HomeMy WebLinkAbout17215 SMOKEY POINT DR_014743_2026 INSPECTION REPORT
S•1N GTO Permit No.: 41 `S Lot #:
Q Address: -3 S
Contractor: 0. 1l
9 O Owner:
IN N O Date: I , — O a1--
❑ 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.
i I
Inspector: / Date: 11' _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 .4 Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other:
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INSPECTION REPORT
4ti1N G TO Permit No.: Lot#:
Q' Address:I`131� Sty. ��• �� .
Contractor: act,-�sS�s
4 Owner:
9s�IN G� Date:
ZrPPROVAL ❑ PARTIAL APPROVAL
❑ VIOLATION ❑ CORRECTION REQUESTED
❑ Corrections listed below MUST BE MADE before work can be approveu
❑ Please contact inspector.
❑ Was not able to perform inspection.
❑ CALL 435-0674 FO RE-INSPECTION - 24 hour notice required.
9
Inspector: Date:
TYPE OF INSPECTION REQUESTE
❑ 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:
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INSPECTION REPORT
1NcT - 1 -q7l� Lot—t#:
¢y O Permit No.:
Q" Address: 1 7_1 i I
ZContractor:
�
O Owner: v = yl 1L`r4I N G� Dater 1 1
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 A Framing ❑ Gas Piping
❑ Footing ❑ Drywall, Nailing ❑ Consultation
❑ Foundation ❑ Shear Nailing ❑ Groundwork
❑ Mechanical ❑ Grid ❑ Struct. Slab
❑ Wood Stove ❑ Rough-in ❑ Final
❑ Masonry ❑ Drainage ❑ Insulation
❑ Other: —
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INSPECTION REPORT
4y1N Gr0 Permit'Wo.: -7 `fLot#:
F" Address: S ✓ 1/1 �
Contractor: S
O Owner:
ING� Date:
ROVAL ❑ PARTIAL APPROVAL
�0;34V 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.
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
0 Other: W �v.) _�>QL—C=Ct" Vh, n_5
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. t
�.�..� �...i3ei •ut'. - �:s`.s�,o.a�" .
C I TY OF ARL-I NOTON
CONSTRUCTION PE RM I T
PERM I Y NO. o 101 —474Z
Owner: KEYRANK 17311 SMOKEY POINT DR ARLINGTON 96223
Value of Work: $200,000.00 Tax ID:-64S ' Y Phone: 360-655-8225
Describe Work: INTERIOR REMODEL y53 COD
Proposed Use: BANK
Legal Description:
Job Address: 17311 SMOKEY POINT DR
Contractor's Na:ae Type Address License#
BALEY CONSTRUCTION GEN 8005 SE 28TH ST BAYLECG034JC
TOTALS Fee
Permit Fee $1,614.00
Plan Fee $19 049. 10
State f e e $4.50
5IGNATURE:
TOTAL FEE... ..... ......... $2,667.60 1 HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS... . ... ........... $1,049. 10 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE............. ... . $1,618.50 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE CM IED WITH WHETHER
DATE�I���� !7T #�6 SPECIE ED�RE NGT.
UIL G OFFICIAL
PA I D
AUG 292001
C I TY OF ARL I NCCTQN
CONSTRUCT I ON PERM I T
PE Ft I T NO _ = 0 1 —474c3
Owner: KEYBANK 17311 SMOKEY POINT DR ARLINGTON 98223
Value of Work: $3, 000. 00 Tax ID: 6453-000-001-0107 Phone: 360-655-8225
Describe Work: REPLACE WOOD POLE COLUMNS W/STEEL AT EXTERIOR ENTRY
Proposed Use: BANK
Legal Description:
Job Address: 17311 SMDKEY POINT DRIVE
Contractor's Name Type Address License#
BAYLEY CONSTRUCTION GEN 8005 SE 28TH ST BAYLECG034JC
TOTALS Fee
Permit Fee $86. 55
Plan Fee $56. 26 7
State fee $4. 50
SIGNATURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $147. 31 I HEREBY if? IFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $56. 26 KNOW THE SAME TO BE TRUE AND COR-
RECT ALL PROVISIONS OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $91. 05 ORDINANCES GOVERNING THIS TYPE OF
WORK WILL BE COMPLIED WITH WHETHER
I SPEC EE rN DR NOT.
