HomeMy WebLinkAbout1007 MAPLE ST_014412_2026 City od ARLINGTON PERMIT A- 'CATION
230 N. OLYMPIC AVE., ARLINGTON, 1 8223
(206) 435-5785
COMMERCIAL, RESIDENTIAL, MECHANICAL, PLUMBING, GRADING
' Tax Account Number ).13 )c6-a-018-0000
Job Site Address 1 O O-1 E-_ lm a D l e. City
Applicant Name CV.2r i �CE i'CA, Phone
Mailing Address 1 po �2 City a, Zip �'6 2.Z 3
Contractor Name License #
Address 11'' City Zip Phone
Architect/Engineer ��� t,� QcLr 'C ; .s u.� License #
Address ���1 y 2� . � � F�31 _ City �71/,2le- Zip 98ZO� Phone --2Sa---
TYPE OF PROJECT25 a., F
Sewage Disposal e Right-of-Way Width Culvert Permit No.
LOCATIONAL INFORMATION: SEC TWP 3i n R G E 5 E 16th
Plat Name/Short Plat No./Segregation No.
Lot/Parcel # Block # Lot Size
Is the average slope of the property in excess of 25%? Yes No Has construction started? Yes No
This structure will be used for the following purpose
Other buildings on this property
OWNER/AGENT SIGNATURE 11 ��.. may. DATE 9 I S-6C
NOTICE: Front Yard Setbacks. Curbs, Sidewalk Edge, Edge of Street pavement is not necessarily your front property line. In the case
where your setback will be measured from the front property line, be certain that you are measuring from the actual front property line and
that your plot plan depicts this. In the event your setback will be measured from a private access easement,the edge of the improved road
is not necessarily your front property line. Be certain that you are measuring from the edge of the actual easement and that your plot plan
depicts this.
ACKNOWLEDGED
------------------------OFFICE USE ONLY BELOW THIS LINE------------------------
PERMIT CONDITIONS . . .
ZONING: Max Lot Cover % Max Bldg. Height ft
SETBACKS:
Front
Side
Rear
Basic Plan # Other Covenants
SPECIAL CONDITIONS . . .
SANITATION PUBLIC WORKS
ON SITE LETTER DRAIN TRAFF
ENV HEALTH SEWER CN R/R RD IMP
OCD
ACCESS RSBP _ _ _ LS SLIDE CMBP
ESMT RSME STD BLA SLOPE CMME _
ADDRESS PLBG SP SEPA SITE PLAN
CULVERT MBHM 5 ACRE OTHER FIRE
AFF/BOND MOVE LOTS OTHER
GRADING INSP 20 ACRE
OCP
CU FL ZN FML BLA PLAT REZONE
SEPA SH LN SP VAR SU VA
PLUMBING PERMIT F3�
MECHANICAL PERMIT (NOT JR MOBILE HOMES) -FIXTURES No. UNIT TYPE: I awl
Electric Oil Gas LPG Solar
Water Closets
Bath Tubs UNIT SIZE: BTU's KW
Shower Baths
Wash Basins _ No. FEE
Sinks FOR THE fNST. OR RELOC. OF
Dish Washing Machine Forced A;r Systems
Hot Water Tanks ,bp Fuel _Storage Tanks
Drains Hpa't Pumps
Laundry Washers Wood Stove
Laundry Trays Fireplace Insert
Urinals -0- Clearance Fireplace
Drinking Fountains
Rain Leaders
Sumps
Vacuum Breakers
Gas Piping Permit Fee
Sidi--Sev,rrs-
13,rr-Se rv+se Line Total Due $
Misc
Total Fixtures �� ' C) GRADING/FILL INFORMATION
Permit Fee 3 'L� No. of cubic yar s:
Total Due $ 5 To be remo ed from site
Related Bldg. Permit # To be imported to site
IF MORE THAN ONE BUILDING, SUBMIT SEPARATE APPLICATION FOR EACH STRUCTURE. A SEPARATE BUILDING
PERMIT MUST BE ISSUED FOR EACH BUILDING. F61
BUILDING DIMENSIONS:
MAIN FLOOR MAIN FLOOR SQ. FT.
SECOND FLOOR SECOND FLOOR SQ. FT._
THIRD FLOOR THIRD FLOOR SQ. FT.
FOURTH FLOOR i FOURTH FLOOR SQ. FT.
MEZZANINE _ MEZZANINE SQ. FT.
BASEMENT BASEMENT SQ. FT.
