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Home My WebLink About18107 Cedarbough Loop_BLD045846_2025Permit t r e 7 Date Called Time Called By CI / oily nl� !11',AING"TO"V NOTICE ano inspection Report Address f ie) �7 Loh, _4�" Contractor Owner Requested by 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 perform inspection. ❑ CALL 435-574rrFOR REINSPECTION — 24 hour notice required. Inspector F „/14e!S& Date 1o5 was present during this inspection. 11 Permit No ~ Oily q AIR/ ' wrokv NOTICE and Inspection Report Date Called tl� Address YK i Time Called Contractor By Owner Requested by 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 �ARTIAL 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 notabltrform inspection. �7 ALL 43R REINSPECTION — 24 hour notice required. t Inspector f A. Date I was present during this inspection. Permit No.� Oily q ■ ��r`�"1� c NOTICE and Inspection report y� f Date Called V yly Address�� 7Q rr 1 Time Called Contractor By ��/ Cis\ Owner ! Requested by 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. ?_1 Please contact inspector and arrange for appointment. ❑ Was not able to pe -form inspection. ❑ CALL 435-5385 146171 REINSPECTION — 24 hour notice required. Inspector - 6"Date � Jl "' ja 1 was present during this inspection. Permits > Lify n� i1►F"y�\`tir�,,,1� NOTICE and Inspection Deport Date Called Address47 Time Called .�czr Contractor By Owner Q� Requested by �/ TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ VVV Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove ❑ Foundation ��Drywall Nailing ❑ Final ❑ Concrete Slab E] 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 perform inspection. e7 ❑ CALL 435 FOR REINSPECTION — 24 hour notice required. Inspector ��Date I was present during this Inspection. Permit No. Date Called \,)) Time Called By — oily nt ARLIN R'1,0111IN NOTICE and Inspe,,ior1 report Addressv�.�~� Contractor Owner Requested by TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Plumb GW ❑ Roof Diaphragm ❑ Footing `[. Framing kC ❑ Foundation ❑ Drywall Nailing ❑ Concrete Slab ❑ Rough -In Plumbing ❑ Shear Wall ❑ Furnace APPROVAL ❑ VIOLATION ❑ Insulation ❑ Gas Piping ❑ Woodstove ❑ Final ❑ Reinspection ❑ Other„ - ❑ PARTIAL APPROVAL ❑ 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 perform inspection. ayz,q ❑ CALL 435-5;186€OR REINSPECTION — 24 hour notice required. A Inspector Date - ti 1 was present during this inspection. .:IC Il1.7'OkN Permit No. i NOTICE and Inspection Report Date Called '/' Address '�1, Time Called Contractor By Owner 4rRequested by TYPE OF INSPECTION REQUESTED ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ,,.