HomeMy WebLinkAbout336 S COBB ST_962168_2026 ��I�I � City of Arl)ngton
O NOTICE and Inspection Report
C _ z
Phone 3.s l '
Permit No. Lot#
Date Called / 0 Address
Time Called c l/�
-�5- Contractor/Owner
By Requested by '
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
PPROVAL ❑ CORRECTION REQUIRED
_❑ Corrections listed below MUST BE MADE before work can be approved.
[/:YW-et c lis ted below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Inspector / Date J / v
City of Arl' )ngton
NOTICE and Inspection Report
r] Phone# Y33--
Permit No. (,V Legal-
Date Called _(13 �% 7 Address 4 3 t, 5 • to hhI �.
Time Called //I YO Contractor/Owner AA H- f'pf P_S
By 1121!t iis_ Requested by I��kl� i C� •
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing A Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL %)a(,CORRECTION REQUIRED
j Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour tice required.
r
Inspector Data (/ � �
City of Ar' '�ngton
NOTICE and Inspectio Report
Q.96
Phone# �^ L
Permit No. — c,� Legal
Date Called "" Address
Time Called Contractor/Owners
By _ Requested by
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
('APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
yd WWoork listed below has been inspected and approved.
❑ CALL 435. 724 FOR REINSPECTION—24 hour notice required.
Inspector Date �� ��
City of Ar" ington
NOTICE and Inspection Report
Phone#
Permit No. �� ' Legal , 3
� �
Date Called � r��— �m Address ��, 11`c' (1--
Time Cal4iL
Contractor/Owner
By Requested by
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW �raming ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing (Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
ej!rAP'PROVAL ❑ CORRECTION REQUIRED
❑�o=kt.d
listed below MUST BE MADE before work can be approved.
below has been inspected and approved.
❑ C I_ 35 0 24 FOR REINSPECTION—24 hour notice required.
In Date ! .1 �� ��
City of Ar," ,.ngton
NOTIC/EJ and Ins ecti n Report t�
Q Phone# ���j
Permit No. < / %V Legal r J
Date Called �� - zC - �A,) Address
Time Called J G Contractor/Owner
By Requested by Q3_k4yu
TYPE OF • REQUESTED
❑ Setback Q Roof Diaphragm ❑ Insulation
❑ Plumb GW *Framing ElGas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
l
Insper ` . Date
�OMX- City of Ar;__�ngton
NOTICE and Inspection Report
� Phone#
Permit No. �(: ^ (7� Legal �!
Date Called �� j �>C� Address�,�(J
Time Called li Contractor/Owner l/� fjy;�
By Requested by % x' /E/
rV.
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
_.Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
[] Corr ions listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Inspe Date
City of Arl,_ ngton
NOTICE and Inspection Report
Phone q
Permit No. (, Legal
Date Called [�- 7� Address
Time Called �� J Contractor/Owner an C /fir
By ANY L- Requested by AfoI
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
D 'Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
�v
Inspector Date �^ (_0 G o
Permit No. � Citg q A,
yy/� NOTICE
�and Inspection R,port
Date Called G ` _ Address �o _,/ &&,
Time Called /0 0 Contractor
By Owner
Requested by 46
TYPE OF INSPECTION REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ Please contact inspector and arrange for appointment.
❑ Was not able to pe orm inspection.
❑ CALL 435CF4R REINSPECTION—24 hour notice required.
Inspector Da4_
I was present during this inspection.
C I TY OV A RL I NO-rO i
COM ST R UCT I 0M PE RM I T
PERMIT NO- = c3G-2j68
Owner: WELLER, DAVID 336 COBB ARLINGTON 98223
Value of fork: $47,885.00 Tax ID: 4117-014-002-0001 Rhone: 206742-0328
Describe Work: ADDITION TO EXISTING RESIDENCE
Proposed Use: SFR
Legal Description:
Job Address: 33E COBB ST.