GARAGE GARAGE SQ. FT.
CARPORT CARPORT SO. FT.
DECK DECK SQ. FT.
NUMBER OF FIREPLACES TOTAL SQ. FT.
FOR OFFICE USE ONLY
ROUTING SCHEDULE:
q
Bldg: sent rcv'd Valuation 1 G� C-) o
Site Plan: sent rcv'd Plan Check l rcp #
San: sent rcv'd Permit Fee
Env. Hlth: sent rcv'd Penalty Fee
Eng: sent rcv'd Plumbing Fee S , Q O
FM: sent rcv'd e
TOTAL DUE:
INSPECTION REPORT
f
4S,I N G To
Permit No.:,:71n Lot#:
Address: /620 7 , lti���/� 5
Contractor: INtI-VID!/U
9s1 N OHO Owner:
Date:
Pd-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: Dater
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
¢L1N G?'0 Permit No.: D 1 _441 Lot #:
Address: I ob-1 VI�I.G�a 1
Contractor: Vtt
Owner: t
INO,SO _ -�=�t-n C.� ,S er
Date: - -b
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION X/ 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.
Q1 ) NjPj2d 0,( A
Inspector: 4�41
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 Xinal
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT S'4 b�
1 / �
iio
Permit No.:Ol _qq` � Lot#: tU
Address: I C)0_7 MGi ple` SL
Contractor:Owner: �enCh
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.
�0
- 5s
Inspector: Date:
TYPE OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
-;5-Footing 'Z-�444% ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
¢y1N G?'O Permit No.: ®l- 4/q/;Z. Lot #:
4' Address: 1007 j
Z Contractor:
Owner: fir
SING Date: C�Z
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION XCORRECTION 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:
d 3 City of Arlington
Permit No.
NOTICE l=d hup.etion Report
Date Called a Address
Time Called / �' S�/�► ' Contractor/Ow
ne
c E
By 1,f S Requested by
TYPE OF • REQUESTED
❑ Setback ❑ Reroof ❑ Insulation
❑ Plumb GW ❑ Roof Diaphragm ❑ Gas Piping
❑ Footing ❑ Framing ❑ Woodstove
❑ Foundation ❑ Drywall Nailing Q--Final , -F
❑ Concrete Slab ❑ Rough-In Plumbing ❑ Reinspection
❑ Shear Wall ❑ Furnace ❑ Other
PPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
_Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required.
r
Inspector
Date
•,�Permit No. City of Arl i ngton
'
NOTICE and Inspection Report
Date Called Address f17 Kea� A f_i-
Time Called Contractor/Owner / AL
By��1 Requested by
TYPE OF • 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 ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION-24 hour notice required.
Inspector Date //
City o6 MAIL It L I N G,r 41 N
NOTICE and Inspection Report
Address
Contractor
Owner
i
Requested by
TYPE OF INSPECTION REQUESTED
❑ BLDG: Pmt. No. ❑ MECH: Pmt. No.
❑ PLBG: Pmt. No.
❑ Footing ❑ Framing
Foundation ❑ Drywall Nailing ❑ Final
❑ Concrete Slab ❑ Rough-In
❑ Fireplace and Chimney ❑ Furnace El Other
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy.
❑ Work listed below has been Inspected and approved.
I ❑ Please contact inspector and arrange for appointment.
❑ Was not able to perform inspection.
❑ CALL 435-5785 FOR REINSPECTION —24 hour notice required.
Inspector Date
I was present during this inspection.