•�gaming ❑ Woodstove ❑ Foundation ❑ ''Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough -In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other_ ❑ APPROVAL ❑ VIOLATION ❑ PARTIAL APPROVAL CORRECTION REQUIRED xCorrections 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 abllee�too perform inspection. ❑ CALL 435 5, 9r FOR REINSPECTION — 24 hour notice required. mm • v (",- Inspector Date I was present during this Inspection. l�11C1►1 �1:r�IOVAN t Permit No. /� NOTICE and Inspection Report Date Called 5I 23qo Address {��Ujjl � � r Time Called Contractorl"r f�A?Vi# ' j &o Ii S By Owner Oi d b JA.4� Requested by , 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 perform inspection. ❑ CALL 435-5785 FOR REINSPECTION — 24 hour notice required. 000 _ r B-D eeo jgs— Inspector � 4 Date I was present during this inspection. Permit No. Date Called `nf0 Time Called By ❑ Setback ❑ Plumb GW ❑ Footing ❑ Foundation ❑ Concrete Slab ❑ Shear Wall ciii, ,� It 1A I ffl4r"1704A NOTICE and Inspection Report l1 +�' /) II Contractor Owner TYPE OF INSPECTION REQUESTED ❑ Reroof ❑ Insulation ❑ Roof Diaphragm ❑ Gas Piping ❑ Framing ❑ Woodstove ❑ Drywall Nailing ❑ Final Rough -In Plumbing ❑ Reinspection ❑ Furnace ❑ Other PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION D ❑ 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 perform inspection. 1-1 CALL 435-5785 FOR REINSPECTION — 24 hour notice required. Inspector Date0.1 present during this inspection. Permit No. I _ NOTICE and Inspec;t.tot I Report Date Called _ T Z Address ! ID Time Called Contractor nor*,, c,,� BY Owner Requested by TYPE OF INSPECTION REQUEST ❑ Setback ❑ Reroof ❑ Insulation ❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping ❑ Footing ❑ Framing ❑ Woodstove Foundation k)C45 ❑ Drywall Nailing ❑ Final ❑ Concrete Slab ❑ Rough -In Plumbing ❑ Reinspection ❑ Shear Wall ❑ Furnace ❑ Other PPROVAL ❑ VIOLATION ❑ PARTIAL APPROVAL ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. Mork listed below has been inspected and approved. ❑ Please contact inspector and arrange for appointment. ❑ Was not able to perform inspection. ❑ CALL 435-5785 FOR REINSPECTION — 24 hour notice required. �4 ifn�� Inspector Date I was present during this inspection. Permit No. / City ('� A!t IA I N CTA11►N C_l8 z NOTICE and Inspet tlioii Report Date Called Address Time Called /L/'_ {� Contractor Q JO By ToLj e -L_5' D e) 3 S'- q O ❑ Setback ❑ Plumb GW Footing ❑ Foundation ❑ -Concrete Slab ❑ Shear Wall Owner (�1t-IL Requested by TYPE OF INSPECTION REQUESTED ❑ Reroof ❑ Insulation ❑ Roof Diaphragm ❑ Gas Piping ❑ Framing ❑ Woodstove ❑ Drywall Nailing ❑ Final ❑ Rough -In Plumbing ❑ Reinspection ❑ Furnace ❑ Other X-4EPROVAL ❑ VIOLATION ❑ PARTIAL APPROVAL ❑ 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 perform inspection. ❑ CALL 435-5785 FOR REINSPECTION — 24 hour notice required. Inspector Date 1 was present during this inspection. C I TY OF ARL I hIGTQIV C O N S T R U C T I O N P E R M I T FEERM I T MC3- a 9014-54B46 Ovner: VAN LOO, HERMAN 18107 S CEDARBOUGH ARLINGTON 98223 Value of Work: $4,000.00 Tax ID: 007385-003-018-00 Phone: 360.403.1581 Describe Work: REPLACE GAS FURNACE Proposed Use: SFR Legal Description: Job Address: 18107 S CEDARBOUGH LOOP Contractor's Name Type Address License# DAY & NITE PLUMBING A HEAT MEC P O BOX 1021 DAVNIPHO44CM P E R M I T F E E S Equipment and Fixtures - Number Fee--- Total Charge -----.