HomeMy WebLinkAbout19307 VALLEY VIEW DR_004362_2026 INSPECTION REPORT 0
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ti1N G r Permit No.: '7 (J(�� Lot#' Ve
Q" Address:
s • V e44 '
Contractor: ��
O Owner:
ING� Date:
❑ APPROVAL DJRARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
corrections listed below MUST BE M E before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FOR,C P TI RE-INS - 24 hour notice required.
—
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation 4Shear Nailing ❑ Groundwork
❑ Mechanical D Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
0 Other:
INSPECTION REPORT
¢tiZN G?'O Permit No.: Lot#:
Q Address: C 3 G )Ga
e • (4-i
� Contractor: 9kdkdolt"
4 Owner:
9s IN Date:
�1
APPROVAL El 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.
Inspector: 4K
J 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
p
ti4i "
r Permit No.: r Lot #:
Address: d I/
Contractor:
1�1O Owner:
4G Date: � y
❑ APPROVAL ARTIAL APPROVAL
El VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
❑ Was not able to perform inspection. ,
❑ CALL 4 -0 7 FOR RE-INSPECTION - 24 hour notice required.
y✓
Inspector: C* Date:
/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 ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
0 Other:
C�k INSPECTION REPORT
yiN G TO Permit No.: 41 b �— Lo #:
Address: 7 b L)
Contractor: va42d.0 t{'w
O
INO� 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:
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
� v
tiZN G 1'O Permit No.: � Lot #: V
4
Q" Address:
Contractor: V i e c,-)
O Owner:
�s4i N 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: 4 Date: '
TYPE OF INSPECTION REQUESTED
❑ Under-floor Framing ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
O Foundation ❑ Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
- INSPECTION REPORT -
N GrO Permit No.: Lot #:
Q Address:
Contractor: it d LI i-,e-u
O Owner:
ING� Date:
❑ APPROVAL XPARTIAL APPROVAL
❑ VIOLATION jq 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.
2
Inspector: Date:
PE OF 7L,
PECTION REQUESTED
❑ Under-floor Framing Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
echanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ,Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT-
4ti1N GAO Permit No.: Lot
Address: D'-
Ajl� Uf e(,j
Contractor:
9 O Owner:
`SDI N O� Date:
APPROVAL ❑ PARTIAL APPROVAL
❑ IOLATION ❑ 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
VU
Inspector: 1 Dat
PE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing Drywall, Nailing ❑ Consultation
❑ Foundation Shear Nailing ❑ Groundwork
❑ Mechanical 0:3 Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT-
Permit No.: 6�2 Lot #
Address:
Contractor: Q
9s �O Owner:
j N G Date:
❑ APPROVAL ARTIAL APPROVAL
❑ VIOLATION �' CORRECTION REQUESTED
❑ Corrections listed below MUST B 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 i
l
Inspector: / Date:
E OF INS N REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation X Shear Nailing ❑ Groundwork
❑ Mechanical � Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
. INSPECTION REPORT
¢ti1N G rO Permit No.: Z43 U 2 Lot#: 4'X
Address: [""l :F il6tj i e ,l e'�'j
� Z
Contractor: GI'MMt 0/2
O Owner:
9s�INO� 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.
14,1
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100- �
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing Groundwork
❑ Mechanical ❑ Grid U Struct. Slab
❑ Wood Stove 3d—Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
L ANSPECTION REPORT
A*11N G?' Permit No.: �� Lot#:
Q" Off' Address: r c� 1
Contractor:
a M
9`s O Owner:Date: — —
APPROVAL ❑ PARTIAL APPROVAL
CATION ❑ 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: `�7
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
Q
iiIN
rPermit No.: �i UG Lot #:
cAddress: I / VO
Contractor: k- V I e wO Owner: A41
Date: 3 -1-)-2-�
❑ 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: >• ✓� .1�. Date: "'•!fir✓'/
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 ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other: �V m c� �
NG INSPECTION REPORT
Permit tZ4 �)' Lot#— .
4y1 7'O .
F' Address:
Z Contractor: G< L
4 Owner:ING� Date:
❑ 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 �rainage ❑ Insulation
0 Other:
INSPECTION REPORT
¢ti1N GrO Permit No.: r)0-- 3b2_ Lot #: y
Q' Address: j Gl 30r4-- LfA L tt 4 0 -(W
Contractor: d va.✓LA-UI C.w
IN OHO Owner.
Date: -- 3--O 1
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 E-INSPECTION -24 hour notice required.
