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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 �X 10,OD X 1 5 0 O Io°xio' + I Is' —19 s I 19 r I �o gc'• --+, m 07 r—— — — — J _fay I N-MF.r5�-4�I Ex+ll><81t A N Ex+-IL.4a 10t-8`I ip 211- - `.'' + 310t1 l � j1 \ � Zi n ��,I • �2'r 8 LL) \ ,K 2j� N 1 -_pfLly E 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