HomeMy WebLinkAbout7911 Carlisle Pl_BLD982995_2025 INSPE ION REPORT- -
Permit No. -v? _9 Lot#
Address 7q/ !
Contractor
Own '
Date - '9
Taken By -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 435-0724 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 Plumb V Final`T",
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
L
INSPECTION REPORT
Permit No. Lot #
Address 2 ql/ �'�--
Contractor
Owners
Date Q ` —�1�
Taken By /ZS
❑ 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.
WT
S��4'��U7�__
Inspector
1� Date
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ truct. Slab
❑ Wood Stove ❑ Rough-in Plumb. Final
❑ Masonry ElDrainage ❑ Insulation
❑ Other i
i
INSPECTION REPORT
r�-G _
1 Permit No. yn' 9 Lot #
• Address
Contractor
Owner
Date 2 V / 2 — c'r
Taken By �- -r• ti
411 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.
Dated
E OF INSPECTION REQUESTED
❑ Under-floor �`Drywall,
raming ❑ Gas Piping
❑ Footing Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
f
.14 INSPECTION REPORT
Permit No. Lot # 7
Address 7Sl1 ��l
Contractor « �
Owner
Date 7 _ / [� - ' b?
Taken By �:a -,
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION RRECTION 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-I SPECTION - 24 hour notice required.
Inspect Date r
TYPE F INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
e.
INSPECTION REPORT
QPermit No. Lot # 37
Address _ ?9/ J
Contractor
Owner
Date 7 — J
Taken By
—'tlr�' ROVAL ❑ 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 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 Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
L
INSPECTION REPORT
Permit No. /�P /� Lot#�
• Address /)c1// c4AJ ' FL
Contractor �/��
Owner
• Date — — c
Taken By
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.
/17
Ins 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 Plumb. J Final
❑ Masonry ElDrainage nsulation
❑ Other
L—
INSPECTION REPORT
Permit No.? Lot * 3 7
Address cl// CAA
Contractor LO Zl EtZ_ vkellru
Owner
Date -3
Taken By
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.
42
lnspector Date
TYPE OF;C3D
S ECTION REQUESTED
❑ Under-floor raming El Piping
❑ Footing rywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No�/ `��C _ -ot # Z
• Address -7 9 / /
Contractor Z-6
Owner
Date 6-
Taken By
WIF-
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.
6 Lt
Inspector Date �—
TYOE OF INSPECTION REQUE TED
❑ Under-floor ❑ Framing Gas Piping
❑ Footing ❑ Drywall, Nailing J Consultation
❑ oundation El Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
Wood Stove Rough-in Plumb. ❑:_Final
❑ Masonry ><Ir rainage ❑ Insulation
❑ Other , /
V
INSPECTION REPORT
Permit No. �`� Lot#
• Address
Contractor 6-/2—
Owner
Date
WNW Taken By
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.
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 ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
INSPECTION REPORT
Permit No. — Lot#F_
Address 2911
Contractor ,.nJ�_►^
Owner
Date
Taken By �
=1 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.
ector, Date ,
TYP F INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
Other _
INSPECTION REPORT �;
�0- ��
Permit No. O Lot#
Address
Contractor GG 2 i t4e_ L7/I s
• Owner
Date -4/-/ 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 435-0724 FOR RE-INSPECTION - 24 hour notice required.
Insp Date ��'
TYPE O INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
noting ❑ Drywall, Nailing ❑ Consultation
Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
L
INSPECTION REPORT
y\/ ` Permit No. 75/ Lot#
Address ,?q //
Contractor L.Z:_7 /E2
Owner
Date
Taken By
,�-J'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.
ns Date f
TYPE F INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in Plumb. ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other
L
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WtA
x0 T 1998
This site plan is an approximation only.
Lozier Mines Corporation reserves the right to make adjustments in siting Including
grades, rockeries and location or the house to accommodate site conditions as ■dually 11 .r I I/ 'I
encountered. The location of adjoining homes are subject to change. ` i 2D 0
APPROXIMATE SITE PLAN DVS-' - --=2-S=
LMM E MES REV:
1203 114th Ave SE _—�� JOB:
Bellevue,WA 98004-6929 '
LO-ZI-EH-C315MM
C I T Y OF A RL I NG TON
CONST RUCT I QN ICE RM I T
PE RM I T NO- e 9 8-29 59
Amer: LOZIER HOMES 1203 114TH AVE SE BELLEVUE 98004
Value of Work: $115.82 Tax ID: 9711255004 Phone: 425-454-8690
Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description:
Job Address: 7911 CARLISLE PL.
