HomeMy WebLinkAbout19408 VALLEY VIEW DR_014466_2026 INSPECTION REPORT
ti1N GTO Permit No.o- 1e Lo #:
4'-
Q Address: ' a L
Contractor: M1&V1e�
� Z
O Owner:
9s�INCs� Date: '7 �J
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: Date: L
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 kAL1 Insulation
❑ Other:
INSPECTION REPORT
tiZN G T Permit No � Lot#,-&i�g_(c
Q O'2 Address:
Contractor: _ t�
O
Q Owner:
IN 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 Fq R RE-INSPECTION -24 hour notice required.
G
Inspector: Date:I(
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 inal
❑ Masonry ❑ Drainage ❑ Insulation
0 Other:
INSPECTION REPORT
�y
� Permit NoLAt1;4IN
Address:Contractor:OOwner:
Date:
❑ APPROVAL ❑fARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
❑ Corrections listed below MUST BE M ved.
❑ Please contact inspector
❑ Was not able to perft I
❑ CALL 435-0674 FOR —
05
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vl
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tAA
ok
his ,
Inspector: Date:
YPE &F IN PECTION 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 r0 Permit No.c 44 6 CQ Lot#:
4' Address
Contractor:
Owner:
INC' Date:
PPROVAL ❑ PARTIAL APPROVAL
❑ 0LATION ❑ 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.
Iv
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 Tp Permit NO.: �of#:
F" Address: Ild
Contractor: a w
O Owner:
�` 4I N GrN Date:
XAPPROVAL ❑ 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
vv`tigN G Tb;-
4O Permit No.: 7��� Lot #
4 7
Q' Address: �"/ e /
s •
O Contractor: GCf�I
Owner:
Iq j N G Date: oZJ�
❑ APPROVAL k
PARTIAL APPROVAL
ElVIOLATION CORRECTION REQUESTED
❑ Corrections listed below MUST BE &DE 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: Z40 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
1N G T �..
v Permit No.: qqlj`�' Lot#:
4 O
Q" Address: (lr'7 0 0 �_ V 7 '
� z
Contractor: 6f rah t/l t:LJ
O 9S� Owner:jN�� Date: i!s- L2 b 1
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 �_x Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
Foundation ❑ Shear Nailing ❑ Groundwork
yMechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
( \�A INSPECTION REPORT
14INr Permit No.:V`—qq& Lot# ��OAddress:Contractor: �� if
0 Owner: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: Date:
T PE 7i,�_r."'aming
SPCTION REQUESTED
❑ Under-floor . EllGas Piping
❑ Footing ❑ ywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
�anical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
ti1N G?'o Permit No.: �"��`'� _Lot
Q' 2 Address: 9 V
Contractor: le
Owner:
IN Date: CQ 0
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION If 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:
YPE OF IN PECTION REQUESTED
❑ Under-floor raining ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
�4Mechanical ❑ Grid ❑ Struct. Slab
Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
n INSPECTION REPORT
Q �.ZN G?' Permit No..61 ^ bLo Lot#:
¢ O
Q" Address: bV6LUC�
Contractor: �4_
-�S ,SO Owner:
�I IN Date: d)
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
Cl 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 XGas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
AMechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove X Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
¢y1N GrO Permit No.: 04410b L t .
Q" Address: ei Ltok O�1
Z Contractor:
O Owner:
IN � Date: // U I
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION 4 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.
Rib
Inspector: Date: L-5 T
TYPE OF INSPECTION REQUESTED
❑ Under-floor ing Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
�. Mechanical El Grid ElStruct. Slab
❑ Wood Stove ,X Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
?' Permit NPlLot#:Address: �UContractor:OOwner:14xG� Date: S
❑ 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.
Inspector: Date: J
T 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
❑ Other:
INSPECTION REPORT
W'
G 4- o
Permit No.:b Lot#:
�' Address: � q6 Contractor: VV0Q_L)I-eLA-)9O Owner:
1 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: Date: J
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
/I ��41�1N G?'O Permit No.: � b Lot#•
, aZ Til P4
Address: `- 1
Contractor
'9s �O Owner.