O I-rY OF A RL I h1GTON
OOh1ST RLJGT I Ohl FEE RM I T
HERMIT NO_ 01-4412
Owner: FRENCH, CHERI
Value of Work: $12,000.00 Tax ID: 1231-052-018-0000 phone:
Describe Work: 576 SQUARE FOOT GARAGE
Proposed Use: GARAGE
! Legal Description:
Job Address: 1007 E MAPLE ST
Contractor's !Name Type Address License#
OWN
J TOTALS
Fee
Permit Fee $209.25
Plan Fee $136.01
State fee $4.50 y?SIGNATURE:TOTAL FEE. . . . . . . . . . . . . . . . . $349.76 I HEREBY CERTIFY 'AT I HArRX
AND EXAMINED THIS APPLICATION AND
PAYMENTS.................. $108.71 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISION5 OF AWS AND
TOTAL DUE.... ........... .. $241.05 ORDINANCES GOVERNING IS TYPE OF
WORK WILL BE C PLIFO WITty WHETHER
SPEC- HE
DATE RECEIPT #
_ BeLDI OF IC AL
FROM CITY_OF-IR-INGTON FPv NO. : 360 435 3906 San. 22 2001 10:210M P2
17
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION 13UILDING ❑ MECMANICAL ❑ PLUMBING ❑ SIGN PERMIT NO. (— L1 y 2
I OMNER PP I;c1a.F NAIL A001tLSS CIIV EI► RIONC
Z//i94fJej t.11; 9 q z
AROUIkCT OR DLUGHER MAIL ADDRESS Cr1Y Zap' ONE
GENERALCUN RAC UR
MAIL AOItRl55 (Y 11P Roo LK HS
M HANKµ CONTRACTOR gA1L AVEIRESS CITY Elf PIR7IIE LICENSE/
PLUM0.IN(.t:ONtRAC70R "L ADORE$$ CITY ZIP PHONE LICENSE
CLASSOF MARK
=®N(W AUDITION ❑ALTERATION ❑REPAIR ❑UEMOLIICON ❑BUIL.01w;RELOCATION
QVAI I'A 1Id R -
Z S �
W Ut SCR K, 1
M—U It o Int of SUILOIM5
ta A T4 E E, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA
2 LLUALUtSCRV(tL9#tM rRUPtRTY 6HOWNSELOWURATIA1011OORCORFS) TION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVI
$IONS OF LAM AND ORDINANCES GOVERNING THIS TYPE OF WORI
-, u,1 aLExk___.: O► WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.TH
Kt " I D b GRANTING OFA PERMIT DOES NOT PRESUME TOGIVEAUTHORITYT(
I O S� O
r� VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OI
j TA..O NUMBER FgOM PROPERTY TAX STATEILT�NT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCEO
2 l o � 7 , /YJ,t� e 5 CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE,
lOF f08 nU4L /i N SIDNATURE OfCOM OR OR DACEM GATE 1
(OF,ICB USE ONLY)
PLUMBING ACItANICAL
NO. T.TFFTlCIP PIRSDKA pug LS ptrwRm Mo. '1'Yi'6 Op LRRFIPLIRE'T Pug e.mvir Aces
ATW CCOVT n1CRjXn SIR COMO.UNrIS-ELF. M a*"
TIrm UNqUoisiAlluipt UNITS_FLP.IIA. Rt•"
LAVATORY ASIT BASIN OVILERS-Iv EA- .PM"
I01111 ASPIRED A.C.UNITS-TONNAGEBA. Ile"
FINN INN[A 1IMPOSAL rORCffD AIR SYSTDIS-BT.O. UIIA
1311WA91RR WALL HILATBRS-O.T.U. Y
AUNORYTRAY limir IIEATM ismix M
MAYMOWASHIIIIII. _ APQRATIVRCO0LWS '
ATBR ABATER _ 1E DRTTIRS
RURAL P- LSTTOH PAN
>RtHAiNO ratlfrrnRl On noon COTndF1Rr1A"-
IZXW ORAIN IRIIANOWNOUNFT- CPU _
ACEFUAR RRNAZIMS
OOP ORATNp-RAFNLNAUPJIS AL PIRBPIACR♦CI IIMNBY
NK MMVIM-VAR,fFI1C- _ AliOc ImArm
PIPUEO W S�1<SRR.MdnL�f.A
gum w-0 In-me h wldad
RECEIVED
$Up T'UtAL SUD'ETTtAL
rrRNtr JAN 2 2 2001
TvrA1 PL'A
SIUL Y.LRII SI IpAtR SFRkLI LACK REAR YARD SE I BACK ►LANGIEGLNUYBER ►LAN CHECK FEE
�d)G � _LI4�/� KECEIrT NO.