Contractor's Name Type Address License#
LOZIER HOMES G 1203 114TH AVE SE LOZIEHC315MM
PHOENIX MECH M PHOENMC13703
ONE WAY PLUMBING INC P 20103 WOODINVILLE SNOHOMISH R ONEWAP*196BB
P E R M I T F E E S
Equipment and Fixtures Number Fee Total Charge
--------------------------------------- ------ -------- ------------
PLUMBING FIXTURES 15 $7.00 $105.00
FURNACEfUNIT HEATER 1 $13.25 $13.25
RANGE 1 $9.50 $9.50
VENTILATION FANS 5 $6.50 $32.50
DRYER 1 $9.50 $9.50
METAL FIREPLACE & CHIMNEY 1 $9.50 $9.50
WATER HEATER 1 $9.50 $9.50
GAS PIPING 1-5 OUTLETS 1 $5.00 $5.00
SUBTOTAL....,. $193.75
TOTALS Fee
Equipment $88.75
Fixture $1@5.00
Mech Permit $22.00
Permit Fee $827.50
Plan Fee —'$1, 102.08
Plumb Permit $15.00
State fee $4.50
School Mitigation $941.00
SIGNATURE: �
TOTAL FEE................. $3, 105.83 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS.................. $3,�83 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE.... . .... . . ...... $0.00 ORDINANCES GOVERNING THIS E OF
WORK WILL BE POMP I WI WHETHER
SPECIF EI 0
DATE RECEIPT #
BUILDING OFFICIAL
C I TY OF R RL I NOTON
C0N0TRUCTI0N PERMIT
PERMIT NO_ S8—a9ti9
Owner: LOZIER HOMES 1203 114TH AVE SE BELLEVUE 98004
Value of Work: $105,279.00 Tax ID. 9711255004 Phone: 425-454-8690
Describe Work: NEW CONSTRUCTION � F7
Proposed Use: SFR
Legal Description:
Job Address: 7911 CARLISLE PL-
Contractor's Name Type Address �� License#
LGZIER HOMES G 1203 TH AV SE GZ E�C31�Mi
PHOENIX MESH M A IE MG13703
ONE WAY PLUMBING INC P 20 3 WOODINVILLE SNOHOM SH R ONEWA - 96BB
P E R I T F E E S
Equipment and Fixtures Number Fee Total Charge
-------------------------- -------- ------ -------- -----
PLUMBING FIXTURES 1-: $7.00 om 00
FURNACE/UNIT HEATER ! $13.25 13.25
RANGE 1 $9.50 $9.50
' VENTL ATION FANS n $6.50 $32.50
DRYER 1 $9.50 $9.50
METAL FIREPLACE & CH NEY $9.50 $9.50
! WATER HEATER $9,50 $9.50
GAS PIPING 1-5 OUT TS 1 $5.00 $5.
S U B O � A L...... $19
TOTALS �� Fee ` 1
Equipment $88.7 v
Fixture 00
Mech Permit
Permit Fee
Plan Fee $537.'88
Plumb Permit $15,00
State fee \ $4.50,
School Mitigati n $94 -
TOTAL FEE...... $2, 1.63 1 EAMENEDTTIFY HISTHAT
APPLICATION HAVE
READ/
PAY@�NTS....... ......... KNOW THE SAME TO BE TRUE AND CDR
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE....... $2, 6.6���ORDINANCES GOVERNING THI TYPE F
— WORK WILL B COMP ED H WHET ER
-- SPECIFIED R T.