kI N G Date: q — 1 9 — a- 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 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:
\nn INSPECTION REPORT
1;4IN
?' Permit No.(-)I �i
� `'f(0(0 Lot #:
Address: el � (�� !Contractor: � V-uV. C1 U I 'O Owner:
� Date: 44—
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 LYDrainage ❑ Insulation
❑ Other:
INSPECTION REPORT
N G?'O Permit No.: Lot#:
4' Address: L�n- UCA 1 f'l V I
Contractor: Cl V Gt
z h O Owner: � V,
9s,�IN�,',S Date:
❑ APPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION 111::;:;'�ORRECTION 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: r ,A tZ
INSPECTION REPORT
,t,�
¢1• O Permit No.: -1 � L t#: C'
Q Address: `i �� �.C�C
Contractor: U
93, ,S0 Owners
�I N G Date: 3 - l
PROVAL ARTIAL APPROVAL
VIOLATION )CORRECTION REQUESTED
❑ Corrections listed below MUST BEM 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: 4Z I Date:
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
❑ Other:
INSPECTION REPORT
¢ ;VN G rO Permit No.: Q!"q 466 Lot#: 6'Z
Q' Address: _ L 114 D ya 11 eU ( Ilev-)
Contractor:
Owner:
INO Date: 4 -1 d/
11 APPROVAL ❑ 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 hour notice required.
Inspector: Date:
�2�,
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:
V1_ N G INSPECTION REPORT
`1 I T , ! /-
4 -`-ti O Permit No.: �� �' (./� Lot #: l(��
Q' Address: I ILO�_ U" btp
Contractor: d P L-)
Owner:
SIN G Date: �- d
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.
r
V
l
Inspector: ^ Date: ` C`
TY OF INSPECTION REQUESTED
❑ Under-floor ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
oundation ❑ Shear Nailing ❑ Groundwork
Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
INSPECTION REPORT
l
Permit No.:
4ti1�G O L)� �.0 Lot#:
Address: f cl V4 lie i// w
Contractor: mK-d U le w
Owner: U
�I N Date: -cl--I `7-0 1
❑ APPROVAL ❑YARTIAL APPROVAL
❑ VIOLATION CORRECTION REQUESTED
❑ Corrections listed below MUST BE E before work can be approved.
❑ Please contact inspector. (C- -
❑ as not able to perform inspection. 0 � .
CALL 5-0674 FOR RE-INSPECTION - 24 hour notice requir.
i
fl , ,1
^ l, ? �-
Date:
Inspector,
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 V Drainage ❑ Insulation
❑ Other:
�..
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C I-rV OV ARL I NOTON
CONSTRUCTION F}ERMIT
F:),ERMIT NO_
Owner: GRANDVIEW INC PO PDX 159 ARLINGTON 98223
Value of Work: $89,000.00 Tax ID: 00910700006200 Phone: 435-7171
Describe Work: NEW SFR
Proposed Use: SFR
Legal Description: CROWNRIDGE DIV 3 LOT 62
Job Address: 19408 VALLEY VIEW DR
Contractor's Name Type Address License#
GRANDVIEW INC. GEN P 0 BOX 159 GRANDI*065D1
P E R M I T F E E S
Equipment and Fixtures Nucaber Fee Total Charge
- -- --
PLUMBING FIXTURES 12 $10.00 -----$120.00
FURNACElUNIT HEATER 1 $15.00 $15.00
GAS STOVE 1 $11.00 $11.00
VENTILATION FANS 4 $7.00 $28.00
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 ,
SUBTOTAL...... $217.00
p TOTALS Fee
Permit Fee $916.75
Equipment $97.00
Fixture $120.00
(gyp Mech Permit $24.00
Plan Fee $595.89
Plumb Permit $25.00
State fee $4.50
� 5I6NATURE
TOTAL FEE........... . . . ... $1,783. 14 I HEREBY C TIFY TH I HAVE READ
AND EXAMIN THIS APPLICATION AND
PAYMENTS.............. .... $500.00 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF AWS AND
TOTAL DUE................. $1,283. 14 ORDINANCES GOVERNING T _S TYPE OF
WORK WILL B- PLi-- IT WHETHER
��� SF'EG:F R
0ATE3 ll RECEIPT #
/G(„�?f ( LDI ICIAL
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JUL 2 3 200,
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/ Gr�iroc�• �531��- .
