code: 9 9 a 7 0 5e f� A !1 e.� y)s- 3S0 - yoo Contact Person: Phone Number: u Sef{9//en s? Se"iftle Cell Phone: S 9 M Fax: 3�O- 3`J 9 E-mail: PqG;T;c- h o Me-Se G OM Address: P 0• 130X (a 3 City:Mgr)r-V;//f__ State: 6/4 Zip Code: 1$ V 70 Lending Agency: N D IM go Street 8 g,1IS Phone Number: Address: City: State: Zip Code: Contractor: e 'I f'�'�P P9 C I L NbM L' S irl1C. Phone Number: 360 - 6S7 - '/1 1 I Address P. o. 130 X !a 3 City:M 91'yS Lf ill a State: W Zip Code: l 9 a-70 Contractor's License Number: S EATT PN OO s 13 L1 Expiration: I - 3 I - ;t D D-] Plumbing Contractor: I It )(S ` 'I'mbi Phone Number: IS— S� g - v ` Address: P- 5) , Sox 1_7D; City: BeYth C;1/ State: VA Zip Code: 18 0 7 Contractor's License Number: C- K P L Ll t✓ Expiration: Mechanical Contractor: �/� �p(`Gc� Neg-1-; Phone Number: 1 �s 3-79 - 936 Address: City: State: Zip Code: Contractor's License Number: A I: R E FI & O D l�V Expiration: Y DIP - 6 U �C> Forms/NSFR Page 1 of 2 10/04/DWA S1004CE 04ING 11-� RE NGLE FAM � ICW0NEW S1PPRM�wrA 403 3447 BUILDING P m�njty a�3gp40334FAX(360�Department Of C'Or •Ph°n A g8223 City of Arlington• 238 N Olympic Ave. • Arlington,W ROUgh.`DSI er Total Number ��udin9 Fixtures Units Toil Fixture Number of Plumbing Fixtures (tnMain �XMula Ii0 Residence X 1.0 = � • O Plumbing Accessory X 4.0 = D Fixtures Dwellin unrt .� X40 - I � Bar Sink X 1.5 Bathtub or Combination Bath/Shower S X 2.5 Clotheswasher X 1.5 ' Dishwasher . 0 X 2.0 Hose Bibb X AD 0 2.0 Kitchen Sink ' �' O X = .� Laundry Sink X 2 5 Lavatory(Bathroom Sink) _ 4.0 Shower(Stand Alone) Each Head 3 X Water Closet(Toilet) � s Whirlpool Bath or Combination Bath/Shower FIX O RE UNITS: Water Heater Other Traps(other than above items) I COLUMN TOffTAL& b b Estimated Project Valuationd N a� �.� �bt G o V 3'd Floor Building Square Footage n 2nd Floor JI po rc-k% Garage 1 Floor I ��3 s Basement NA A Deck Water Supply Piping re Units -Total Frei feet. A. Fixture Units: Number of Fixtures X Fixture V r,ats s feet be►o� above meter or — teet abo ent) B. L__( 15-- Distance from meter to most remote outlet: �re. with Water Depadm s� f' or check e with gauge occupancy and the use C. Difference in elevation between meter and psi (tileasure and the construction on of t ash;ngton. D. Pressure in street main: d that the of the State and regulation ! I hereby certify that the above information is co rfP ��«' �— 'a)'_0 r will be in accordance with the 1 a�^1 s ' pate described p rt Y . 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