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HomeMy WebLinkAbout18529 TEESIDE LN_003906_2026 INSPECTION REPORT ¢tiIN G?'O Permit No.: Lot#: _ Address: ,,/JL5 CI / L(/ Contractor: 4-02-fF/Z�_ Owner: S- 7�1a — 75_ IN O Date: ❑ 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. 1 , Inspector: Date: L PE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Final ❑ Masonry ❑ Drainage /❑ Insulation ❑ Other: INSPECTION REPORT , ' - - C C ii 1' Permit No.�-t � - C Lot #: /Address: CY5-.a9 7-Contractor: �2!C-1Z_ ,SO Owner:_ Date: ❑ 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. Inspector: Date: TY E OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in Final ❑ Masonry ❑ Drainage /❑ Insulation 0 Other: nk INSPECTION REPORT ¢y1N G rO Permit No.: 3 Lot#: �JS Address: Contractor: 2 O Owner: ��j— lo s�IN Cs� Date: ROVAL ❑ PARTIAL APPROVAL ❑ OLATION CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPE ON -24 hour notice required. Inspector: Z,1 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 Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: ofv� INSPECTION REPORT IING N GT Permit No.:4 - 2I_ . Lot #: Address:Contractor: i_-.C%ZO Owner: ���f— =6 70 Date: /0 APPROVAL ❑ PARTIAL APPROVAL ❑ OLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 hour notice required. 1 � Inspector: L� �- Date:/z5- la , en TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing D Nailing ❑ Consultation ❑ Foundation �, rywall, hear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: I r� INSPECTION REPORT N _' ¢tiZ G TO Permit No.: r Lot#: �s Address: l95_c22 lE1LSi �1 Contractor: " z 1 O Owner: �I N O Date: e 3® ^ 00 PPROVAL ❑ PARTIAL APPROVAL TION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPE N - 24 ho notice quired. n Inspector: Date: - TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ raming ❑ Gas Piping ❑ Footing Drywall, Nailing ❑ Consultation ❑ Foundation ❑ hear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION DEPORT 4yIN G?'o Permit No.. ' '-c3 C Lot#: e-"� Address: Contractor: �1 Owner: �2S- 761,? ^,2,)75— �I N G Date: e ay_�0 ❑ 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. C C 40, Inspector: Date: J CPO TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing XL3 rywall, Nailing ❑ Consultation ❑ Foundation hear Nailing ❑ Groundwork ❑ Mechanical rid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT �yIN G rO Permit No.: OC�� Lot#: Address: �a o � Z Contractor, ,t4 Owner: ;� ._ C- Q �I N O Date: o� — ❑ 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 435-0674 FOR RE-INSPECTION - 24 h notice required. Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping Q Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork K_4 Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: S/\ INSPECTION REPORT N G r- 4�,1 1'o Permit No.: G '=7 /C Lot #: Address: ��� 7 /ecs/de Contractor: �-leZV 65r_,'2 9s, ,t0 Owner: 26&--,:Q 715- SIN G Date: —Qd 11 -A-PPROVAL ❑ 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. IZ&4A Y.L� z2�/ C/ Inspector: I Date: - T PE O INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in D inal ❑ Masonry ❑ Drainage Insulation ❑ Other: INSPECTION REPORT 4ti1N GrO Permit No.: 00 3 90 (o Lot#: 9s Q" Address: 5�a-I � _ ��Qa4 Contractor: L.