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Home My WebLink About412 CLARA ST_004028_2026 INSPECTION REPORT 1¢1, N G FO Permit No.: Lot #: Q Address: - u_�A ) (—AC`R � Z Contractor: Cn.-� �3,� GAO Owner: I N Date: 7_a —ad PROVAL ❑ 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-INSP TION - 24 hour notice required. Inspector: Date: �v TYPE OF INSPECTION REQUES D ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation ❑ hear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Permit No.: Lot#: Address: C �4- Contractor: - —� -� Owner: GTP Date: NVIPPROVAL ❑ PARTIAL APPROVAL LATION ❑ 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. r Inspector: DaJ�- te: T E 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 QZ:J R- X 47 Other: INSPECTION REPORT 1,IN G r Permit No.: C% , r- Lot #: — Q' Address: /�� /�,� �lct l�Z— ST Contractor: k'�_li � -y O Owner: �= �- IN G� Date: '7— 1 [ _ OO -7— ,�7�PROVAL ❑ 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 :1 Grid ❑ Struct. Slab ❑ Wood Stove ough-in ❑ Final ❑ Masonry ❑ rainagelnsulation ❑ Other: INSPECTION REPORT iio Permit No.: � g Lot#: Address: �.� A ! .C-�Contractor:Owner: Date: 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. a r 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 ough-in ❑ Final ❑ Masonry ❑ rainage ❑ Insulation ❑ Other: _�k INSPECTION REPORT N G 41.1 ?'O Permit No.:079 — Lot#: Address: Contractor: / -!�l P� 4:r- ? O Owner: z�f i A 9s�ING� 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. j7 ! 7 Inspector/ Date: J —fYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab J ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT iG�¢ytN G?'O Permit No':_ ` �� " Lot #: Q' Address: 2- Z Contractor: O Owner: 3 - /2/ �s�IN Date: p APPROVAL ❑ PARTIAL APPROVAL 0 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. `--„ -_ - - _ Date: Inspe TYft 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 N G?'0 Permit No.L �' V Lot #: Q' Address: / % o Z Contractor: Ci'Yr�>C -ys, �O Owner:— 4411 N G Date: -5-- !to ❑ 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. Insl�entor: = Date TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation Foundation ❑ Shear Nailing ❑ Groundwork Q Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT i7r4" N G?' Permit No.: 0 3 " 54 88 Lot#: �' Address: `107 G�xA 57— ZContractor: O Owner: -7 -i-qiNO 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. it o f N C� "to v c`� 2A,�` Aw Ai v Inspector: Date: 7` S-03 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 ¢1.IN G?'o Permit No.: Lot#: Q' Address: Contractor 1- ��- O Owner: j N C'� Date: C 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: 9- TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing -Gs Piping ❑ Footing ❑ Drywall, Nailing r❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: rz. 7X-I INSPECTION REPOP14F, 4ti1N G TO Permit No.: SY o b Lot#: Qr Address: `to7 CLA-e-r+ Z Contractor: O Owner: 9s1q j N O� Date: s� °3 APPROVAL El 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. vim_ fLz' ,9 Til 51--7—/C Inspector: L'"a Date: 9 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 444we.,{ ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT��/'�-_ 57'2 7-4 C4, 0Permit No.: ./`T t#: 0 Address: e-Contractor: O Owner: � Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION jW( CORRECTION REQUESTED p-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. �l 10011 Inspector: Date: � PE OF IN PECTION 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 N G J'O Permit No.: Lot#: Q' Address: q c:-7 6 L Contractor: L0 -7 �O Owner: SIN Date: /a—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. f _ - Inspector: L _� Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor j?P 9 Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation tZ- 0 Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: * dS INSPECTION REPORT7/�* 9:O7pm �V tiIN G TO Permit No.: �`7�O Lot#: Q' Address: 6 7 azf5?" s • O Contractor: Owner. �ZNO Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION "14CORRECTION REQUESTED Cal.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. JF N6 T-0 13r-rw tA1t-fi0 C-" o C, ors C0465 t Z O. t, JN 7?