DATE RE I PT #
D LDING DO
"CL
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.,�'5-7
j OWNER MAIL ADDRESS CI 'i I lr PHONE
Loz(vw- 4iv;vvr-s lZo3 114�' ,d-tl�, ��,�. u�_ Vvl- WA, g-boo4
ARCIIITECT ORAOEESSIIGNNEER MAIL AOORESS CITY ZIP PHONE
157A4'L
G n CONI RAC IQA MAIL ADDRESS CITY ZIP MIONE Lict NSE I
L-oz1EHC 3(5MN1
M CITANICALCONIRACTUR MAIL ADDRESS CItY Zlr NIONE LICENSE I
MI-vWIx [4 E-- - , PI�o NNt�, l3�a3
PLUMBINGCONTRACIOR MAIL ADDRESS CITY ZIP PHONE LICENSE
3 CLASS UI WORK
cc
0 KNLAV ❑AUUI LION ❑ALTERATION ❑REPAIR ❑DEMOLI I ION ❑BUILDING RELOCATION
(Q7 VALUA110 WORK
W ULSCRIOt W 1 1587-1 `1 l
%--7 cj)NI,
m PRUPUST U USL OI BUILDING
- , I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
w w �'nl� TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLC,AL )LSCRIPIIUNUI PROP RIY SIOWNBELOW ORAtIACIIl'OUR COPIES)
7 SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LOI 87 FILUCK • or (0 A WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
It GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
IDNUMSER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CL I I ZSr70o CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE oT CONTRACTOR OR AUTHORIZED AGENT DATE
108 AUURLSS
U
t 7 I CAP L-I Sl_S OZ . x 3 - ZS-9 9
((SiiI11C S t/Sti ONLY)
PLUMUINU 4UCIIANICAL
NO. Tyro or PIXTUILB PBB x's PIXTURIIS NO. TYPH OP DgUIrMM4T PUB >iv FIXTURLS
A'1'UIL CLOSBr CTOILUr) IR CONU.VN179-II.C. PA. Jgul .Hot
IA'111'1•UU LIV'RILIURA'TION UNI'18-I I.P.UA. S d .Ilrt"
LAVATORY ASII BASIN 301LBRS-II.P.U.A. Ititip.1100,
11OWUR JAS PIRUD A.C.UNrrS-TONNAUD HA. Wip.IIK"
11um SINK dt DISrOSAL 'URCtIU AIR SYSTUMS-D.T.U. MDA
ISIIWASHUR. MALL I IMT13RS D.T.U. M
VNDRY TRAY JNIT IWATURS-D.T.U. M
T
LO'1'IIUS WASIIUR IVArORATIVBCOOLI'MS
AIISR IIBATFA 1,0171P3 DRYURS
_ RINAL DNTILATION rAN
RINKINU POUNTAIN LANUB HOOD COMMERCIAL
'LOOK DRAIN MR IIANDLINCI UNIT- CrM
VACUUM BRUAKn" roVB _
OOP DRAINS-RAINLUADBRS ITI'AL PIRBPLACU&CIIIMNUY
INK SURVICB-BAR,NI'C. NA-MR IIUATUR
AS PIPING *(up to S-13.99,eddnl. 1.75
ul ment Iletmurt be provided
SUB TOTAL SUB TOTAL I _
PLRM1'[ P19LM1'r
TOTALPUB TOTALrBB
SIU1,YAtt(1 S 1 ACK S I RLE1� K REAR YARV SETS PLAN K WE
PLAN CIIECK FEE
5 — EL� // � RECEIPT No.USI /U LUT AREA VACANT SIZE �Ff [:�ES ❑t VALUATION FEE
l-PQ �= _T�
I YPL UI Co 1, UCCUPAN(i1J GRUUP Np,OF DyIELLING UFII I5
�S �� �/ BU'LDINC 1v
ST/E VI 01Uu, N U.0; S; ..i n...Ct. U
/ V PLUMBING
FIRE SPRINKLERSREpUIREU /
MEC"A
ICAL
❑YES am STATE BLDG.CODE
COMMENTS C ENERGY CODE SURCHARGE —
PENALTY U.B.C.