------------------------------------ ------ FURNACEFUNIT HEATER 1 $15.00 $15.00 S U B T O T A L...... $15.06 TOTALS Equipment Mech Permit TOTAL FEE ................. PAYMENTS .................. TOTAL DUE ................. DATE RECEIPT # Fee $15.00 $24. 00 SIGNATURE: $39.06 I HEREBY CE FY THAT I HAVE READ A EXAMINE.O THIS APPLICATION AND $0.00 K O THE SAME TO BE TRUE AND COR- ALL PROVISIONS OF LAWS AND $39.00 I AMC S GOVERN HG THIS TYPE OF KCK'WIL BE MIP IED WITH WHETHER RC FLE JH,FP N R NOT. BUILDING R CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING A MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. OWNER MAIL ADDRESS CITY ZIP PHONE {� ��-.��, �u.Nr Lc('� 1 ��7 S Cras4 ��a«� d�I.;,�E� � i'� 3 76a.- s193- ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICtNSE MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # '0 kl -fit i• f &-? 3 7 PLU ING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE CLASS OF WORK ❑ NLW ❑ AUDITION ❑ ALTERATION REPAIR ❑ DEMOLITION [:]BUILDING RELOCATION VALUATION Of WORK UESCRIBE WORK } Le, r d c" t S GCi'pt C f PRUPUSf USE Of BUILDING LLGAL DESC'RIP110N OF PROPERTY SHOWN BELOW OR ATTACH LUI BLOCK • OF `7 2,q 5 TAX ID NUMBER / _% J I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK 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 LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONSTRURMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATUREPI OR AUTHORIZED AGENT DATE TDB ADDRLSS f x (OFFICE USE ONLY) MECHANICIL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT WATER CLOSET (TOILET) AIR COND. UNITS - H.P. EA. BA I HI UB REFRIGERATION UNITS - H.P. EA. LAVATORY (WASH BASIN) BOILERS - H.P. EA SHOWLR GAS FIRED A.C. UNITS - TONNAGE EA. KI ICHEN SINK & UISP_ FORCED AIR SYSTEMS - B.T.Ud;_�k MEA UISIiWAS11ER WALL HEATERS - B.T.U. M LAUNDRY 1 RAY UNIT HEATERS - B.T.U. M CLOI IIES WASHER EVAPORAT IVE COOLERS WAIERIIEATER CLOTHES DRYERS URINAL VENTILATICN FAN DRINKING FOUN I AIN RANGE HOOD COMMERCIAL FLOOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS STOVE ROOF DRAINS - RAINLEAUERS METAL FIREPLACE & CHIMNEY SINK (SERVICE - BAR, ETC.) WATER HEATER GAS PIPING SUBTOTAL f SUBTOTAL f PERMIT $ PERMIT S TOTAL FEE S TOTAL FEE $ SIUL YARU SE [BACK STRLLT SL IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE I RECEIPT NO. USE /ONf I LOT AREA TYPE OFCONSI, OCCUPANCYGROUP SIZL 01 BLDG, NO.OF STORILS COMMENTS ANN 2 ZOOM ❑ YES ❑ NO NO. OF DWELLING UNITS MAX.000. LOAD HEE FEES VALUATION FEE PLAN CHECKING VG BU'LDING PLUMBING