Contractor' s Name Type Address License#
H
i
P E R M I T F E E S
I
Equipment and Fixtures Number Fee Total Charge
PLUMBING FIXTURES b $7.00 $42.00
S U B T O T A L...... $42.00
TOTALS Fee
Fixture $42.00
Mech Permit $22.00
Permit Fee $447.50
Plan Fee $370.00
Plumb Permit $15.00 I
State fee $4.50
SIGNATUF `
TOTAL FEE. ..... ........... $901.09 I HEREBY CERT FY HAT I HAVE READ
AND EXAMINED IS APPLICATION AND
PAYMENTS. ......... .. ...... $821.00 KNOW THE SAME TO BE TRUE AND COR-
ri
RECT ALL PROVISIONS OF LAWS AND
;- '
........ DD- $80.00 ORDINANCES GOVERNING THIS TYPE OF
W K WILL RE COMF'LI WITH WHETHER
' IFIED `EREIN D OT.
DATEC/ RECEIPT # /
ILDIN6 ohiciAL
C I TV ELF A RL I NOYON
CQ1VST RUC_1F I+Cliff PERM I T
RERim€ IT NO- S6-aISa
Owner: WELLE::: L..L'LL) 3- ;..,;..9t� PRLIN30T0;N 91 8 223
Value of Work: $473 88c_00 7a54 4 z7-0 .4--00!2-21001 Phones n&.742: 0 _8
Describe Work: €DD 22ND S- .Rv -O -X`ST1,N3 :zESW�EiuCE
Proposed Use: S' R
Legal Description:
Job Address: 336 COBB ST.
Contractor's Na-e Type Address License#
jOHN GARBE G 33S COBS ST. SARSEW004.4L
f— P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
------------- ------ -------- ------------
iLu�":BI{gS FrXTURES-- $7. 00 $4E. 00
i - 0 T A L.. .... $42.00
TOTALS
Fixture �.�.
Mech Permit
ern�it Fee l 50
Plan Fee $2190.
Plumb Permit $15. 0: �
State fee $4.50
SIGNATURE:
TOTAL FEE...... ........... 2 Y H E RE'BY CE . HPV--E R-=qD
AND EXAMINED I-TS rAPPL_CA T-,ON AND
PAYMENTS......... .... .$0. KNOW 74E SAME TO BE -ROE AND COR-
RECT ALL. PRO VISI:1�IS ^F LgWS AND
TOTAL DUE... . . . .. ... . 1.00 ORDINANCESGDVE.RIvI THIS TVPE C°°=
rit7RK W?LL 2BE COMPLT-D WITH WHETHER
BUILD I IC AL
GARBE-WELLER CONSTRUCTION COMPANY
12616 49TH AVE WEST,MUKILTEO,WA 98275-5600
(206) 745-8613 FAX: (206) 745-8902 PAGER: (206) 993-1612
November 2, 1996
David W. Anderson
Building Official
City of Arlington
Arlington, WA 99223
Re: Building Permit For David Weller
Dear Mr. Anderson:
Your office granted a building permit to David Weller in early September 1996 for an extensive
remodel of his home at 336 Cobb Ave. Mr. Weller has chosen not to proceed with the plans
approved by your department. He is currently in the midst of designing a completely different
addition to his home. I will not be working for Mr. Weller. Please remove any reference to my
name concerning this project.
Thank you.