*E /"/L2t2 r9 '1-J A-1r_5 t r TT1 Sv//LAE2CALc r r� _(N S'K? ar ✓�'S O � (� - 1 IcV CA—CH- %1z r S< ff0L P-111Il ��►Gf�C YL.- /�.L T� /LLO r"C CI ILT��'G-"7t. �I�e� �1. � �120.'K 0 E vts ilDt1 C K- Inspector: Date: //a TYPE OF INSPECTION REQUESTED ❑ Under-floor A 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 4ti1N G To Permit No.: (0 ? 5- 4YV Lot#: 4 Address: Z Contractor: O Owner: IN G� Date: �" C �tAPPROVAL ❑ 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: PE OF IN P TION 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 a lq p,* y1N G r Permit No.: 3 57 0d Lot#: ¢ O Q Address,. '' 07 t-e-k- • �-, Contractor: O Owner: �sfulINO� Date: A'-APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can tie approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24bour notice required. f ,0 y z t�A4_f Inspector: Date-.14—� 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 4y1N G TO Permit No.: kk� Lot#: Q Address: LAl �' ,r Contractor: Owner: - a 2� --?s IN C' Date: " y 7i' APPROVAL ❑ PARTIAL APPROVAL ❑ LATION ❑ 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 our 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: C I-rY OF A RL I hIGTOhI COhIST RUCT I ON PE RM I T PERM I T NO_ 00--'+0a8 Owner: KRATZER, LORI A 412 N CLARA ST ARLINGTON 982E3 V Value of Work: $18,500.00 Tax ID: 6189-000-025-0209 Phone: 360-435-3283 Describe Work: ENCLOSE CARPORT TO LIVING AREA/ BEDROOM/ BATH Proposed Use: SFR Legal Description: 1 Job Address: 412 N CLARA ST Contractor's Name Type Address License# SAUK PRAIRIE CONSTRUCTION G 56241 CRAWFORD LOOP RD SAUKPC016L8 P E R M! I T F E E S a Equipment and Fixtures Nu�iber Fee Total Charge ---- -- ------------ PLUMBING FIXTURES 4 $7.00 $88.00 S U B T 0 T A L...... $28.00 TOTALS Fee Permit Fee $893.25 Fixture $88.00 Plan Fee $190.61 Plumb Permit $25.00 State fee $4.50 s TOTAL FEE............. �IGNATU - .... $541.36 I HEREBY TL THAT IREAD AND EXAMINED THIS APPLICATION AND PAYMENTS..................$0.0 KNOW THE SAME TO BE TRUE AND COR— RECT ALL PROVISIONS OF LAWS AND TOTAL DUE.... ... . ......... $541.36 ORDINANCES GOVERNING THIS '1'='= OF WORK WILL BE C Wi WHETHER SPECIFI=il �R N R dOT DATE RECEIPT # � ZU l ` BUILDING OFFICI ,� Ili ti70G R F ' i } } •� • :.r?;21'DID � 1 G; C ; RECEIVED APR 19 2000 CITY OF ARLINGTON f ! 019 q ARLINGTON PERMIT Ar"ICATION 230 N. OLYMPIC AVE.,ARLINGTON, 1 )8223 (203) 435.5795 COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING F11 Tax Account Number Sq — coo� 0Z D�� Job Site Address ) C'6" City Applicant Name P.b) / �Us lI Phone Mailing Address �� Vr`-�� City Zip Contractor Name VI r)y4 0"rm-e 1 License # Oil Address City I Zip Phone Architect/Engineer License # Address City Zip Phone j� TYPE OF PROJECT 0 n Ld UP.(/ G:.LA CC i U.r/ 0CI�_ 1 �l I V�o u-) Sewage Disposal Right-of-Way Width Culvert Permit No. LOCATIONAL INFORMATION: SEC TWP RGE 16th Plat Name/Short Plat No./Segregation No. IA ' 14-1 O(n L�n Lot/Parcel # IV . 1, � aa�h 0 2mlock # 1/—,�2-- Lot Size Is the average slope of the property in excess of 25%? Yes No Has construction started? Yes No This structure will be used for the following purpose Other buildings on this property t/OWNER/AGENT SIGNATURE �� DATE t D G NOTICE: Front Yard Setbacks. Curbs, Sidewalk Edge, Edge of Street pavement is not necessarily your front property line. In the case where your setback will be measured from the front property line, be certain that you are measuring from the actual front property line and that your plot plan depicts this. In the event your setback will be measured from a private access easement,the edge of the improved road is not necessarily your front property line. Be certain that you are measuring from the edge of the actual easement and that your plot plan depicts this. ACKNOWLEDGED ------------------------OFFICE USE ONLY BELOW THIS LINE------------------------ PERMIT. CONDITIONS . . . ZONING: Max Lot Cover % Max Bldg. Height ft SETBACKS: Front Side Rear Basic Plan # Other Covenants SPECIAL CONDITIONS . . . DL5 L/ L5 A . SANITATION PUBLIC WORKS ON SITE LETTER DRAIN TRAFF ENV HEALTH SEWER- CN R/R _ RD IMP OCD _ ACCESS RSBP LS SLIDE CMBP _ ESMT RSME y STD BLA SLOPE CMME _ ADDRESS PLBG SP SEPA SITE PLAN _ CULVERT MBHM 5 ACRE OTHER FIRE AFF/BOND