FIRE SPRINKLERS REQUIRED' ❑ YES ❑ NO MECHANICAL STATE BLDG. CODE i ENERGY CODE SUR PENALTY COA gjjj,,Djt4G 061 WATERISEWER FEES TOTAL U.B.C. SEC. 303(a) PERMIT VALIDATION WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT & RECEIPT PAID CR# BY BUIL04 NC OFF CAL UA I C cc: ASSESSOR, APPLICANT, TREASURER, BLDG. DEPT. RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑X BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.001 97 OWNER MAIL ADDRESS CITY ZIP PHONE Northland HOm_es 1ng, 11807 N. !Creek Pkwy S. Bothell 98011 485-1100 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE jZ�lane Rowett _ 353-05 1 GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICIENSE P Nnrthland Hnmes Pnr__ NORTHH1 159 CG MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE L NLW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION VALUATION OF WORK f 120,496 DESCRIBE WORK maw S F'k PROPOSE D U!sE OF BUILDING 10Y I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK 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 LOCAL L ' REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CONST CTION. PE IT E IRES 1 YEAR FROM DATE OF ISSUANCE. SIGNATL' E F CONTRACTOR AU RIZED GENT DATE X LLGAL DE4CC&IPFION PROPLRTY (SHOWN BELOW OR ATTACH FOUR CON ES) LOT r�.1 RR BLOCK OF TAX ID NUMBER 10 .� 'DRESS 18107 Cedarbough Loop (OFFICE USE ONLY) PLUMBING _ MECHANICAL NO. TYPE OF FIXTURE FEE NO TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) 6 noAIR COND. UNITS - H P. EA BAIHIUg REFRIGERATION UNITS - H P. EA LAVATORY (WASH BASIN) 8 nn BOILERS - H.P EA SHOWER GAS FIRED A UNITS - TONNAGE EA. KI ICHEN SINK & DISP. 2 00 FORCED AIR SYSTEMS - B T_U MEA 9 00 DISHWASHER 2 GQ WALL HEATERS - B.T U M LAUNDRY T RAY 1 UN11 HEATERS - B.T U M CLOIIiLS WASHER EVAPORATIVE COOLERS WATER HEATER 2 00 CLOTHES DRYERS URINAL 4 VENTILATICN FAN 18 00 DRINKING FOUN IAIN RANGE HOOD COMMERCIAL FLUOR DRAIN AIR HANDLING UNIT - CPM VACUUM BREAKERS 4 00 STOVE ROOF DRAINS - RAINLEADERS METAL FIREPLACE & CHIMNEY SINK (SERVICE - BAR, ETC.) j WATER HEATER 6 So GAS PIPING SUBTOTAL 32 An SUB TOTAL $ PERMIT ; PERMIT $ TOTAL FEE $ go TOTAL FEE $ SIDE YARD SE I BACK 10 STREET SETBACK 22 REAR YARD SETS ;. 28 PLAN CHECK NUMBER 11-16-89 PLAN FEE 403 , g8 CHECK FEE RECEIPT NO 21112 USt ZUN( LOT AREA 4 VACANT SITE YES []NO FEES VALUATION FEE PLAN CHECKING NG 463.4 61 47 TYPE OF CONST VN OCCUPANCY GROUP R3 & M NO. OF DWELLING UNITS 1 BUILDING ; 713 00 SIZE OF BLDG, NO. OF STORIES MAX OCC. LOAD PLUMBING 47 FIRE SPRINKLERS REQUIRED [:]YES ❑ NO MECHANICAL COMMENTS Plan 274 - J ar JA'F' w A� w-?