() zj F k_ 9s, 0 Owner: • F( Co4 - (O —7 y �I N Date: c6 —I Lo — 012 PPROVAL ❑ ARTIAL APPROVAL ❑ VI LATION eORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION - 24 h no tice required.- C v Inspector: % Date: , TYPE OF INSPECTION REQUESTED ❑ Under-floor ,A Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork * Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation L ❑ Other: INSPECTION REPORT NG 4ti1 ?'O Permit No.: Lot#: 9s Q" Address: • . ���Contractor: � O Owner:IN G� Date: — ��`AFPROVAL ❑ 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 435-0674 FOR RE-INSPECTION -24 hour notice required. li�l 41 Y Inspector: Date: PE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ rid ❑ Struct. Slab ❑ Wood Stove Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT ¢y1N G?'O Permit No.: - Lot#: q-'3 4' Address: � ��/�� `x ZContractor: lovs n' O Owner: z/015 Zq 61-si ZD IN�� Date: — 7— G' ❑ 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 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: r/ Date: - TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing Piping ❑ Footing ❑ Drywall, Nailing N)_!�Pas Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab O Wood Stove Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 4ti1N GrO Permit No. (L Lot #: Q Address: • C� Contractor: ZO 9 O Owner: �� IN Date: — �^ APPROVAL ❑ PARTIAL APPROVAL 7-1--VIOLATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice req d. Inspector: 1 Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation _ ❑ Foundation hear Nailing ❑ Groundwork ❑ Mechanical Grid Struct. Slab ❑ Wood Stove ❑ Rough-in Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Permit No.: '.3 Lot#: • Address: Contractor: ��� Gi✓ • Owner: 5__ � Date: L 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. And Inspector: Date:3 0 71 T OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry LILDrainage ❑ Insulation Other: ��� y_ti_i l INSPECTION REPORT (J � Permit No.:Cr, . 5 61 Lot* Address: /gs�'? /PAS/G?'" Contractor: 1--07-I EP— Owner: c9L06,_9/4--C%L"> Date: ;3--/C —c9-60C, '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 435-0674 FOR RE-INSPECTION -24 hour notice required. Inspector: Date: c� TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping X�3 Footing ❑ Drywall, Nailing ❑ Consultation Foundation ❑ Shear Nailing ❑ Groundwork Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT Permit No.:03 ' 39 0 0 Lot#: _ Address: ` �� 5 P e S I Contractor: Lo--2_4 ETL— Owner: Date: ctSAPPROVAL ❑ 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 435-0674 FOR RE-INSPECTION - 24 hour notice required. Lj Inspector: :Z� 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 ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: L INSPECTION REPORT Permit No.: C - Lot#: Address: Contractor: Owner: Date: 671"'AkPPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION LATION ❑ CORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required. i 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 ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ;il