HomeMy WebLinkAbout511 Becky Ave_BLD920861_2025 l City of Arb vzgton
Permit No.
NOTICE and Inspection Report
Date Called dress CJ
Time Called Contractor/Owne
By Requested by @a;i —1
TYPE OF • •
❑ 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 Ej CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
ork listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required.
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Inspector Date
Permit No. City of Arlington
NOTICE and
�Inspecuon Report
Date Called r�—( Address 5l/
Time Called 111 Contractor/Owner
BY Requested by � iC 1L- J
TYPE OF • 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 ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CALL 43 FOR REINSPECTION-24 hour notice required.
Inspector Date
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City od A It L I N GTO N PERMIT Af-".ICATION
230 N. OLYMPIC AVE., ARLINGTON, 1,_ A8223
(206) 435-5785
COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING a
Tax Account Number —0/l 6,00 j
Job Site Address 1 _ Poe., 0.. City I, N-
Applicant Name 1 f ('f Ph e
Mailing Address 1 City tk l zip-9:a-.�
Contractor Name 1L License
)4
Address City Zi �J! /�?
Phone
Architect/Engineer
Address City Zip Phone
02)
TYPE OF PROJECT Qco a
Sewage Disposal Right-of-Way Width Culvert Permit No.
LOCATIONAL INFORMATION: SEC TWP RGE 16th
Plat Name/Short Plat No./Segregation No,
Lot/Parcel # Block # 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 1
OWNER/AGENT SIGNATURE l' DATE
NOTICE: Front Yard Setbacks. Curbs, Ik 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 . . .
MAR
SANITATION PUBLIC WORKS
ON SITE _ LETTER DRAIN TRAFF
ENV HEALTH SEWER CN R/R RD IMP
OCD
ACCESS RSBP LS SLIDE CMBP
ESMT RSME STD BLA SLOPE CMME
ADDRESS PLBG SP SEPA SITE PLAN
CULVERT MBHM 5 ACRE i OTHER FIRE _
AFF/BOND MOVE LOTS OTHER
GRADING INSP 20 ACRE
OCP
CU FL ZN_ FML BLA PLAT REZONE
SEPA SH LN SP VAR SLI VA - __ - -
PLUMBING PERMIT r MECHANICAL PERMIT (NOT FOR MOBILE HOMES)
FIXTURES No. -3 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— Clearance Fireplace
Drinking Fountains
Rain Leaders
Sumps
Vacuum Breakers
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. F-61
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 MEZZANINE SQ. FT.
BASEMENT BASEMENT SQ. FT.
GARAGE GARAGE SQ. FT
CARPORT CARPORT SQ. FT._
DECK DECK SQ. FT _
NUMBER OF FIREPLACES TOTAL SO. FT.
FOR OFFICE USE ONLY "R 2, �,87
r1
ROUTING SCHEDULE:
Bldg. sent !"� d Valuation
0.
Site Plan sent rcv'd _ Plan Check 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
TOTAL DUE:
CITY or ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN PERMIT NO. f
n
Owl MA11 ADDRLSS A (IIY ZIP PHONE
ARCHI TLC I OR DESIGNF R MAIL AIIDRf SS (IlY lip PHONE
GENFRAI.CONTRA(FOR MAIL At)1)RESS (fly III PI1OraE LIC NSE R
MLOIANICAL CONTRACTOR MAIL AOORESS CITY lip PHONE LICENSE Il
PLUMBING CONTRACTOR MAILADURESS CITY ZIP PIIONE LICENSE IT
CI.ASS Of WORK
jffNLW ❑Awn rION ❑ALTERATION ❑REPAIR ❑I1fk1OI.IIION ❑BUILDING RELOCATION
VALUAI ION or WORK
DISCRI WORK
PRI)POST D USL Of BUILDING
I I IF.RFRY CERTIFY TI IAT I I IAVE READ AND EXAMINED THIS APPLICA-
C� 1 ICON AND KNOW 11 IE SAME TO BE TRUE AND CORRECT ALL PROVI-
LF GAMUTK RIP►I(N OF PROM RIY(SHOWN RF I OW OR AI►MIT IOUR(()I'll al SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
1 OI RLO(k OF \NIT I. RF C0mPLIFD WITH WI IETI IER SPECIFIED HFRIN OR NOT. THE
(-,R,,W T IN(-,OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
• '�i9z.�/�!!� VIOI ATF OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER I OCAL LAW REGULAI ING CONSTRUCTION OF THE PERFORMANCE OF
CONSTRU PERMIT E fRES 1 YEAR FROM DATE OF ISSUANCE.
pr,wt(c COvI CTORO IIORIIfOAGENI DATE
JOB ADDRI 55
ski X
(OFFICE USE ONLY)
A11(IIANI(AL
PLUMBING
NO. TYPE Of F IX IURE III _ NO. TYPE OF EQUIPMENT FEE
%AILRCLOSLI (IOILLI) !— - `L 60 AIR(OND.UNIIS - IIP. LA. _
BAIIIIUB R1.1 RI(,I.RAI ION UNIIS - ItP.LA.