UV I LOT AK A VACAN s, E l 1055 CITY OF ARLINGTG�
QyES o-,- FEES VAL T F
C 1 '—
I YPL 1U►ANCY GROIN MO.Of OWELLDIG UNItS PLAN CHECKINGVG
SIAt of ELM. NO.OF STLRIILS MAX.000.LOAD BLPLDING
PLUMBING
I IRE SPRINKLLRSREOUIRED
❑YES "D MECHANIM
COMMENTS STATE BLDG.CC*E
ENERGY CODE SURCHARGE
vEMALn sl_c 30)uF
.RECEIVED
WATOMFMIi FEES
TOTAL
JAN 2 2 2001 �S-
PERMIT YAu W nON
yVHW►WVMVvALWATE0 Rl TMf$PACO n%M VQIIFT RAIR L REEEIFF
CITY OF ARLINGTON PAID CRP BY
cc:ASSESSOR APPLICANT.TREASURER RI DG 1)EPT RA-Dw,LY110AL DATE
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.00883
OWNER MAIL ADDRESS CITY ZIP PHONE
Cheri French, 1007 E. Maple, Arington WA 98223, 435-4637
ARCHITECT OR DESIGNER %I-kIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M
Western State Fence, 11415 Airport Road, Everett, WA 98204, 348-4563
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE#
G✓ _5 7�Es F S P K
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE E R
CLASS OF WORK
❑NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUATION OF WORK
$110o_ 00
DESCRIBE WORK
One area, 9V X 6 , cedar, estate style
PROPOSED USE OF BUILDING
Fence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL DESCRIPTION Of PROPERTY(SHOWN BELOW OR ATTACH POUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOT—BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE
GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
108 AUURl,SS
SIGNATURE OF CONTRACTOR OR AVTH RIZEO AGENT DATE
Same XL? z,
(OFFICE USE ONLY)
MECHANICAL
PLUMBING
NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE
WATER CLOSET (TOILEI) AIR COND. UNITS — H P EA
BAIHIUB REFRIGERATION UNITS —H P EA.
LAVATORY (WASH BASIN) BOILERS—H.P. EA
SHOWER GAS FIRED A C.UNITS—TONNAGE EA
KI ICHLN SINK& DISP. FORCED AIR SYSTEMS— B.T.U. MEA
DISHWASHER WALL HEATERS— B.T.U. M
LAUNDRY TRAY UNIT HEATERS— B.T.U. M
CLOTHES WASHER EVAPORAI IVE COOLERS
WATER HEATLR CLOTHES DRYERS
URINAL VENTILATICN FAN
DRINKING FOUN f AIN RANGE HOOD COMMERCIAL
FLUOR DRAIN AIR HANDLING UNIT— CPM
VACUUM BREAKERS STOVE
ROOF DRAINS - RAINLEADERS METAL FIREPLACE&CHIMNEY
SINK (SERVICE - BAR,ETC.) WATER HEATER
GAS PIPING
SUB TOTAL ; SUBTOTAL ;
PERMIT ; PERMIT S
TOTAL FEE ; TOTAL FEE ;
SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE ZONE LOT AREA VACANT SITE
❑YES ❑NO FEES VALUATION FEE
TYPE OF CONST OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG
SIZE OF BLDG. NO,OF STORIES MAX.OCC.LOAD BUILDING $ 27 00
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE 4
PENALTY U.B.C.
SEC.303(a)
Fence only WATER/SEWERFEES
TOTAL 31 50
PERMIT VALIDATION
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT&RECEIPT
PAID CRt%)
c
cc:ASSESSOR,APPLICANT,TREASURER, BLDG. DEPT. BUILDINGOfFlCIAL DATE
RECORDS COPY .�r
JUN 05 '92 09:31AM 5NO.CO. PLAN CENTER AAAAAAAAAAA P.2
CITY OF ARLINGTON V -S
CONSTRUCTION
PERMIT
❑ C�NAINATIpN ❑ A(NLbINr3 MCCKIANICAI. ❑ h1,(IMTF11lr3 WON
PERMIT NO.
