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HomeMy WebLinkAbout17432 35TH AVE NE_004380_2026 INSPECTION REPORT j� �ti1N GTO Permit No.: Q' Address: a- 3 • • (7:. . Contractor,• J 9'P ,SO Owner:__ M K li,n P I N O Date: ❑ APPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION �ORRECTION REQUESTED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector_ i5 �'*y ❑ Was not able to perform inspection. )0cg1C1g1 Li ,QALL 435-0674 FOR RE-INSPECT ON -24 hour notice required. .�yrr f 1 1 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 El Rough-in _'�(Final ❑ Masonry ❑ Drainage ❑ Insulation ❑ Other: INSPECTION REPORT "k, ¢1�1N G TO Permit No.: 3 Lot'#: Address: 17 Contractor: ,;7 � �k� Owner: l t e ING Date: IZ—Z'7— 00 /_ ._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: TYP 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 ❑ ason ❑ Draina e ❑ Insulation ry / _ 9 Other: • '7� INSPECTION REPORT , PkAL ¢LIN G1'o Permit No.: LW,,,#: Q' Address: `7 �- Contractor: AC 2 q6L I Owner: t In 4ri N O Date: Qa--C�t i�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 Q Final ❑ Masonry ❑ Drainage 14' Insulation ❑ Other: ti 1 , c I TY OF A RL I NO-rON CONOYRUCT I Old ICERM I T r� HERMIT NO_ = 00-43a0 V } Owner: KLEIN, JIM 6101-152 NE MARYSVILLE 99271 Value of Work: $49,000.00 Tax ID: 203105-4-007-0009 Phone: 435-6611 v Describe Work: INSTALL MOBIL HOME ► Proposed Use: SFR Legal Description: Job Address: 17432 35TH AVE Contractor's Nane Type Address License# ACE MOBILE HOME SERVICE GEN 3921 171ST PL NW ACEMOHS109LD TOTALS Fee Permit Fee $500.00 State fee $4.50 SIGNATURE: TOTAL FEE................. $504.50 I HEREBY CERTIFY THAT I HAVE READ PAYMENTS. . . . . . . . . . . , . . . . . AND EXAMINED THIS APPLICATION AND iY;, KNOW THE SAME TO BE TRUE AND COR- RECT ALL PROVISIONS OF LAWS AND TOTAL DUE............. .... $504.50 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPL D WITH WHETHER -- DATE RECEIPT # veJ I LD OFFICIAL ICE C I-FY OF ARL.I NGTON CONSTRUCTION RERMIT RERM I T NO_ 0 00-4.3-75 Owner: KLEIN, JIM 6101-152 NE MARYSVILLE 98271 Value of Work: $5,000.00 Tax ID: 203105-4-007-0009 Phone: 435-6611 Describe Work: DEMO Proposed Use: DEMO OF A 1200 SO. FT. RAMBLER Legal Description: Job Address: 17432 35TH AVE Contractor' s Name Type Address License# OWN TOTALS Fee Permit Fee $100.00 .� State fee $4.50 SI�ITURE. TOTAL FEE................. $104.50 I HEREBY CE AT I E READ AND EXAMI THIS APPLICA ION AND PAYMMTS..................$0.0 KNOW TH AME TO BE TRUE AND COR- RECT ALL PROVISIONS OF WS AND TOTAL DUE............. . . .. $104.50 ORDINANCES DOVE KING 1S TYPE OF WORK WILL BE _ PLI WITH WHETHER DATE4e RECEIPT # I C !=--SPEC NOT. ILO OFF CIAL. | ! CITY K�� -~� O ����= ) �0�� �����`������O D ^^^ ^~~~^�~ ~~^^ u=�= u ` _ � uuu' uuu��uu��umJuU Uauu= | DIEe-l"RTS8ENT OF COMMUNITY Dti-i:10P8AENT 238 N, O!ympic' Arlington, WA 98233 NO DATE �j � ilding OEngineering0 �� i .4.13u2.6) 435-0724 FAX (206) 435-3906 RF � > WE ARE SENDING YOU O Attached O Under separate cover via the following bmns O Shop drawings O Prints O Plans El Samples O Specifications O Copy of letter O Change order O COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: O For approval O Approved as submitted O Resubmit------oopimo for approval O For your use O Approved as noted O Submit-----_nopieo for distribution > O As requested O Returned for corrections O Rntum____cornucted prints O For review and comment O i O FOR BIDS DUE l9O PRINTS RETURNED