LAVATORY(WASH BASIN) _ OD -�-_ BOILI RS ILP,EA
5110NLR _ (SAS F IRLD A,C. UNITS - IUNNAGE EA pYj
KI IC-IILN SINK d OISP. I ORCI D AIR SYSTEMS - B.1.U, MEA _
DISIIWASIILR _ WALL IILAIERS- B.T.0 M
LAUNDRY TRAY UNII IIEAIERS- B.I.U. M
CLOIIILS WASIIT R -- --- LVAPORAIIYL COOLERS
'AAILRIILAILR — -_ - --- CLOIIILSDRYERS
URINAL VLNI ILA IION FAN
DRINKIN(,I OLIN I AIN _ RANGI. IIOUD COMMERCIAL
I LOOR DRAIN AIR ItANDLIN(,LINT f - CPM
f VACUUM BRLAKL-RS _ _ _ SI()VL
ROOT DRAINS RAINI_LADLRS ML IAt. FIREPLACE A CIIIMNLY
SINK (SERVICL - BAR,L IC I _WATER HEATER
GAS PIPING
SUB TOTAL 11 SUB TOTAL 1 liJ
PLRMII 1 L _ PERMIT 1
TOTAL FEE 1 PAID TOTAL FEE 1
SIDI 51RDSLIBACK SIRfLI51IRA(K REAR VARO SF I BACK PLANCIIICKNUMBER PLANCIIf(,KIFE
�FiT711 FEE RECEIPT NO -
U5f HONE I Of ART A VACANT SIIF � l � ���\ / [� /
ONYES ❑NO FEES VALUATION FEE
IYPL Of CONS (X'/�C�/U(�'PANCY GROUP NO.OF DWELLING LINTF5 PLAN CHECKING VG 1 Lj'�I 0 -74
S10-Ol Bl.� NO.Of SIORif S MAX OCC LOAD RUIIDING
S 4 PLUMBING /
I IRE SPRINKI I RS RI OPIRI I - --
❑YES ,40 MECHANICAL _tA
COMMENTS STATEBIDG COVE ENERGY CODE SURCHARGE
PENALTY SEC.
3
i
;—..1 �, `,�� / t s.r• WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WI IEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT&RECEIPT
• 'C./� _ . PAID _CRR BY
cc: ASSESSOR. APPLICANT, TREASURER.SLOG DEPT RUIIDINr,OFFICIAL DATE
RECORDS COPY
CITY OF ARLINGTON Y
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL D PLUMBING ❑ SIGN PERMIT NO.0086
OWNER MAIL ADDRESS CITY ZIP PHONE
Dean Jensen, 511 N. Becky Street, Arlington WA 98223 , 435-5339
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
Ruth Gonzales
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
self
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE III
CLASS OF WORK
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION []BUILDING RELOCATION
VALUATION OF WORK
f 23 ,000
DESCRIBE WORK
New garage
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
gara a TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLUAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOr BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTI MI7 EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGNATURE RACT ORAUTHO NT DATE
IOB ADDRI 5% `
511 North Becky Street -.2
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO, TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) 2 AIR COND-UNITS -H P. EA
BAIHTUB REFRIGERATION UNITS-H P EA
LAVATORY (WASH BASIN) BOILERS-H.P. EA
SHOWER GAS FIRED A C UNITS-TONNAGE EA
KI ICHEN SINK& DISP FORCED AIR SYSTEMS- B T,U MEA
DISHWASHER WALL HEATERS- B T,U M
LAUNDRY TRAY UNI1 HEATERS- B.T U M
CLOTHES WASHER EVAPORATIVECOOLERS
WAIERHEATLR CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUNTAIN RANGE HOOD COMMERCIAL
FLOOR DRAIN AIR HANDLING UNIT- CPM
VACUUM BREAKERS 2 STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL $1 6 10n SUBTOTAL $
PERMIT fis loo PERMIT $
TOTAL FEE f TOTALFEE $
SIDE.YARD SE IBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
5-12-92 76 . 05 25335
USE!_ONE LOT AREA VACANT SITE
[�YES ❑NO FEES VALUATION FEE
TYPE OF CONST. OCCUPANCY GROUP NO OF DWELLING UNITS PLAN CHECKING NG 152 .10 76 05
VN M1 BUILDING $
SIZE OF BLDG NO OF STORIES MAX.OCC LOAD 234 00
1350 1 4 PLUMBING 21 00
FIRE SPRINKLERS REQUIRED
❑YES k]NO MECHANICAL 24
DD-
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4
PENALTY SEC
303(a)
Garage only WATER/SEWERFEES
I
`` TOTAL 3 5 9 5 5
%J N 0 2 �9�t PERMIT VALI TION
WHEN PR P Y ALI ATED (IN THIS SP qE IS S YOUR PERMIT RECEIPT
PAID #
cc: ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. GOFFICIAL DATE
RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00846
OWNER MAIL ADDRESS CITY ZIP PHONE
Dean Jensen, 511 North Becky, Arlington WA 98223 , 435-5339
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
Cozy Heating,
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N
CLASS OF WORK
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
s 2 ,000
DESCRIBE WORK
Put in pipe for gas line
PROPOSED USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
SFR TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOr BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GRANTING OF A 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 I YEAR FROM DATE OF ISSUANCE.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE
IVB AUUR1»
511 North Becky X
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILET) AIR COND UNITS —H.P. EA.