:50
T
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
L _
¢1,ZN G?'O Permit No.: Lotr#: �+ /�'
Address: � v� Va l t e/ V/ eW
o Contractor: rG�y�e�, U 1 e7 LP
9 O Owner: 4-40,�- k-3
I N G� Date: 3 oZ
*APPROVAL ❑ PARTIAL APPROVAL
O 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.
nk - PhAW-L_ betad /C) P_r"
Inspector: Date: i
T PE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
A-E.oundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
4G INSPECTION REPORT -
�Vv` 1 - rr Z (�
¢ti ?'O Permit No.:� `''�" Lot #: d
Address: 3 b l t
Contractor: pu L) C w
F ,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: '—1 -G
TY OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing �,X Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
M-143¢LZN G TO Permit No.. �� L t#•
2 Address: 1 1 3 0
au I
Contractor:
'Ys, ,�O Owner:
�I N Date: (p
APPROVAL ❑ PARTIAL APPROVAL
VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Please contact inspector.
Cl Was not able to perform inspection.
❑ CALL 435-0674 FOR RE-INSPECTION -24 hour notice required.
i
i
7-,
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:
9 INSPECTION REPORT
ti1N Gr0 Permit No.M-43(a Lot #:
Q' Address: lq w-j
Contractor: 1 U I t'
Owner:
�I N 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 435-0 7 QR RE-INSPECTION - 24 hour notice required.
_YVII
-2-9-:/
Inspector: Date: -7 -
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing X Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
CITY OF ARLINGTON
238 N. Olympic Ave.
Arlington,WA 98223
(360)435-5785 RECEIPT No. 19640
RECEIVED
****FORTY SEVEN DOLLARS $ 00 CENTS
RECEIVED FROM DATE REC.NO. AMOUNT REF.NO.
GRANDVIEW, INC. 07/09/01 19640 47. 00 CHECK 1315E
01-4362
01-4362
MISCELLANEOUS RECEIPT
COUNTER
BUILDING PERMIT FEE
is
0IYY OF ARLINOTON
j 00NOY RUOY I Ohl PERM I T
`- 9:)'E RPN I T NO- = 00-43G a
Owner: GRANDVIEW INC PO BOX 159 ARLINGTON 98223
Value of Work: $109,000.00 Tax ID: 00910700004800 Phone: 435-7171
Describe Work: NEW SFR
Proposed Use: SFR
Legal Description: CROWN RIDGE DIV 3 LOT 48
Job Address: 19307 VALLEY VIEW DR
Contractor's Name Type Address License#
GRANDVIEW INC. GEN P ❑ BOX 159 GRANDI*065D1
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
j 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...... $234.00
TOTALS Fee
Per-it Fee $1,044. 15
Equipment $104.00
Fixture $130.00
Mech Permit $242 .0
Plan Fee $1,$2570.04
L
Plumb Permit �25.00
State fee $4.50
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $2,681.69 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS.................. $1,me.88 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $1,6101.69 ORDINANCES GOVERNING T _ TYPE OF
WORK WILL BE C. LIED ITN/WHETHER
SPECT HER
DATE I� `+� j RECEIPT # "5,�
LD FFI61AL
OFFICE COP,
No S/9LL�
S�t.4 a
a
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RECEIVED
JAN 12 2001
CITY OF ARLINGTON
L S E D 41
6
c-nyouAm,iNGION UrFICE COP
CONSTRUCTION �3�
1101MIT
❑ COMBINATION BUILOINO ❑ MECIIANICAL ❑ PLUMBING (_] $ION PERMIT NO.
I OWN R MXAL AUURESS CITY fir /IIOt1E
GRANDVIEW INC. P.O. BOX 159 ARLING'I;ON, WA, 98223 (360)435-7171-
IZRC C OR IGN R AII.AU'URESS city fir rT 01—ilf
CREASEY CAD 111 SE EVERETT MALL WAY EVERETT WA 98208 425 349-7769
BE+FT>i1iC is i1Ax�RT AI ADORES$ ci Y t r ToFi Ttcinw —
GRANDVIEW, INC. P.O. BOX 159 ARLINGTON,WA 98223 GRANDIAO65DI
UnC A ICA COI RAC OR A L A )RESS C IY fir ►HONE ICENSE
_J_&C IIEA'rING 120 SE EVERE`1•T MALT, WAY EvElu,.'rr, WA 98208 (425)347-7739
ILUMBING CUN►RAC IOR MAIL AUbRE SS CITY fir 1`1101+E ICE ISE
I.W. MECHANICAL, INC. 26805 NE 144TI1 PL. DUVALL, WA 98019 (425)788-1645
� CI. SSA-O RK
�pi11�LW pAVU1fIUN pALrERAIIoN REPAIR pVEMUL111014 ❑BUILDING RELOCA110"
VALUA110NOf WORK
' I
DESCRIBE WORK
NEW CONSTRUCTION
rRUrO$I UU USt O UILIMIO
I I IEREUY CERIIFY II IAT I I IAVE READ AND EXAMINED TI IIS APPLICA-
SINGLE FCiv'nilii3i"RiFiioTiiAMILAMIL LTtTY (Y RESIDENCE oi"i Uli Ai i7iiTi iiitiR Cc�i IiT( I ION AND KNOW 111E SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING 11 IIS TYPE OF WORK
lul—�RLtxk of �.. WILL BE COMPLIED WII11 WIIETIIER SPECIFIED IiERIN OR NOT. 111E
GRAN I ING OF A PFRMI I DUES NOT PRESUME.1 O GIVE AU I I IORI TY TO
1� 1d��� OD VIOIAIE OR CANCEL 111E PROVISIONS OF ANY OTHER SIAIE OR
TAX IONUMSEn PnomPnorenty TAX 6Mlr!ME:NT LOCAL LAW REGULAI ING CONSTRUCTION OF I I IE PERFORMANCE OF
CONSIRUCIION. PERMIT EXPIRES I YEAR FROM DATE OF ISSUANCE,
` IICIt )RI OfCOUIRAC10R Olt AUI11ORIZIOAGIN1 DATI
(iiFr rd i sn HIS)I
I'LUMU111U - IL CI AIIICAI.