pwNt•R MAII AIIITIILSS r I 11 top 1`I101,11,
Cheri Vrench 1007 E. Maple Arlington, WA "223 435-4637 258-1303
ARCIIIILL 1 UR m ilt;N1 k MAII 11lmillf S l I I T lit PIIIINI
AIL A111)RESS (I1Vlip PIN)NF. KlNSE I
Westert State Fence,` 11415 Airport Rd, Everett, WA 98204 348-4563
ME(ItANICAI CONtRALIOR MAIL Al)nRLSS t ITT I.IP PIN)NE LKENSE 11
PIIIMRINb(UNIRALIOR MAILAIIUIIESS (ITV lit, PIIIINF LICERM /
CI ASS()I WORK
L]NIIN []ADt)IIION ❑ALTERATION (3REPAIR C)III NJ01.111()N 0111)IL111NGKLOCATItIN
VAlUA11nNOt WURk
I 1 100.00
LN%tIIBF WORK
One area - 96' long by 61 high cedar Estate Style
PRIWOq U(ISE OF AVILOIHI• I I IFRFPIY CFRTIFY THAT I f IAVE READ AND FXAMINED T141S APPLIC.A-
TI(TN ANT) KNOW TO* SAMF. TO RE TRUE ANr)(-ORRECT ALL PROVI-
I,!( .\I IlI�IRIhIItINI,1 FxI1IfR1ti tSthIWN11 !t)wnitAtTA(KrILRrRtnPll+1 SKINS or LAWS ANDORDINANCESG(WE.RNINGTI115 TYPE OrWORK
%V111. RF C1:)a11I`LIFD WITII WIIETIIER 5PECIrlro 11FRIN OR NOT, T1IE
('.R,AN 1 IN(i OF A PERMIT DOES NOT PR€511-IME 10(-,IVE AUTI IORITY T()
VIOIAIF OR CANCEL TI4E PROVISIONS Or ANY OTHER STATE OR
,i;xIDNUMAPA - - - -- IOCAI.IAWRF.GULATNCCON51RUCT ION OFIHEPERFORMANCEVF
C-
C)NSIRUCTION.PERMIT FXPIRES I YEAR FROM DATF OF ISSUANCE.
Wtn14kTt rr rw ra diur.r¢QAU111ORI11D (.( f OATF
lriR•11111R1 c�
Same
(OFFICE USE ONLY1 J M1t11ANICAL
PLUMB INC, -
N().. TYPEOF FIXTURE y lit- No im or EQUIPMENT ru
xA1LR_Cl(151•I II0II.111 ----- tIR((IND,UNIIS - 10P. 1.A.
H1%IIItUH -_ _- _--- - RI(RI , RAIMOUN1IS ItP.LA.
t AVAIORA' f%%A511 BASIN) --- --- -- --- Bf111.1 RS NI.P.EA _...�
�11
I R —__ -_- - T (,A5 F IRLD A. UNIFS � I()NNAtiE EA
N 51NK R UlSP . . . MEAWA R - - -- — -- -- WALL 111.AItK%- _ .0 M
L.AUNORY t r �— —�~ I)NII lit AIERS- e.l. M
(,1O111l�)AASI R --�- -- y LVAP(1RAl14ECt1oLkRS __._ _-- -
-
NAII,RFItAIIR
URINAL ---- Y - VINIMAIILMFAN
-- I)RINKIN(,IOUNIAIN - _ RANUI.IiouDCWMERCIAL - - —
I LOOK DRAIN - — - - - AIR IIANULINotjVNIT - CPM
- VA(A)UAt ARLAKI RS _ __ -- -- SI(1VE
-- ROO1 DRAINS itA1N1.1,A1)I R5 -- - - — ML I Al.rIRERACE A CHIMNEY
5tNk rsl.RVItI. <Tnu,1.I( 1 _ _WATER HEATII<R
GAS PIPING
SUIT TOTAL SuR IWAL f _
PERMIT PERMIt f
IotAL ru -- toTAL M f
StU1 \RutiL)ITA(.K STRIKIM IRA(A REARVARITSIIRA(K I'LAN(III LkNUMWF.R 1'LANOIL(-11(tEE '
TEE RECEIPT Nr)
('%I /oN1 1(11 ARIA 7940 S11t
FEES VALUATION
YES ❑Nn iEE
I P1.01 (ONS I t)(mPApo y it iur or 0*I 1.1•ING IINI I t PLAN CI tECkING vo
51/I Ot 11117(7 NO IN .0"Rll% MAR OCt, 1(1m) RUltf)INC. 1 --
PLUMBING
II""it INKI I RS III I01 1R1 II
C)YES U No MF.CIIANtCAL
CQMMI NTS — STATE RLT1G C V
OLTS
ENERGY CObE SURCHAIIIIN
PfNALTY U 4.
SLC. 3a!(3)
WATHUSEWER IEES
TOTAL 1 �-
PERM11 VALIDATION
%g4fN PROPERLV VALIMTM IM THM SPACE) THIS IS TOUR rmipt A RECEIPT
PAID CRf By
ec P(molNr.(I•noll DATE
ASSPSSOR.AFPI•ICANT• TqI=A$L)t7EA,P1.00.OtPT
w�wwmww /04ftdV
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UG) , �m
m �z
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rU)
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m
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91 ft from
r --- edge of sidewalk)
-
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22.5 ft
r
F 37
EXISTING 15 I
DRIVEWAY j
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cn DRIVEWAY Ir
I m _moo ____ _--- mpc
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