AFTER LOAN TO US REMAIR n ' copy ro 40%Pro-Consumer Content-10%Post-Consumer Content SIGNED: PRODUCT 240 J�Inc,GmtDn,Mm 01471 If enclosures are not as noted, kindly notify us at 01�.. CT DEC—i1-2000 07:34 CITY OF MSUL PUS 360 651 5299 P.01i0i t;i'i'Y W w K 1. Nti*"UN IUL� U L Lr=1.111 .WU- U LIUwu%Ja0uvuU U U LA-1 L-62 DEPARTMENT OF COMMUNITY ELOPMENT 238 N. Olympic, Arlington, WA 9=3 Bullding 0 Engineering © Punning 7rha 206) 43"724 FAX (206) 433,3906 TO RECE DEC 8 - 21 wE ARE SENDING YOU Z Attacnw+ R'Uhdr 3gWj1 qA the following items: "i EI Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ SpeGifieationa ❑ Copy of letter ❑ Change order ❑ COPIES GATE N0. i DESCRIPTION Past-ita i=ax Note 7671 Day -or _ To Fees NY Frn�F tG�c v I C a.Bg�t Co. I Phcnc z ? one# I �r ax � I THESE ARE TRANSMITTED as chocked below: C7 For approval ❑ Approved as submitted ❑ Resubmit copies for approval © For your use ❑ Approved as noted ❑ Submit -copies for distribution ❑ As requested ❑ Returned 1br corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US "W' ^,Elv1A KS.�—"_7�' TO COPY SIGNED: .qgb txm«u•101�P�wlSawmwr C�nr�N �. TOTPL P.01 OFFICE .Copy r 6 I g J 1, •PG I,Oki 'A- RECEIVED DEC 6 - 2000 CITY OF ARUNGTON l l G I.-J P' CITY OF ARLINGTON 1 ; Building Department CITY OF ARLINGTON Residential plan Review Owner: Jim Klein Address: 6101-152 Street N.E. Marysville,WA. 98271 Contractor: Owner Site address: 17432-35 Avenue N.E. Arlington, WA. 98223 Date: 12-06-2000 Reviewed By: Kerry Wentz Permit# 00-4375 Comments: All construction material must be removed from job site. (Including the foundation.) The water and sewer connections must be terminated in an approved manner. (The City of Marysville must verify all utility termination.) Asbestos abatement verification must be provided prior to final of"Demo "permit. All work is subject to field inspection and approval. No work shall be covered before an inspection has been made and permits have been signed showing approval. All inspection requests must be called in on the inspection request line. (360-435-0674) You shall comply with all notes on the approved plans. If you have any questions,please feel free to contact me at 360-403-3433. Thank You Kerry Wentz Applicantll�_ Date -2 238 N. Olympic Ave. • Arlington, WA 98223 • (360) 435-0724 FAX (360) 435-3906 DEC-0E-2000 11:20 NUL LABORATORIES INC 206S341936 p.02i02 NVL Laboratories, Inc. Tel; 206.547.0100 Fax: 206.634.1936 4708 Aurora Ave.1\.,Seattle,WA 98103 Bulk Asbestos Fiber Analysis #102063 Client: James Klein NVL Batch Number: 1013986 Address: 8515 State Ave.#1-Office Marysville,WA 98270 Number of Samples:2 Attn: James Klein Project: 17432 35th Ave.N.E.-House,Arlington,WA 98223 Lab ID 20121383 Client's Sample# Flooring Sample Location Sample Description LAYER 1: Beige/white vinyl LAYER 2:Beige paper backing. Layer Lab ID Non-Fibrous Materials: Other Fibrous Materials: % Asbestos Type: % 1 20121383 Vinyl/binder None Detected ND None Detected ND 2 20121383 Binder & Filler Cellulose 35% None Detected ND Glass Fiber 25% Lab ID 20121384 Client's Sample# Roofing Sample Location Sample Description Black asphaltic sheet with mineral grains Layer Lab ID Non-Fibrous Materials: Other Fibrous Materials: % Asbestos Type: % 1 20121384 Asphalt/binder Cellulose 10% None Detected ND Mineral Grains Glass Fiber 45% RECEIVE[) DEC 8 - 2000 CITY OF ARLINGTON Sampled by: CIient Analyzed by: Munaf Khan Date: 12/08/2000 Reviewed by: Munaf Khan Date: 12/08/0200 