llfvV SEC.)OJ(+)
, WATER/SEWERFEES�s R 'EIVE L .� TOTAL —
`7 /_s WR 2 7 1998 PERMIT VALIDATION
� WI IEN PROPERLY VALIOAIEO IIN 11115 SPACE) TI IIS IS YOUR PERMIT IL RECEIPT
PAID CRN BY
CITY OF ARLINGTON
cc!ASSESSOR.APFLICANT,TREASURER, SLOG. DE1'T. RURD1NC(it r'CIAt 1 DATE
RECOnDs COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
j OWNER MAIL ADDRESS CITY 11► PI-ONE
LoZI ��� ►1 -vim. sue. ��VUE WA- �voo� ;
ARCIIIIECT OR DESIGNERMAIL AUURESS CITY Zir j PIIUNE
GGEkERAL C0 RAC U MAIL ADDRESS CITY Ilr PHONE LICIiNSE i
MLCiIANICALLONIRACIUR 164AILADURESS CITY r11ONE LILENStJ
FI vr--Olx f4&-e,,H 11, F�Wr--NMG 137 a-a
rLUMBINGCUNIRACIO� , MAIL CITY Ilr PIION�� �l' �IF
00t-: VI/h Y �B l loot
CLASS Of WORK
OVfac
NFW ❑AUDITION ❑ALTERATION ❑ REPAIR ❑UEMOLIIION ❑EIV&L)INGttELOCATION
Q VALUAT ION Of WORK
7Q
uLSLRIBL WORK
l 05,2$0.12 /a5,
co raurUSl u USL UI BUILDING
1n �� w �.tT� /_,r.� I�IEREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLIC
w �1� TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PRO
Z LLUAL DESCRIP I ION Of FROM I Y JSIIOWN BELOW ORAIIAC11t OUR COPIES)
••� ' SIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WO
J L01 6 ! nLUCK • Or � � �(� ""J WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. T
'= GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE I
ID NUMBER Ff10M Pnopr= 7TY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE
a 1 1 Zs�JO� CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANC
USIGNAlUREOF CON IMCTOR00.AU1110RIZEOAGENI OATS
TDB.\UURLSS
f -ICI l I GA%P-LI SL& D� , x °�
(Ui'ill(;IS t1911 ONLY)
rLUMUINU MUCIIANICAL,
NO. "m or PixruRa PER a'l PIX11)RBS NO. TYPR OP EQUIrMUNT PER i s PIXIUREIS_
ATUIt CLOSDr(TOILRT] IR CONO.UN119-mr. u 1, yd .IP 1It" _
IAFIIIVB LI91RIOLrRA'FION uNFIS-II.P.IA s d ,ll.t'• _
VATORY ASII DASIN 1U1LDR9-II.P.ESA. 1 ti P.11rt,
IIOWMR ASPIRRDA.C,UNrTS-TONNAOREA, littilp.IIK'• _
IICIIBN SINK do DISPOSAL ORCED AIR SYSTRMS-D.T.U. MISA _
)ISHIMASI IRR NALL IIRATBRS-D.T.U. M _
AUNDRYIRAY J NITIIRATERS-D.T.U. M
I.O'IIIIM WA5I19It IVAr ORATI V 11 COO LlYtS �—
A1T1R IIRATMIL :L011IIM D It.YURS
RINAL MNTILATION PAN
RINKINO rowrAIN s 1ANOR IIOOD COMMRRCIAL _
'LOOM DRAIN "I Ill.IIANDLINO UNIT- CrM _
VACUUM DRBAKRR9 / E•OVR _
LOOP DRAINS-JYAIHLUADRRS _ al'AL PIR13PLACH&CI IIMNRY _
'INK SRRVICR,!DAR,91'C. ATRR IIEATER _
AS PIPING '(up to S-13.00 eddnl. S.73
1pmenl Ilrt murt be ptovlded
SUB TOTAL SUB IU1'AL I _
PRLtMIT rmmi,r _
TOTALPBR TOTALPR9
SIUI.YAItL) BACK S1RLL1SLiBACK REAR�ARU/SElB/ PLAN CIIECKNUMBER PLAN CIIECKF E
/d5 Q— FEE I RECEIPT No
UST' /UN1 - LOT Alt►. VACANT 511E �+
(���(� C3Y� ❑Il0 5 VALUATION FEE
IYPL UI WNSI. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN Cl IECKING NG 37•�� c"(3
nU'LOING
SI/.EVI utU/ Y i;UR;Li ...ii.L,...,.LL`. J I `� � PLUMBING
FIRE SPRINKLLRSRkQU RED
❑YES O' MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
RECEIVED SEC.703(s)
RECEIVED
WATER/SEWER FEES
MAR 10 --- 70TAL
�dCJL� rERMIf VAUUATIVN
� ,� / ' F CITY OF ARLINGTON WI TEN PROrERLY VALIDATED IIN TI IIS SPACEI TI IIS IS YOUR rERM1I&RECEIPT L�"�� // O PAID CRM BY
cc-ASSESSOR,APPLICANT, TREASURER. TTLDG. DEPT. nUnblrlr•0111unL I DAZE
tiECOFll78 COPY