BAIHTUB REFRIGERATION UNITS—H P.EA
LAVATORY (WASH BASIN) BOILERS—H.P. EA
SHOWER GAS FIRED A.C. UNITS—TONNAGE EA
KI TCHEN SINK& DISP- FORCED AIR SYSTEMS— B T,U50K MEA 9 00
DISHWASHER WALL HEATERS— B T.0 M
LAUNDRY TRAY UNIT HEATERS— B T U M
CLOTHES WASHER EVAPORAT IVE COOLERS
WATER 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
GAS PIPING 3i 00
SUB TOTAL S SUBTOTAL f 12 00
PERMIT $I PERMIT f
TOTAL FEE $ TOTAL FEE ;
SIDL YARD SETBACK STREET 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 NG
SIZE OF BLDG_ NO.OF STORIES MAX OCC.LOAD BUILDING $
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL 27 00
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
SEC 303(a)
WATER/SEWER FEES
TOTAL 271 00
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID 4-20-92 CR#25315 BY DA
f
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BUILDING OFFICIAL DATE
RECORDS COPY
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.
OWNER MAIL ADDRESS CITY ZIP PRONE
sw
RC141TECT OR DESIGNS R MAIL ADDRESS CITY ZIP PHONE
V_NERAE CONTRACTOR MAIL AOORESS CITY TIP PHONE LIC NSE 0
=�FL(HANICAL CONTRACTOR
'/ MAIL ADDRESS LLIY ZIP PHONE LICENSE#
PLUMBING CONTRAC70R MAIL ADDRESS CITY ZIP PHONE LICENSE 0
CLASS OF WORK
0N1W ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDINGRELOCATION
ALUA110N OF WORK
: :2,000
DESLRIBE WORK
of /+v 1--71,1:per
PROPOSE D USE Of BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPTION OI PROPERTY fSHOWN BF I OW OR ATTACH FOUR COPIF41 SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
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.
GIGNATURF OF CONTRACTOR OR AUTHORIZED AGENT DATE
JOB AUURI SS
X
(OFFICE USE ONLY)
PLUMBING ME CHANICAL
TYPE OF FIXTURE FEE NO, TYPE OF EQUIPMENT FEE
ATLRCLOSEI (IOILLI) AIR(-OND. LINE IS - H.P.E:A
BA IIUB RLI RI(,E_RAIION UNITS - ILP EA
LAVA RY (WASH BASIN) BUTLERS HP.EA
SHOWLR _ GAS FIRED A-C,UNITS - TONNAGE EA.
KI TCIILN SIN DISP. _ FORCED AIR SYSTEMS - B T,U j
UISHWASIILR WALL HEATERS - B.T.0 MI
LAUNDRY IRAY UNIT HEATERS - B.T.U. M
CLOIIILS WASHER EVAPORAI IVE COOLERS
K'A I LR IIEATLR CLOTHES DRYERS
URINAL VENTILATION FAN
DRINKINGFOUNIAIN RANGE HOOD COMMERCIAL
I LOOR DRAIN AIR HANDLING UNIT - CPM
VACUUM BRLAKLRS SIOVE
ROOF DRAINS RAINLLADLRS METAL FIREPLACE &CHIMNEY
SINK (SERVICE - BAR,ETC.) N WATER HEATER
GAS PIPING
SUBTOTAL f ,. SUBTOTAL
PERMIT $1 PERMIT
TOTAL FEE f TOTAL FEE f �+ F;
SIDI \ARDSLIBACK SIRII_IStIBA(K REAR\ARDSETBACK PLAN CHE CK NUMBER PLAN CHECK FFE
FEE RECEIPT NO
USF/ONI LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
T\PL OF CONST OCCUPANCY GROUP NO.OF DWELLING UNI IS PLAN CHECKING NG
f
SIZE Of BLDG, N0.0f STORIES MAX 0CC LOAD BUILDING
PLUMBING
FIRE SPRINKLERS RFQUIRF1)
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B C.
SEC.303(a)
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID_ CR# BY
cc: ASSESSOR, APPLICANT,TREASURER. BLDG DEPT BUILDING OFFICIAL DATE
RECORDS COPY