Munaf Khan,Laboratoy r Note:If sample are not homogeneous,them subsamples of the ccmpinents were analyzed separably.all bulk samples are analyzed using EPA 600/R-93/116 Metbod with the following measurement uncertainties for the reprted%Asbestos(1%=>0.3%,5%->i-9%,1C%=315%,20%-_10-30%, 50%-40.60%).Tris reported related only to the item rested. V sample was not collected by NVL personnel,their the accuracy of the results is limited by the methodology and acuiE-of the sample collector, This report shall not be reported except i-t full without written approval of NVL Laboratories, Inc I::hail nct be used to cmim product endorsement by NVL or any other agency of the US Government. 1 TOTAL P.02 NVL Laboratories, Inc. CHAIN of CUSTODY Tracker 4708 Aurora Ave.N_, Seattle, WA 98103 SA1 PLE LOCI Al Tel:206547.0100,Emerg.Pgr.206344.1878 1.888.NVLLABS(685.5227) NVL Batch Numbery 1 G Client �A m�s E; (, Client Job Number Address ) Total Samples 9ga7 Type of Analysis(check one) Project Manager t�i�FS (� �-, ASBESTOS LEAD (Pb) Project Location ❑ PCM(air) ❑Paint Chips PLM(bulk) ❑soil ❑Dustlwipe Phone Number C ❑ J 3�—(p I J 0ME, ❑Air �bO ❑TCLP Fax Number (O ❑Waste Water Pager Number Turn Around Time (check one) Condition of Package: K1-Hr ❑ 2-Hrs ❑4-Hrs (mod 0 Damaged(nospillage) 0 Severe dams a(spillage) ❑24-Hrs ❑48-Hrs ❑ 3 to 5 days Cab use only Cab use only —- # Clients Sample# k/R1 _# 10b ID Clients Sample# /R 1 Flo lr rt n A 1 11 2 A 12 Ell 100,0� 3 13 e- I-t-Nr,Sc_z�- 13 1 1 4 14 5 15 6 16 7 17 RECEIVE® 8 18 nr.e 2n 9 19 10 20 U1 1 T ur RMLINU 1 UN r-7-\ Si Below Com n Date Time Sampled B ,� Relin wished B �9` Received By. �� L- . p /D.OD a Anal By: Results called in by: Results Faxed by: SPECIAL INSTRUCTIONS: S-e *Unless requested in writing,all samples will be disposed two(2)weeks after analysis. (eablk � se � --5� VICZ4 ) jo yce. 61 6,11,11- December 8, 2000 City of Arlington RE: Asbestos Test Results for home removal Attached are the test asbestos results for the stick built home removed from my mobile home park, Smokey Point Mobile Home Park, in Arlington, Wa. This was the owner's home in front of the park and the only stick built home in the park. The legal address for that home is: 17432 - 35th Ave, Manager's House. Arlington, WA The tests were performed by NVL Laboratories, 4708 Aurora Ave.,N, Seattle, WA and the written results are attached showing the absence of any asbestos. Should you have any further questions in this matter,please feel free to contact me at 51';;s-66 i/ Thanking you, W- �.� r,,�/&I, J s C. Klein, 6Ger Subscribed before me this day of December, 2000. I, ;�, A�� 7- . 1_A t ,Notary Public for the State of Washington do hereby attest tliat the above named signer is personally known to me and I hereto put my seal. 3"o j tF F• �A l t ted name Residing in the County of tRt-S ,Washington My commission expires : 10--.3--moo o WITNESS TO THE REMOVAL OF TEST SAMPLES: 6t} - 37 RECEIVED DEC 8 - 2000 CITY OF ARLINGTON VERIFICATION OF INSPECTION MADE I, L,y , do hereby state that I work for the City of Marysville and do hereby verify that I have inspected the water and sewer connections from the demolished stick built house as was located in the front of Smokey Point Mobile Home Park, 17432 - 35th Ave., Arlington, WA. and can verify that those connections have been capped off so as not to allow any rodents, debris, etc.,to get into the lines. �i Date Signed 360- 1051 ss-L(9C7 C�- y375 RECEIVED DEC 8 - 2000 CITY OF