Other: �XC2-IJC�-ft drl S C I TY OF �-1RL I NGTON CONSTRUCTION P E R M I T X PE RM I T NO- = 00—a9 O& Owner: LOZIER HOMES 1203 114TH AVE BE BELLEVUE 98004 Value of Work: $133,938.00 Tax ID: GE 3B LOT 95 Phone: 425-454-8690 Describe Work: NEW CONSTRUCTION Proposed Use: SFR Legal Description: GLEN EAGLE 3B LOT 95 v Job Address: 18529 TEESIDE LN Contractor's Name Type Address License# LOZIER HOMES G 1203 114TH AVE BE LOZIEHC315MM PHOENIX MECH M 21220 87TH AVE BE 200 PHOENMC13703 ONE WAY PLUMBING INC P 20103 WOODINVILLE SNOHOMISH R ONEWAP*196BB P E R M I- T F E E S - ----- Equipnent and Fixtures Number Fee Total Charge PLUMBING FIXTURES 15 $7.00 $105.00 FURNACE/UNIT HEATER 1 $14.80 $14.80 RANGE 1 $10.65 $10.65 VENTILATION FANS 4 $7.25 $29.00 DRYER 1 $10.65 $10.65 METAL FIREPLACE & CHIMNEY 1 $10.65 $10. 65 WATER HEATER 1 $10.65 $10.65 GAS PIPING 1-4 OUTLETS 1 $4.75 $4.75 S U B T 0 T A L...... $196. 15 TOTALS Fee Permit Fee $1, 184. 15 Equipment $91. 15 Fixture $105.00 Mech Permit $23.50 Plan Fee $816.70 Plumb Permit $25.00 State fee $4.50 School Mitigation $941.00 ` SIGNATURE; ' 2 TOTAL FEE... ....... ....... $3, 191.00 I HEREBY C FY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $3, 144.00 KNOW THE SAME TO BE TRUE AND COR- RECT WORK EVCOMPNS ODFWLAWS AND TOTAL DUE......... ....... $47.00 ORDINANCESANCES GOVERNIIv ' THISTYPE OF ; WHETHER SPECIFIED IT R NO BATE RECEIPT # / F c , / BUILDING OFFICIAL\ - y- c<:��- C e6vistz f� C I TY OF A RL I NGTON CON ST RUCTION FMIE R M I T PE RM I T NO. 00-39 0S Owner: LOZIER HOMES 1203 114TH AVE SE BELLEVUE 98004 Value of Work: $133,938.00 Tax ID. BE 3B LOT 95 Phone: 425-454-8690 Describe Work: NEW CONSTRUCTION Proposed Use: SFR Legal Description: GLEN EAGLE 3B LOT 95 Job Address: 18529 TEESIDE LN. Contractor's Name Type Address License# v LOZIER HOMES G 1203 114TH AVE SE LOZIEHC315MM PHOENIX MECH M 21220 87TH AVE SE 200 PHOENMC137Q3 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 FURNACE/UNIT HEATER 1 $14.60 $14.80 RANGE 1 $10.65 $10.65 VENTILATION FANS 4 $7.25 $29.00 DRYER 1 $10.65 $10.65 METAL FIREPLACE & CHIMNEY 1 $10.65 $10.65 WATER HEATER 1 $10.65 $10.65 GAS PIPING 1-4 OUTLETS 1 $4.75 $4.75 S U B T 0 T A L...... $196. 15 TOTALS Fee Permit Fee $1, 184. 15 Equipment $91. 15 Fixture $105.00 Meeh Permit $23.50 Plan Fee $769.70 Plumb Permit $25.00 State fee $4,50 6� School mitigation $941.00 .,.5 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $3, 144.00 I HEREBY CEWrIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS... ............... $744.22 KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $2,399.78 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPL"ED Wl_-i'� WHETHER SPECIFIED H REIN N DATE RECEIPT # lAo,7, BUILDING OFFICI RO�- 1_ ® o % 1 c 0�1 �-- -- -- _ � !1-7 b la 4" 4J M = 4-2'- LX M./ I'lli — ,- \o m +-o'-°I11 I n-51+ _Rp C-P M �G t:d NIC- t o'•3" WALK - i � f Iol uTfl.l`T '°t' ® �,�¢•S, T 1— V� Q/ /i r' - This site plan is an approximation only. IA]xicr llomes Corporation reserves the right to make adjustments in siting including grades, rockeries and location or the house to accommodate site conditions as actually II— q (1 encountered. The location of adjoining homes are suhject to change. (—� Y� i �) I REV: *1203 Fc APPROXIMATE SITE PLAN DWN: 1,..JLJ 114th Ave SE T 41 JOB: Bellevue, 6 LO-ZI EH-C3 5MM � �I CITY OF ARLINGTON CONSTRUCTION PERMIT COMBINATION ❑ BUILDING ® MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. 