MOVE LOTS OTHER _ _ GRADING INSP 20 ACRE OCP _ CU FL ZN FML BLA PLAT REZONE SEPA SH LN SP VAR SU VA - a PLUMBING PERMIT MECHANICAL PERMIT (NOT FOR MOBILE HOMES) VI lei AFY I�� a.. FIXTURES No. UNIT TYPE: Electric Oil Gas_ LPG Solar Water Closets Bath Tubs _ UNIT SIZE: BTU's KW Shower Baths Wash Basins No. FEE Sinks FOR THE INST. OR RELOC. OF Dish Washing Machine Forced Air Systems Hot Water Tanks Fuel Storage Tanks Drains Heat Pumps Laundry Washers Wood Stove Laundry Trays Fireplace Insert Urinals —0— Clearanc= Fireplace Drinking Fountains Rain Leaders _ Sumps Vacuum Breakers r. Gas Piping Permit Fee Side Sewers Water Service Line Total Due $ Misc Total Fixtures GRADING/FILL INFORMATION Permit Fee No. of cubic yards: Total Due $ To be removed from site Related Bldg. Permit # To be imported to site IF MORE THAN ONE BUILDING, SUBMIT SEPARATE APPLICATION FOR EACH STRUCTURE. A SEPARATE BUILDING PERMIT MUST BE ISSUED FOR EACH BUILDING. F61 BUILDING DIMENSIONS: MAIN FLOOR MAIN FLOOR SQ. FT. SECOND FLOOR SECOND FLOOR SQ. FT. THIRD FLOOR THIRD FLOOR SQ. FT. FOURTH FLOOR FOURTH FLOOR SQ. FT. MEZZANINE N EZZANINE SQ. FT. BASEMENT BASEMENT SQ. FT. GARAGE GARAGE SQ. FT. CARPORT CARPORT SQ. FT. DECK: DECK SQ. FT. NUMBER OF FIREPLACES TOTAL SQ. FT. FOOR OFF(C� A G- ROUTING SCHEDULE: W- 11 Bldg sent rcv'd .Valuatiori oc) Site Plan: sent rcv'd Plan t---- r rcp # San: sent rcv'd Permit Fee Env. Hlth: sent rcv'd Penalty Fee Eng: sent rcv'd Plumbing Fee FM: sent rcv'd Mechanical Fee Env. Cklt Fee / Wash. State Building Code fee $1.50 TOTAL DUE: _.y�eitt-�3t2rtF r=n .. _ CITY OF ARLINGTON CONSTRUCTION PERMIT C COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. CI�� j OWNER MAIL ADDRESS CITY ZIP PHONE ✓✓✓✓ ��` n4lz Y, w 9 FL,3 4345-3 28 3 ARCHITECT OR DESIGNER AI ADDRESS \ CITY ZIP PHONE GENERAL CONIJNACTOR t MAIL ADDRESS ZTY ZIP q1 PHONE LIC NSE 9 MLCIIANICAL CONTRACTOR MAIL ADDRESS I CITY ZIP PHONE LICENSE it to A- PLLIM13INGIZONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I CAI 0- woe-9, 3 CLASS OF WORK ¢Q NL W ❑ADDITION ALTERATION ❑REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION Q VALUATION OF WORK G h Z S W DESCRIBE WORK m PRUPOSt D USE OF BUILDING I HEREBY CE.TIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- Lu YLmGLr � �-� TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- ? LwnL uESc RIP t ION Of PROPERTY(SHOWN BELOW OR AT 1sCH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LOr BLOCK - OF Sec-A4-G4ria WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO OZSU2U VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR w ioLOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF a TAX ID NUMBER FROM PROPERTY TAX STATEMENT) CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE 0 108 AOURLSS r 4 1'z-JL (OFFICF USE ONLY-) PLUMBING F.CHANICAL NO. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE :s FIXTURES ATER CLOSET(TOILET) 1.111 COND.UNITS-H.P. EA. v ti .list•" ATHTUB UTRIGERATION UNITS-H.P.EA tip.list" VATORY(WASI I BASIN) 301LERS-H.P.EA. igtip.list•" HOWFR AS FHZED A.C.UNITS-TONNAGEEA. 7 ,i .list•" ITCHEN SINK&DISPOSAL ORCED AIR SYSTEMS-B.T.U. MEA ISHWASHER ALL HEATERS-B.T.U. M UNDRY TRAY JN1T HEATERS-B.T.U. M LOTHFS WASHER 3VAPORATIVECOOLERS WATER HEATER 'LOTHES DRYERS RINAL VENTILATION FAN RINKINGFOUNTAIN GE HOOD COMMERCIAL LOOK DRAIN 1R HANDLING UNIT- CPM VACUUM BREAKERS �� TOVE OOF DRAINS-RA1NLrADERS -=Ce:!' L FIREPLACE&CHIMNEY 'INK SERVICE-BAR,O CJ ATER HEATH, AS PIPING *(up to 5=$3.00,addnl.=$35 t -Equipmeot list must be provided SUBTOTAL SUB TOTAL P19tMIT PERMIT TOTAL FEE TOTAL FEE SIUL YARD SL I BACK STRLL 1 SL I BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. G` USE /UNf LOT AKFA VACANT SITE K,LQ ❑YES ENO FEES VALUATION FEE TYPE OF CO Sl OCCUPA Y GROUP NO.OF DWELLING UNITS PLAN CHECKING NG 1 Y. J BU'LDING $ �� S✓ SIZE Of BLU(, NO.OF STORILS MAX.00C.LOAD 3 I PLUMBING F IRE SPRINKLERS REQUIRED YES NO MECHANICAL COMMENTS STATE BLDG.CODE ENERGY CODE SURCHARGE PENALTY SEC 303(a) SEC RECEIVED WATER/SEWER FEES 7' TOTAL APR 1 2000 PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT CITY OF ARLINGTON PAID CR#_ BY RURD��'4 OFFICIAL DATE cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT RECORDS COPY