Sincerel ,
John W. Garbe
CITY OF AWNGTON
CONSTRUCTION
PERMIT
COMBINATION ❑ BUILDING ❑ MECIIANICAL ❑ PLUMBING ❑ !;IGN PERMIT NO� r
MAIL ADDRESS CITY ._ ilr. rl E
ARCHITECT VR bMR MAIL ADDRESS CI Y ZIP rItONE
G "AN U MAIL ADDRESS CITY 1 ZIP MIONE LICENSE ,
CIANICALCVNTRACTOR MAILAODRESS CITY ZIP ►NONE LICE SE
P MBIINNGCONIRACIOR MAIL ADDRESS CITY LIP MIONE LKENSE/
n
CLASS or WORK
_❑_ NLW AUDITION ❑ALTERATION ❑REPAIR ❑UEMULIIION []BUILDING RELOCATION
VALUATION OF WORK&0(4�( A
DES011181 WORK
` ) 5 � l�r
n PRUr St U USE OI BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL•ICA-
LT%ni1l sI:RIPIIDNUT ravrLalY SI1pWN BELOW OR AT lACll VUR COPIES APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
7 SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LI LL t'LUCK�Dr �a SAdd i i ILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT,THE
a '/ GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
n 4� � � ��/�i o C - VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
ID NUMOER r .,Fj3om Pno E Tv X tA7E LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION.PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT OATII
3 109 AUDRLSS —
t x
(vFi ica U. o LY) J
P LUM DING ACCIIANICAL
NO. TYPE OF FIXMURB PUB jCj FIXTURES NO. TYPE OF EQUIPMENT ig F, u
:'e PULTUA83
—� Almn.moSB[ TOILI3I 31.00 IRCOND.UNITS—II.P.]Al71iU0 f7.00 RIG[9ULTION UNIT9—ILP.BA VATORY ASH BASIN f7.00 OD.BRS—II.P.EA.
IIOWER $7.00 AS FIRED A.C.UNITS—TONNA0E8A. pAtip.liAll
7CIMN SINK A DISPOSAL $7.00 IORCED AIR SYSZEMS—B.T.U. MEA 39.00
ISIIWASIIBR $7.00 NALLHEA'IERS—B.T.U. M $9.00
AUNDRY TRAY $7.00 NIT THEATERS—D.T.U. M 19.00
`L0171®WASIIBR 31.00 .VAPOMATIVECOOL BILSI
A1TsR HEATER f1.00 LUnIE9 DRYERS $630
AINAL $1.00 lMffILATIOI4 PAN $430
RINKINGPOUNTAIN $7.00 tANGS1100D COMMERCIAL 1630
LOOR DRAIN $7.00 Ult)CANDLING UNIT— CPM
VACUUM BREAKERS 31.00 MOVE 3630
OOP DRAINS—RAINLPADERS $1.00 BTAL PIREFLACBA CHIMNEY $630
INK(SERVICE—BAIL,MU) 37.00 WATER IIEATML 3630
AS PIPING ' up to S-$3.00.eddol. S.73
•�ulpmad lid must be pcorldedllit must be pcorlded
BUD TOTAL I SUBTOTAL
P@LMIT PPRMIT
TOTALFBB IOTALFBB
SIULYARUSEIBACK STREEISLIBACK REARV%1RUSE1BACk PLAN CIIECKN 9 R PLANCIIECkf E
f FEE RECEIPT NO.
UST /uNI LVI AREA VACANT SITE
L]YES 0/ko FEW. VALUAlION FEE
IYPLof CONS1. OCCUPANrUUP NO.o►DWELLING UNITS PLAN CHECKING VO '9�F0 00
SI/A UI IK.. O.VI SIVRD.S MAX.VC OAD BU'IbINO ( 1,1g7 Q
°qz IIDuC> PLUMBING
t IRE SPRINKLERS SQUIRED
YES NO MECHANICAL
COMMENTS STATE BLOC.CODE
ENERGY CODE SURCITARGE
PENALTY SEC.3031a1
WATER/SEWER FEES
TOTAL
1 ` 111111 PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN UPS SPACE) THIS IS YOUR PERMIT 6 RECEIPT
PAID CRII BY
cc:ASSESSOR.APPLICANT.TnEASUnEn,BLDG, OEFIT. BLIIvwl,OrrIC1AL DAIS
nF-Gof1U8 COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ® MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00548
OWNER MAIL ADDRESS C T ZIP PHONE
V David Weller 336 S. Cobb Arlington, WA 223 435-1163
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICIENSE N
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
Cozy Heating Inc. P.O. Box 335 Arlington, WA 98223 COZYHI*112
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
CLASS OF WORK
❑NLW ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
f 200. 00
DESCRIBE WORK
New furnace and water heater
PROPUS!D USE OF BUILDING
Residential I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LEGAL DESCRIPTION Of PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LO! BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
NATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
108ADDRESS
336 S. Cobb XP042L--(
USE ONLY)
ECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND.UNITS -H.P.EA.