_ I'`" : • STATE BLDG. CODE ENERGY CODE SURCHARGE 4 PENALTY SECC303(a) T EWER FEES WA ERNS TOTAL 2182 4 PERMIT VALIDATION WHEN �P�FO (IN'IkilS SPACE( THI515 YO R PERMIT & CEIPT PAIDCR#��Y cc: ASSESSOR, APPLICANT, TREASURER, BLDG DEPT 1 I "OFFICIAL RUDATE RECORDS COPY CITY OF.ARLINGTON ��' `r CONSTRUCTION PERMIT ; :,a i ❑ COMBINATION . )BX BUILDING ❑ MECHANICAL ❑' PLUMBING ❑ SIGN OWNER 1rtAli,AUURLS5 Northland Homes, Inc. 11807 City N.Creek Pkwy S.'Bothell i!P 98011 PitVl�E _ 485-1100 ARCIItIECT 04 UESIGNER r MAIL ADDRESS Duane Rowett City Zip HIONE G N RAL CON I RACU MAIL ADDRESS CITY iR 3 5 3 353-0531 Northland Homes, Inc. LIC NSE 1 MLLIiANiCAL CONT RACIOA MAIL ADDRESS NORTHHI159CG CITY ZIP TIME LIGEfiST. f PLUMBING CONS RAC I OR MAIL ADDRESS CITY ZIP . PI IONS LICENSE P CLASS Of WORK MIIW ❑AUUITJON ❑ALTERATION ❑REPAIR ❑UEMOLIIION ❑BQILDINGRELOCAIION VALUA3ION OF WORK ULSLRI8L WORK - New Construction PRUPUSI U USE OF BUILDING Single Family t{LALUtSC.RIPITUNOI PROPERTYISEF WORATiACI1F LUI� (10 BLOCK or Woodlands 7 eT_5� - ob TAX ID NUMBER -� jO6 AUUFiL55 l - (OFFICE USE ONLY) PLUMBING NO. TYPE OF FIXTURE FEE WAILR CLOSE (IUILLI I BAIIIIUD LAVATORY (WASII BASIN) SII011'CR KI ICIILN SINK & UISP. UISIIWASIILR I LAUNDRY RAY ,- I GL(1 111LS WASIILR WAIL'R IILAILR URINAL URINKIN4IOUNIAIN I LUUK DRAIN Z.- VACUUM BREAKERS ROO[ DRAINS - RAINLLAULRS SINA (SERVICE - BAR, E IC.1 SUB TOTAL PERMIT 1 TOTAL rEE ; SIULYARDSEIBACK SIRLLISEIBACK REAR YARD SETBACK I%PLOf CONS[ SIZE OI BLDG. LOI AREA OCCUPANCY GROUP NO.Of SIORILS COMMENTS - 4.. AID V 1 61989 CI INGTON s�YES ❑ NO I FEES NO. Of DTLLING UNI IS PLAN CHECKING VO BUILDING PLUMBING MAX. OCC. LOAD 10 FIRE SPRINKLERS REQUIRED ❑ YES NO MECI IANICAI STATE BLDG. CQDE ENERGY CODE SURC) fARrE PENALTY WATERISEWER FEES CC: ASSESSOR, APPLICANT, TREASURER, BLDG. DEPT. I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA. TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- SIONS OF LAWS AND ORDINANCES GOVEFCNING THIS TYPE OF WORK WILL eE CO vIPUED WITkI WFIETHER SPEClF1ED i iE°1I� OR NOT. 71 IE GRANTiNT; C3FA PERMITDCJES NOT PIZESUMETOGIVEAUTI'iORITYTO VI+DLATE OIL CANCEL THE PRQVISlONS OF ANY OiIlER STA]E OR LOCAL LAW.{iEGULATING CQNSTRUCTION OF THE PI RI ORMANCE OF C�ONSTRUCx1C]N. PERMIT ExPiRES 1 YEAR FRC]M DATE OF SIGNJIIUAE CIOROKAUIFIOMEO,(VtirENT DAZE ISSUANCE. x MECHANICAL NO. TYPE OF EQUIPMENT FEE AIR WNU. UNI IS — ILP, EA. REFILIGERA]ION UNITS — II.P. LA. BOILERS — II.P. EA GAS MREI) A.C. LINITS.— IONNAGE EA. I FORC'EDASR SYSTEMS'-- 8.T.U. MEA WALL,IIEATERS — B. r. . _ M UNIT)WATERS —B.1.U. M EVAPORAI IVE COOLERS CLOT IIES DRYERS ; VLNTI.LAIION FAN RAN('E IIDOU COMMERCIAL AIR IIANULINC; UNIT _ . CPM S 10V> METAL FIREPLACE & CIIIMNEY WATER 11EATER _ GAS PIPING SUBTOTAL ; PERMIT 1 .'TOTAL FEE T PLAN CIIECK NYMBER / PLAN CIIECK FEE •FEEkSge, RECEIPT NO. VALUATION FEE U.B.C. SEC. 1031a) r a'u TOTAL r PERMIT VALIDATION WHEN PROPEqY VALIDATED (IN IIfIS SPACE) 1111S IS YOUR PERMIT & RECEIPT PAID CR11, BY BUILDING OFFICNI OAl E RECORDS COPY TOTAL r PERMIT VALIDATION WHEN PROPEqY VALIDATED (IN IIfIS SPACE) 1111S IS YOUR PERMIT & RECEIPT PAID CR11, BY BUILDING OFFICNI OAl E RECORDS COPY