ARLINGTON OFF417--- COPS" �. CITY OF ARLINGTON Residential plan Review Owner: Jim Klein Address: 6101-152 Street N.E. Marysville, WA. 98271 Contractor: Owner Site address: 17432-35 Avenue N.E. Arlington, WA. 98223 Date: 12-06-2000 Reviewed By: Kerry Wentz Permit# 00-4375 Comments: All construction material must be removed from job site. (Including the foundation.) The water and sewer connections must be terminated in an approved manner. (The City of Marysville must verify all utility termination.) Asbestos abatement verification must be provided prior to final of"Demo "permit. All work is subject to field inspection and approval. No work shall be covered before an inspection has been made and permits have been signed showing approval. All inspection requests must be called in on the inspection request line. (360-435-0674) You shall comply with all notes on the approved plans. If you have any questions,please feel free to contact me at 360-403-3433. Thank You Kerry Wentz Applicant Date CITY OF ARLINGTON CONSTRUCTION PERMIT ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. H �� OWNER MAIL ADDRESS CITY ZIP PHONE YYY ARCHITECT OR DESIGNER MAIL ADDRESS Crly ZIP PHONE GENERAL CONTRACTOR %,`I z A' MAIL ADDRESS �� ��n CITY�R f oIP �P�ONE LIC NSE N c E J7/ i /✓ O � "� W z tm6 H I Uri ut MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N PLUMBING CONT RACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N 3 CLASS OF WORK `�❑N1 W ❑AUDITION ❑ALTERATION ❑ REPAIR ElUEMOI_I I ION ❑BUILDING RELOCATION Q ' QVALUAIIONOF WORK WI v� W DESCRIBE RK Ca PRUPUSL U USL Of BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- uui TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LLGAL ULSI RIPI IUN 01 PRUPLRTY(SHOWN BELOW OR A T IALH f OUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK .J LOI HLUCK OF < < 2 o T W D ,7 -�= WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE Q GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO Lu VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF CL �! CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 2 L Q o — �� — t/ -7 — 00 Q C SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE V108 AUURLSS r -7 Y 3 z -7 D Al, x z/ (OFFICE USE ONLY) PLUMBING ECl )CAL NO. TYPE OF FIXTURL' FEE :s FIXTURES NO. TYPE OF EQUIPMENT PER s's FIXTURES ATER CLOSLrI TOILL'C 1R COND.UNITS—H.P. EA. ui •Ila•" Alll'1TJB tEPRIGERATION UNITS—II.P.EA. ti .list"" VATORY ASI I BASIN 3OLLERS—II.P.EA. ul .lit"" 110WER a AS PIRED A.C.UNITS—TONNAGEEA. u .list.. !'1C11EN SINK&DISPOSAL ORCED AIR SYSTEMS—B.T.U. MEA 1S11WASIIER ALL HEATERS—B.T.U. M AUNDRY TRAY NIT HEATERS—B_T_U. M LO'fHES WASHER 3VAPORATIVECOOLFRS A'FIiR FIEAI'ER LOTIIFS DRYERS RINAL ENTILATION PAN )RINKINGFOUNTAIN LANGEIIOOD COMMERCIAL FLOOR DRAIN IR HANDLING UNIT— CPM VACUUM BREAKERS "1'OVE LOOP DRAINS—RAINLHSDERS ETAL FIREPLACE&CIIIMNEY 'INK ERVICE—BAR.01C. ATER IIEATEL AS PIPING *(up to 5=$3.00,addnl.=S.75 �IpAulpmera list must be rovidcd SUBTOTAL SUB TOTAL PERMITPERMIT TOTAL FEE TOTAL FEE SIUL YARD SL I BACK S T RLL I SL I BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. US1 /UNI LOT AKF A VACANT SI TE FEES VALUATION FEE ❑YES ❑No I YPL Of CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG BUTDING s SILL OI BLUG NO OI S7UKILS MAX.UCC.LOAD PLUMBING I IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE J� ) - ODENERGY CODE SURCHARGE`-^'' U B,C. PENALTY dCp�J SEC.303(s) Y WATER/SEWER FEES RECEIVED TOTAL, DEC 6 2Q0o PERMIT