BA I H1 UB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) BOILERS -H.P.EA
SHOWER GAS FIRED A.C.UNITS-TONNAGE EA.
KI TCHLN SINK& DISP. 1 FORCED AIR SYSTEMS- B.T.U. 75,QaO 9 00
DISHWASHER WALL HEATERS- B.T.U. M
LAUNDRY TRAY UNIT HEATERS- B.T.U. M
CLOTHES WASHER EVAPORATIVECOOLERS
WAIER HEATER CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN I AIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER 6
2 GAS PIPING 3 00
SUBTOTAL ; SUBTOTAL f
PERMIT ; PERMIT S 15 00
TOTAL FEE $ TOTAL FEE $ 33 50
SIDE YARD SE I BACK STRLET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
BUILDING $
SIZE OF BLDG, NO.OF STORIES MAX.00C.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL 33 50
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC.303(a)
Mechanical Only WATER/SEWER FEES
PAID TOTAL 33 50
JAN 2- Q PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID 1-29-91 CR# 22974 BY CB
LZ4c 4Q/� /-0-9/
cc:ASSESSOR,APPLICANT,TREASURER, BLDG.DEPT. BUILDING OFFICIAL /, DATE
RECORDS COPY (:2
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OW�NER MAIL ADDRESS CITY ZIP PHONE
J �� �P ��cgc 33� 5. Co( 11tic,i `1s22� 4 S - 11&3
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE f
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
C'02- ftwF/'.ti)G _} �C- �y, x33S 4e)f""5 , �f z2 y3s- G�l (a YN?;ff 112-
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT
CLASS OF WORK
❑NLW EADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
fZ�••�,
DESCRIBE WORK
1E
V"'e W C"P"" ICI C `d w/� ✓`(�/'T1V
PROPOSED USE OF BUILDING
a Ps I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
LLGAL DES(RIPTIUN OF PROPERTY(SHOWN BELOW OR ATTACH FOURTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LUr BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCEOF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE FCONTRACTORORAUTHORIZEDAGENT DATE
I00ADDR155
�3� s Co(o b x
(OFFICE USE ONLY)
PLUMBING MECHANICAL
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSEI (TOILEI) AIR COND.UNITS -H.P. EA,
BA I I11 UB REFRIGERATION UNITS-H.P.EA.
LAVATORY (WASH BASIN) BOILERS-H.P. EA
SHOWER GAS FIRED A.C. UNITS- TONNAGE EA,
KI ICIILN SINK & DISP. FURLED AIR SYSTEMS- B.T.U.'75 4�CMEA (i
DISHWASHER WALL HEATERS- B.T.U. M
LAUNDRY T RAY UNI I HEATERS- B.T.U. M
CLOT IIES WASHER EVAPORAI IVE COOLERS
WAIERHEATER CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKING FOUNIAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLLADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC ) WATER HEATER
GAS PIPING 6b
SUBTOTAL f SUBTOTAL f j
PERMIT f PERMIT f
TOTALFEE f TOTALFEE f S
SIDL YARD SE[BACK STRLLI 5E TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE /ON[ LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
f
SIZE Of BLDG. NO.OF STURILS MAX.00C.LOAD BUILDING
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B
SEC..303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YO R PERMIT&RECEIPT
PAID CRN BY l JC J
cc: ASSESSOR,APPLICANT,TREASURER, BLDG DEPT BUILDING DATE
RECOR S Id6pw
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