3�0( I OWNER MAILADDRRN � �-I� SS CITY ZIP r11ONE —�� Loz1owIF� l203 114- Arilly. 5,F-7. w1EVuE WA, '?tboo4 �2s-4Sq- -Brogo ARCIIIIECT OR DESIGNER MAIL ADDRESS CITY XIr PIIONE GENERAL CON RAC IOR MAIL ADDRESS CITY ZIP NIONE L C NSE I MLC11ANICAL CON I RAC IOR MAIL ADDRESS CITY ZIP PIIONE LICENSE I I'LUM81NGCONTRACIOR MAIL ADDRESS C11Y ZIP NIONE LICENSE 0 pV-- VV,.L( ffyM B , oN�>ti�P l 169" 3 CLASS 01 WORK OKNPW ❑ADUITION ❑ALTERATION ❑REPAIR ❑UEMULIIION ❑BUILUINGRELOCATION m VALUAI ION OF WORK I (2-7 , -54 / 3 � 7.3.'T 1 ULSCRIDE WORK N�w G�it1S-TRuGTI o!V �L�t.1 # � - ( ! -Z • � co raurusl D usL OI 13UILUINc I HEREBY CERTIFY 1n ' I'" l7-T/4 w TION AND KNOW THEIT I HAVE D D EXAMINED THIS P SAME TO BETRUEAND CORRECT ALL OVI LLonLQQ)k��St:''RIP i 2UN U) PROP a IY S11t„YN BELOW UR AI IACII Ft1UR CU►TES SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORI Lt11�nLtxK or � � I < — WILL DE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. TI-I a GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TC VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE 01 ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE 01 CL CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE, 2 SIGNAIUREOFCONIRACTORORAUTFIORIZEOAGENT DATE V108 AUURLSS x (U('wol Ind ONLY) rLUMDINU DCIIAMICAL NO. TYrD OP PIXTURD PEB x's PIXll)RI19 NO. TYPE OP DQUIrMENT PDD es FIXTURES A'I'Dlt CLOSBr(TOILIIT) IR COND.UNITS-11.r. EA. Islip.Ilst" INIIJITUO LUI IRIUURA'TION UNITS-II.P.D& l ui .IIA- VATORY CWASII BASIN O1LD119-II.P.BA d .Ilst•" IIOWER AS PIRDD A.C.UNITS-TONNAOD DA. uT .list•• ITCIIDN SINIL A DISPOSAL 'ORC11D AIR SYSTIIMS-D.T.U. MDA IS11WASIIBR AL.L IIDATDR9 D.T.U. M UNDRY'IRAY JNIT HEATERS-D.T.U. M —T '1.0'1'IIPS WASIIDIL IVAPOMTIVBCOOLLRtS A113R IIBATMIL 'LOT1IUS DRYERS _ RINAL _ i 1INTILATION PAN RINKINO POUNTAIN LANOD IIOOD COMMERCIAL _ 'LOOK DRAIN IR IIANDLINO UNIT= ChM t—VACUUM DR13AKBR9 TOVD _ OOP DRAINS—RAINL EIADBRS rl'AL PIRDPL ACB A CI IIMNOY INE SBRVICD—BAR ETC. ATBR IIDATER AS PIrING -(.p to 5-$3.00 eddnl. 1.75 ' ul went Ilstwust be provided SUBTOTAL SUD TOTAL _ PLiRMIT IFURMIT _ TOTALrnD TOTALrnD SIUL YARD SL 18A K SI RLLI SLTBACK REAR VARU SEieACK PLAN CIIECK NUMBER PLAN CIIECK F E 27—� � aq —(3/, FEE RECEIPT NO. USI'i 1 LOT ARLA VACANT SIIE �•J �©j? � � QNO FEES VALUATION FEE _ von 9. 70 I YrL UI C S1. tX:CUP,ISNCY GROUP NO.Of U ELLING UNITS PLAN CIIECKING uG 6 As w KBU'LDING SI/.LUI ut Ut.. vv: iivnii.S •••..:%C�... PLUMBING rlRESPRINKLLRSRE IRED ❑YES MECHANICAL STATE BLDG.CODE COMMENTS ENERGY CODE SURCHARGE PENALTY U.B.C. SEC,)05( _r R E C C 1;/C r'+ WATER/SEWER FEES (J'J v��ggG 1 Y G TOTAL ,.�P4 2 '`, ! :, , S,� PERMIT VALIDATION v WI TEN rROrERLY VALIDATED TIN IIIIS SPACEI iI11S IS YOUR PERMIT 6 RECEIPT CITY OF ARUNG 1 ON PAID CRM BY LL aUKDaNrorFICIAt I DALE cc nssEssoR,nrrLlcnNT. Tf7EAsuREFT. BLoa.loFrT. nEronoS cgpY