The URL can be used to link to this page

Home My WebLink About19311 VALLEY VIEW DR_004361_2026 INSPECTION REPOR7- ti1N GrO Permit No.: 4 3bl Lot#: Address: / 53 f/ U L2�" Contractor: ;'Vold � Z � O Owner: IN Date: 7o / 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: PE OF INSP CTION 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 ¢ti1N G?'0 Permit No.: 4 Lot Q" Address: R, J Z Contractor: Owner: 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. �l Inspector: Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid aInsulation Struct. Slab ❑ Wood Stove ❑ Rough-inFinal ❑ Masonry ❑ Drainage ❑ Other: INSPECTION REPORT 4yiN G1'O Permit No.: Lot#: Address: ��j �,� &"� U I Contractor: Owner:y D, C C �IIN C' 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. j ') (0,1 Y\ (k e -Et-I C 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 -- Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: (� INSPECTION REPORT ti1N G r Permit No.: ``7 /� Lot O Address: 16 V Contractor: a car d O Owner: 9`r�I I N G 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/',,� �< ❑ ALL 435-0 74 FOR RE-INSPECTION;- 4ou o e�ferepdr.�l, 0 c _ oo- Inspector: o Date: 7 /7 YPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in AFinal ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: ^k INSPECTION REPORT tiZN GTO Permit No.: `4. Lot Q" Address: c1 C%1/ Contractor: ayd-ndUl C ui -ys, ,SO Owner: I N 1 Date: 0 D ROVAL ❑ PARTIAL APPROVAL D 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. U V� � Inspector: ZI L Dat TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing }Drywall, Nailing ❑ Consultation ❑ Foundation D Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT � v �ii r Permit No.: "'f Lot :Address: T—VW lContractor: -a / e�Owner: G� Date: 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. 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 X, ❑ Other: INSPECTION REPORT ti1N G 1'� Permit No.: I Lot #: T Q Address: Z Contractor: O Owner: IN G� 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. n- Inspector: Date: C 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 0 Other: INSPECTION REPORT 4V G?'O Permit No.: QN4 of#: T r Address: ( q 3) 1 �� W Contractor: � Z - O Owner: 4I N C3 Date: VAL ❑ 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. 7 J I Inspector: i Date: T E OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation 9_��:Shear Nailing ❑ Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT 4ti1N G,?, Permit No.: / Lot # Address: 9 / �-� Contractor: lJ �,� O,SO Owner: i' I N 1 Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION CORRECTION REQUESTED ❑ Corrections listed below MUST BE\LADE before work can be approved. ❑ Please contact inspector. ❑ Was not able to perform inspection. ❑ CA L 435-0674 FOR RE-I SPEC_TION - 24 hour notice required. Inspector: \ Date: 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 IN GT 14 O Permit No.: Lot#: Address: Lq 3/1 Contractor: ,/,k y w e w 9 4 Owner: -7 6_q-O V?0 IN Cs� Date: — S-0 t APPROVAL ❑ 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-INSPECTION -24 hour notice required. r I J Inspector: �' Date: TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing f\—.0 Groundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove V_ e in_ ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: V& INSPECTION REPORT ti ?