BID.-_ -__ ]Yrd OD PIXtURd PBU s i rmuiLL9 110. __ 7 YtU UP U[IUIPMU11i Pon Ri FIXIURW
YAIUR CLUSUC(lO1LUl) �11_00 _ - Ut COIIU.UIIII!-IIl. Cif w4r•IIA- --
- )AI11 IUB —11.00 _ tUPRIOURA11011 U111111-Mr.84 1N•Jr.Nd" --
_ AMORY(WASII BASU1) $1.00 _ IUILARS-111.BA. 344p.IIA'
_ - IIUW[IIL 11.00 IAN TURBO A.C.MUM-TUNIIAUBBA 14dr.U,t••
1C11d11 SINS a DISPOSAL - 11.00 _ --- - — - ��
_ ORCaU AIR BYlIBMSt-6.T'.U. MW1 1f.00
---- )ISIIWASIIUR - —11.00 - --- -, _ ALL IIUAIIIRS-B.T.U. M lf.o0
.AUIIVRYTRAY 1111FIIEA'IURI—B.T.U. EI 19,0 --
_1 Y :LU)IIL'9 WASIIBR I1.00 _-_- -'- —^ 1VAPURAl1YdCOUlifllS --
YAIUR IIdAI Ill -
_1_ _11.00 --- � :LUINI9URYdRS 1/!I
---- MR-441- — - - —11.00 - - - - �- [flilll A71U1t PAt1 - - - lue --
1RIIIKINU PUUl1fAUI --_11.00 _ _-� - -- tAIIGH IIODU COMMURCIAL _ $sic
'LOUR DRAIN - —.11.00 - AIR IIAIIU_LINU UIIIY- CrA1 --
-- ACUUMBROAKDRS $1_00 (� IUYB
IUOP DRAMS-RAIIILRAUURB 11.00 d1'AL FIRM ACU a CIIIMIfUY —ILSO
-IIIS(SBRVICB-BAR,ale.) —01.00 �_ _Ay11R IIdAIUR le3e
-- --- ------- -—.. --- _ 1— 1A9 PIrI11U- 'lur to f•.If.W1 e1Aa1.-1.1f ---
--.--- _ I 'ILJulrmed Ildmuet ►eptadjad ----
BUD-1OtAL BUB TWAL
rLmmit PaRmIr
_ TOM?RR ___ TOTAL rRg
11)FV%i )�i p/tCl( �I RM nIAl'K RU R Y /! jhwck PLAll[HECK NUMBS d ►L I CIIEC /
SS / v /�/- � j�f ►EE RECEIfI NO
Isi iUt+ i617Aa vncnTii"siiE l/ r_ _ _ c,��
k� G/�C/� YES k+T FEES VALUATION FEE _
YPL 61 CT
I OCC IAtIrpcitr.�s
Ur NU.OI U ELLINO Ut111S PUIIIanckINO VO
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RU'IDIN(1 1 '/ U f 15
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i Iai's��u+icli asi(Egtilrti`u —
1;1v. 12& q y® I l_.l YES NO MECIIANICAL;oMMEN rs RECEIVED ENEROY COVE SU ?�
RCIIARGE -/ 0
JAN 12 2001
WAIER/SEWER►EE9
Q r f L)F ARLINGTON ' TOTAL C
n
' �� rERMIr VALIDATION
WHEN rROPEIILY YAl mite IIN II III SPACE) TI a IS YOUR rERMIi L RECar1
rAID CRY BY
RM11S E
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rc: ASSES50n.AI'PLICAII,T, TnEASIME11, MOO. OUPT. RIIRURIhO1fIcI4l OAti
IIECOFIDS COPY