VALIDATION WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT 6 RECEIPT PAID CRIF BY CITY OF ARLINGTON BUILDING OFFICIAL DATE Cc:ASSESSOR,APPLICANT, TREASURER, BLDG DEPT RECORDS COPY CITY OF ARLINGTON CONSTRUCTION PERMIT — ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. Y2"' �f7/1['6• Tf I MAIL ADDRL55 �� (.IIY III, ru(x+E �r m i�JC �. h - �/0 l /.3 k/cE ARCIIITLCT OR DESIGNER MAIL ADDRESS CI ZIP PFIONE GLNERAL CON I RAC I OR MAIL ADDRESS CITY [IP PIIUNE LICENSE MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PIIUNE LICENSE/ PLt)MBINGCON1RACIOR MAIL ADDRESS CITY ZIP PIIUNE LICENSE j CLASS OF WORK x❑Nl W ❑AUDITION ❑ALTERATION ❑REPAIR ®DEMOLI I ION ❑BUILDING RELOCATION Q VALl1A1IUN OF WORK t '2 z 1 Lu DLSLRInl WORKLU ' ! 1— /��,� ✓'� -ram .u-�� �•..� ��© QS�5 S.V;F�) 7C:�� rlturu5l U USE OF BUILDING R Ul I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- En u le( TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- Z LL I(.AL 1)1 S( RIP I ION U1 rROPI R I Y(StIOWN RLLOW UP,A I ACII F OUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK J LUI BLOCK or •� 2 0 71✓ 3 RG E o S RF-2 S A WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE arFG S`E Co; NF�/y S _,V SE�y TP/ _r .9 f- tow?v�Ff ty,r;l GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO rW- 2 D 3I D.S ~ Y- C>6 - ~ U OO 11/1 daE' S� F7' VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF _ P7- CONSTRUCTION.PERMIT E PIRES 1 YEAR FROM DATE OF ISSUANCE. OC SL& /t/C ,$ �� 7YG,3 / SIGNATURE OF CONTRACTOR OR ALIT IZEDAGENT DATE U Ion.\DDRI 55 I �1 i ! 1 7 it 2 5T a.� X �Lr<t� 2 f�d r l / (UI'1'ICIt I15R ONI.Y) PLUMBING IIANICAL NO. I'YrB OP T'IXt'URE PB13 I'm PIX'I'URL'S NO. TYPD OP BQUIrMUNT PUB :'/PIxrURD5 A"DELL CLOSCr LTOiLqr) IR COND.UNITS—II.P. Pit. 110P.11t•" IATIITUB FJ'RIO[RATION UNITS—11.P. >gdQ.11t" ,AVAPORY QV ASI I BASIN) to[LLIRS—II.P.CA. Ng t llt"' IIOtYIR AS PIRBD A.C.VNTCS—TONNAOCRA. SgdQ.11t"' IICI ICN SINK R DISPOSAL 'ORCCD AIR SYSTBMS—D.T.U. MI-TA )ISIIWASI IBR _ ALL I1BA11iRS—B.T.U. \UNL)Rl"PRAY INIT IIIIAT13RS—B.T.U. M LOTII12S WASI IBit 3VAPORATI V P COOLIMS 5'A,r.R IICAFETR LOTI I PS DRYERS 1111NAL _ __ FN FILATION PAN _ )RINKINOI'OUNTAIN ANG131100D COMMERCIAL 'LOOR DRAIN AIR IIANDLINO UNIT— CPM _AC UUM 0Ri.'ARL'R5 VD LOOP DRAINS—RAINLMD1IRS MITTAL,PIRCrIACII&CIIIMNDY 'INK(SCRVICB—BAR.UTIC.) WATER IIDATER AS Pima *(up to S-S3.00.addni. S.75 'F.yulrmenl Ibtmvt b-C E"vided SUD TOTAL SUB TOTAL PI1LMl'P PERMIT TOTAL PRR TOTAL PDI1 SIDI.V,1R0 M IIIAt K 51RtA.I SI,IBALK REAR YARD SETBACK PLAN CIIECK NUMBER PLAN CIIECK FEE TEE ;L4CFIPT NO. U51 /O)Nf lUI AREA VACANT 511E ❑YES ❑NO FEES VALUATION FEE I YPL OI CONS!. OC(:UrANCY GROUP NO.OI DWELLING UNITS PLAN CHECKING NG BU'LDING f SIZL UI BLOC- NO.OI SIORILS MAX.UGC.LOAD PLUMBING F IRE SPRINKLLRS REQUIRED ❑YES ❑NO MEC14ANICAL _ STATE B E COMMENTS RECEIVED LDG.COD ENERGY CODE SURCHARGE I 11.0.C. PENALTY SI-C.303(+) DEC 4 2000 WATERISEWER FEES CITY OF ARLINGTON TOTAL PERMIT VALIDATION J WFIEN PROPERLY VALIDATED IIN 714IS SrACEI TFIIS IS YOUR PERMIT&RECEIPT PAID CRII __BY BUR DIF1G OFF ICIAI _ --^ DAl F r_r ASSESSOR.APPLICANT. TREASURER.ALOG DF_PT RECORDS COPY NOKF POlN C v PAR kINCr C. -LIAIC 1 CLEAIV ' OUT �1 22 23 a � 5 �6 WATER r3ATN 5N UT OFF - _-- � _ DEpA ffrMENT LAUNDRY LINPR P ®VED CLFA N � � .- 5 50 5 Ll 3S 56 7 0 u-r '= . AEG ;IiANGES bBYTME uaLESSAPP PR i d VIVA T E R - S _ w WE L L _ Lu ou 126 3fi' 3y 33 32 31 30 29 ., 27 -10 -r S � .SE-P Q ti �'�c Li C LEA N OUT U