® q3bl Permit No.: Lot#: iS4 Address: Contractor: u Owner: Date: q- �b ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ��ORRECTION REQUESTED ❑ Corrections listed below MUST BE MAt 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 TYPE OF INSPECTION REQUESTED ❑ Under-floor ❑ Framing ❑ Gas Piping ❑ Footing ❑ Drywall, Nailing ❑ Consultation ❑ Foundation ❑ Shear Nailing L�oundwork ❑ Mechanical ❑ Grid ❑ Struct. Slab ❑ Wood Stove ❑ Rough-in ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation 0 Other: INSPECTION REPORT �ti1N Gr0 Permit No.: q3 Lot / 7 Q Address: C! H Uh l 4 W Contractor: V-ct Vtcj V w jNG.SO Owner:Date: - 3 -� ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION P2_j:::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. 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 ❑ Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: N- INSPECTION REPORT N GrO Permit No.: V -�56/ Lot #: Eya� Q' Address: /_i ,I Contractor: jY -ys �O Owner: �I N O Date: — ` PROVAL ❑ 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: v 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: -)toy �1 INSPECTION REPORT 4ti1N G To Permit No.: `"T Lot Q' Address: V r(cq Contractor: IZl V d U [� 9s, ,t0 Owner: II N G 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: L Date: 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: S� CV kA- 411- INSPECTION REPORT ¢y�N Gr0 Permit No.:vU— qcC L0,I Lot#: Q Address: yalb',. Contractor: I J Owner: c, IN Date: 3 PPROVAL ❑ PARTIAL APPROVAL VTOLATION ❑ 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: 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 N<Drainage ❑ Insulation ❑ Other: INSPECTION REPORT :/3 #4 ¢ti1N GrO Permit No.: QS�� ( Lot#: Q" Address: vk l Le V1 w Contractor: 1.1 Cl , r -ys, �O Owner: IN G 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. G 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 ❑ Other: NG INSPECTION REPORT � ¢til ?'O Permit No.: rye Lot#: Address: 1 t U Uf e C�j Contractor: )r ci vt V - � w 9 O Owner: I N G� Date: APPROVAL El PARTIAL APPROVAL ❑ 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 ho notice required. Inspector: Date: - _ 0:2—_ 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 Q ZNG� U7 4ti o Permit No. � Lot #: Q' Address: I 1 11e5 (l v/e'cJ Contractor: Y P'k V I e w -y O Owner. q "/JU- s4IN G� Date: I -If—D / ❑ 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. ❑ C LL 435-0 74 FOP. RE-INSP CTION - 24 hour no *ce required. Inspector: Date: T 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 0 Other: C I YV OF R RL.I NOTON CONO-r RUCT I ON PERM I T \ PERM I T NO- = 00-436 1 Owner: GRANDVIEW INC PO PDX 159 ARLINGTON 98223 Value of Work: $152.000.00 Tax ID: 00910700004700 Phone: 435-7171 Describe Work: NEW SFR Proposed Use: SFR Legal Description: CROWN RIDGE DIV 3 LOT 47 Job Address: 19311 VALLEY VIEW DR Contractor's Name Type Address License# GRANDVIEW INC. GEN P O BOX 159 GRANDI*O65D1 P E R M I T F E E S Equipment and Fixtures Number Fee Total Charge ---------------------- -------- --- - --- -- -------- ------------ PLUMBING FIXTURES 13 $10.00 $130.00 FURNACE/UNIT HEATER 1 $15.00 $15.00 GAS STOVE 1 $11.00 $11.00 VENTILATION FANS 5 $7.00 $35.00 DRYER 1 $11.00 $11.00 METAL FIREPLACE & CHIMNEY 1 $11.00 $11.00 WATER HEATER 1 $15.00 $15.00 GAS PIPING 1-4 OUTLETS 1 $6.00 $6.00 S U B T 0 T A L...... $234.80 TOTALS Fee Permit Fee $1 284.95 Equipment ;104.00 Fixture $130.00 Mech Permit $24.00 Plan Fee $1, $25. Plumb Per�:�it $25.00 State fee $4.50 SIGMTURE: TOTAL FEE................. $2,948.96 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS.................. $1,880.O'B KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAYS AND TOTAL DUE....... .......... $1,948.96 ORDINANCES