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RECEIVE®
FEB 2 2 2001
I n
°�� z CITY OF ARLINGTON
CITY Of ARLINGTON
CONSTRUCTION
PERMITEl
COMBINATION XU BUILDING p MECIIA141CAL ❑ PLUMBING p SIGN
OWNER MAILAUURESS CITY
ZI► PERMIT NO,MIME_GRANDVIEW, INC. P.O. BOX 159 ARLINGTON, WA. 98223'AWC1111ECT OR DESIGNER MAn.Auuiicss (360)435-7171
City Y ZI► tI LONE
CREASEY CAD III SE EVERETT MALL WAY EVERETT, WA 98208 (425)349-7769
UT+RUE u flArTu MAIL ADDRESS cilY zli' NONE
GRANDVIEW, INC. P.O. BOX 159 ARLINGTON,WA 98223 C * �
Lc ANICALCONIRACTOR GRANDI 065D1
MAIL ADDRESS City ZIP ►IIOrTE LICENSE
J&C HEATING 120 SE EVERETT MALL WAY EVERETT, WA 98208 (425)347-7739
ILUM8ING CONiRAC10R MAILAODRESS CIIV Zlr ►IIOrIE 110ENSE
3 I.W. MECHANICAL, INC. 26805 NE 144TH PL. DUVALL, WA 98019 (425)788-1645
CLASS 0r WORK
Q fj2NLw ❑AUUI[ION [:]ALTERATION ❑REPAIR ❑DEMULI I ION []BUILDING RELOCA I ION
VALUAIIONOf WORK
!
DESCRIBE WORK
NEW CONSTRUCTION
pl ►RUPOSI U USE Or BUILDING
iSINGLE FAMILY RESIDENCE I I IEREIY CERTIFY TI IAT I I IAVE READ AND EXAMINED TI IIS APPLICA-
LT�ni)-Ts%RiFH(_ U_j H_0FLRIY 51ITTYN BELOW OR ATTAGRToliacoPlE'sj-- TION AND KNOW if IE SAME TO BE TRUE AND CORRECT ALL pROVI-
� '_� ,,,� SIONS OF LAWS AND ORDINANCES GOVERNING TI IIS TYPE OF WORK
j Lot �BL(Xk • Or CROL-Un Q e- WILL BE COMPLIED WIII I WI IETIIER SPECIFIED I IERIN OR NOT, TIIE
av GRANT ING OF A PERMIT DOES NOT PRESUME.10 GIVE AU I I IORITY TO
Q� G�CG ^2Gb VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER SIATE OR
.I TAX ID NUMBER pnom PnopEnTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OFTHE PERFORMANCE OF
p ]��� I I r` r�u �C" 1 CONSI RUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE,
U JOB ADORIS. SIGtTAIUREOrco•IRACTORORAUIIIORIZEOAGENT DATI
1 x_ l
PLUMUIIIU EI(11�1t11f AI.
NO. I YPB OP PIXfURE PBE a i PIX IUIIm _NO. _TYPII OD 1101.1I17M[JI'f PBQ s i PIX1UR19
AlEIR CLOSITf(IOILU11 f1.00 _ -- \IR L'OUD.UH1111—Ilp. BA. lyile.list'
IA'1111UD $1.00 tUPRIOURAI ION UNITS—11.P.BA. S4AdI BK•• --
YAlORY WASH BASUI 11.00 1011EIRS—I I.P.ETA NA .IIA- -
IIOWPA II.00 A9 PIREIU A.C.Uf fTS—TONNAGE![EA d .Ilmt-
1C11BN SINK R DISPOSAL 97.00 'ORCED AIR SYSTEMS—B.T.U. MESA 19.00
)ISIIWASIIBR 87.00 WALL IIESATFIR9—B.T.U. M 19.00
AUNDRY TRAY $1.00 UNIT IIBAITSR9-B.T.U. M _19.00
:LUDIL9 WAS1111R 11.00 VAPORA'IIVECO0LMt9 �—
A�IUR IIBATESL $1.00 _ :LO"llll9 DRYERS 1111.511
RINAL $1.00 _ IINTIL.A1'1011 PAN $430
RIHKINU POUIITAEI 11.00 UWGE IIOOD COMMBRCLAL 1630
'LOUR DRAIN _$1.00 &IRIIAIIULINGUNIT- CPM
VACUUM EREAKURS $1.00 _ 'ova 1i30
LOOP DRAINS-RAINLEADERS 11.00 AHFAL PIRBPlACU tl CIIIMNEY 1630
INK SBRVICB-EAR SIC. 11.00Y _A1nR IIEATIR f130
_AS PIPING •(ue to S-11.00,4ddcl. 1.73 /
'P� lemad list must ba ptorldad
SUB TOTAL SUB TOTAL
Pl'RMIT PERMIT
TOTAL PEE �� _ TOTAL PEE
StUI Yr\lilC! ACk SIRLLISIIBACI REARYARUSE18AC1C PLAHCIIECKNUMBEA PLAIICIIECME
gS— , VA—CAN
511 fEEo( REC�IIT no.
���
USE" / Lot I A�R�EA�, VACANT SIZE V•1 / 7
ajo gYES (]NO FEES VALUATION FEE
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