GOVERNING l TYPE OF WORK WIL OMPLIE ITH SPE Y"ETHER -1 � RECEIPT # 1 1 Cj 9 UIL OOFFICIAL OFFICE .Cop-sr �; �^ //o,*sz-= / 090 fdk � 64z sv fir. G/c�c✓// �ioG+/3� �ooLC-� �1� ��r Z,63o ;V e, ol REVISED a yOiDa i 0 Q :fJ J f lUlY non I I I y8•y8 my Y Or ARLING ION CONSTRUCTION PERMIT El COMBINATION XRJ BUILOINO ❑ MECIIANWAL ❑ PLUMBINO U t;1ON PEWT NO. own R AIL A uaEss CHY fir of GRANDVIEW INC. P.O. BOX 159 ARLINGTiON, WA. 98223 (360�435-7171 ARC a C O D IGN�4 All.ApUR�ff CITY (I► ► E CREASEY CAD III SE EVERETT MALL WAY EVERETT WA 98208 425 349-7769 RE+FEIixL iFiI><xPTUMARL AnuklH CITYtict► Toii Rom- GRANDVIEW, INC. P.O. BOX 159 ARLINCTON,WA 982231 GRANDI*0.65DI i.IIC-i A IC CO RAC10R A l W)-Ft ESS C IY ZI► ►It(N1E ICENSE J&C HEATING 120 SE EVERETT MALL WAY EVERETT, WA 98208 (425)347-7739 ►LUM5UIGCON1RACTOR MAILAUbRESS Of lie ►IIOtif --TR€All I— I.W. MECHANICAL, INC. 26805 NE 144TH PL. DUVALL, WA 98019 (425)788-1645 cU1aLW ❑AUUIIION ❑ALIFIA110N [JREPAIR ❑DEMOL111011 []BUILDINGRELOCAIION j VALUA(ION OF WORK 1 U(SLRIBE WORK NEW CONSTRUCTION F-AURdII Msli"E UT-au11b1110 - SINGLE FAMILY RESIDENCE I I IEREIIY CERTIFY I IAT I I IAVE READ AND EXAMINED TI IIS APPLICA- Liinililii iFiiu u r Tao F LtiiY T U t oI`i oR A1 itiR c-FFS F-- 11UN AND KNOW 11 IE SAME TO BE TRUE AND CORRECT ALL PROVI- CRo�-,✓1 2ld � SIONS OF LAWS AND ORDINANCES GOVERNING 11 IIS TYPE OF WORK Lllt L RLUI:k • UI 1� WILL OE COMPLIED WI111 WI IEII(ER SPECIFIED I IERIN OR NOT. TI IE GRAN I INCH OF A PERMI I DOES NOT PRESUME.1 O GIVE AU I I IORITY 10 �l�7Q0�70D VIOIAIF OR CANCFL 111E PROVISIONS OF ANY OTIIER SIAIE OR TAX ID 11UPEBEn rnoM PnoPEEnT Y IAX S IAIEEWPHT LOCAL LAW REGULAIING CONSTRUCTION OF II IE PERFORMANCE OF /9WI< t e�R IV6 1 COFISIRUCIION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE. Ios aU( I. '. IIOIIAIURI Of COf IRACIORORAU1110RI[IDAGINI DAII toFr(:u i sR o► ) / PLUh1UIIlU IUL•11 ItCAL _ I!"I OF PIXEUltU Pull a'r rix wao _ IID.- I Yru up BUUIrMUIIr PUU x's PIXIURB;S -- YVAJURCLUSur(1OILU11 _l1_00 _ IR COIIU.UN11!- Ill. CA ty�► n.l•• -- ___- IAIIIIUD 11.00 — v IHFR1U1!RAl1011U111is-Ill.BA. {�u1F Yst'• —� __- AYAIURY(Tvnsll BASUIZ —I1_oa _ IUILBRB-Ill.BA JqJr.114•' — IIOWUA l/.00 _ )AA PIRUU A.C.UIIITS-TONNAU811A ul .IIA - -_ _11CIIUq SUIK A UISPUSAL _11_00 _ — _—_ IORCUO AIR Br91BM3-B.T.U. MBA 11.bo _WALL IIBAiBRS-D.T.U..AUIIURYIRAY )IIIEII 'IR -O.T.U. M 1►1..0000 a AI _1 ' YU . -- IVA►ORAIIVIICUULBIIS �- ---- AIUR IIUAIE9t - 11.00 -�- -- - :LUI11L'!URTHRS -__ -- JRIIIAL --- _ 11.00 _ - - 0111LA11UNPAl1 11(!0 - -__ )RIIIKINU PUUNfAUI _ - 11_00 - tA1lOB IlooD COMhMRCIAL 'LOUR URM14 _31.00 _ _ - 11R IIANDLIt1U UNIt- CrM - ACUUM BRUAKURS 11.00 _-_ IUYB - tOOP DRAIIIS-RAINLUAUURS AUfALPIRBrLACU A C111hIlIUY —IflO IIIK(SBRVICB-BAR,ItIC.) _11.00 -- - A1BR IIU&tf It ---- - ---- 'Ljul►meet Ild must WjLO+ldd BUB TOtAL _ sun TOTAL _-- runmIr PERMIT TOTAL PHO r�-;t- ___ TOTAL PBB Iu[�Y.Ullijj� nCk .� ,IRI �SCI�ACR REARYA lUVACk ►LAtIC11ECKNUMBEII ►L ICIIECk/ / TEE RECEIrl NO. if tip' A UAFA/i:U L -a� -01 sue,— jC W 3- dory Es IJNo FEES VALUATION FEE — v-rl 1 v1/1 UGJ'(Ply UU► ffla DI D tmud UNI IS PLAN CI IECkINO`IO �( 3 �1 Y!_1_ BlJ'IUINtI 1 JQ/� �` Ill UI R U(. NO.UI S� allS MAX.OCC.LOAD i Ini-ssPn111•�Rs I tTuIii1) u YES No MECIIANICAL _ .OMMEH TS STATE BLDG.CODE ENERGY CODE SURCIIARGE UU _ PENAl1Y "�G SECc�Ulls) WAIEIUSEWER FEES TOTAL rER4111 VALIDATION WI IEN PROrERLY VAI IDAIED IIN II IIS SrACEI TI III IS YOUR 1`I0111 A RECEIrl PAID CRII_ BY cc:ASSESSon.APPLICAN.I, YnEASUnEFI, nLUU. 1.)E:P1. R5_161tl_nwilCl t DALE IIECOFID9 COPY