DATE � �` � RECEIPT # �"`" /
B LD G OFF AL
PAID
AUG 2 9 2001
City of Arlington Building Dept '
PERMIT#_� "L� `1
DATE:
NAME: �� {�, 1
ADDRESS: LEGAL:
BUILDING USE: OCCUPANCY CLAS
SIFICATION:
A B E
F H
1 2 12.1131 4 1 2 3 1
I M R 2 1 2 3 4 5 6 7
1.1 1.2 1 -2 3 1 1 3 1 S U
2 3 4 5 1
TEE OF CONSTRUCTION 2
I II
HI 1V
F.R. F.R. ONE-HOUR N V
ONE-HOUR N H.T. ONE-HOUR N
Site Plan: Approved _� Denie Item inspected& ompleted
d _ Signature & Dcate:
Access Requirements:
Required:
Fire lane: �/rJ
Sprinkler system:
Alarm system:
Knox Box:
Fire extin uishers:
Hydrant:
# of hydrants required:
Location of Hydrant: ay
Location of Knox Box:
Location of Fire Extinquishers: oej�
Fire Flow requirements: /
Location of address on building:
FIRE DEPT:
ignature Date:
Build\form\fdchecklist
d
- City of Arlington Building Dept
PUBLIC WORKS CHECKLIST
PERMIT # DATE % -0
LEGAL q.51 C��l'� e C;. �/ I __7
Plat Lot Tax ID#
/"\/t
NAME �))6 l
ADDRESS V1 3 !/ AlAlt J,g
BUILDING USE Y���,( ,,� # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant l I
Side Sewer Permit (( ��
Monitoring Manhole
Cross-Connection Control Y} �b� Q,(/ V' (,Urf^�! ✓l
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received d
Date Yellow returned
Date Pink returned 13 —ot
tea:
City of Arlington Building Dept
PUBLIC WORKS CHECKLIST
PERMIT # (` I " 4I-1 DATE T)_ 9 /
LEGAL'
Plat Lot Tax ID#
JJ /
NAME
ADDRESS
BUILDING USE # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant
Side Sewer Permit
Monitoring Manhole
Cross-Connection Control v �/ 1"� �l1(i� 1'�Udev "._At,&fye1X_e114
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received
Date Yellow returned I,�J
Date Pink returned ':.
- 1
City of Arlington Building Dept
PUBLIC WORKS CHECKLIST
PERMIT #�J �� / . DATE — ! `0/
LEGAL (Qq,5 dda— e:n/-0/6 q
I/ Plat Lot Tax ID#
NAME
ADDRESS _173 // /�-e�,/ Aoll'44-74 �1)/�
BUILDING USE 60 # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant
Side Sewer Permit
Monitoring Manhole
Cross-Connection Control
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received
Date Yellow returned
Date Pink returned
+ City of Arlington Building Dept
FIRE DEPARTMENT CHECKLIST
PERMIT # o -U DATE: 3 -�
NAME:
ADDRESS: Fit LEGAL: -cot -bldn-�
BUILDING USE: OCCUPANCY CLASSIFICATION:
A B E F H
F—
_F__172 12.1131 4 1 1 2 1 3 1 2 1 1 2 1 3 1 4 1 5 1 6 7
I M R S U
_T_
Eal.2 1 2 1 3 1 3 1 1 2 3 4 5 1 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. ONE-HOUR TN ONE-HOUR N H.T. ONE-HOUR N
Item inspected&completed
Site Plan: Approved Denied Signature & Date:
Access Requirements:
Required:
Fire lane:
Sprinkler system:
Alarm system:
Knox Box:
Fire extinquishers:
Hydrant:
# of hydrants required:
Location of Hydrant:
Location of Knox Box:
Location of Fire Extinquishers:
Fire Flow requirements:
Location of address on building:
FIRE DEPT: Date:
Signature
Bui1d\form\fdcheck1ist
City of Arlington'Building Dept
PUBLIC WORKS CHECKLIST
PERMIT # I - L1 1 H 9 DATE D
LEGAL ��t`J —C-o(
Plat Lot Tax ID#
NAME �i V1\(A v1
ADDRESS 0 1 1 1} =" Y1� �r 04 1:)P1 UL.
BUILDING USE # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant
Side Sewer Permit
Monitoring Manhole
Cross-Connection Control
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
V
Date received
_ L Date Yellow returned
SI
Date Pink returned D ""�
0 City of Arfipgtoo-Building Dept 0
PUBLIC WORKS CHECKLIST
PERMIT# DATE
LEGAL j L�
Plat Lot Tax ID#
NAME
ADDRESS I V
BUILDING USE # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant �YL ��)l e- �,
'n V
Side Sewer Permit beK V
Monitoring Manhole
Cross-Connection Control
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received
Date Yellow returned 57- 13 --ol
Date Pink returned
City of Arlington Building Dept
PUBLIC WORKS CHECKLIST
PERMIT# Lt 1 L4 9 DATE D
LEGAL �9�5 � - � ow-4
Plat Lot Tax ID#
NAME ---r m yi K
ho
ADDRESS 1-7 3 1 1 ` vno lrs_v 01 /DQ l VC
BUILDING USE b"`V' # of BUILDING UNITS
Existing Required Signature Date
Water Meter
Fire Hydrant
Side Sewer Permit
Monitoring Manhole
Cross-Connection Control
Sewer: Off site
On site
Water: Off site
On site
Pretreatment Discharge
Permit
Water/Sewer Fees
Date received
1 1 � Date Yellow returned
`I
Date Pink returned
City of Arlington Building Dept
FIRE DEPARTMENT CHECKLIST'
PERMIT# (� ._ f_ 7 �' DATE:
NAME:
ADDRESS: I I I �5. it 1S �'c�- 1.l I- A0A, LEGAL:
BUILDING USE: OCCUPANCY CLASSIFICATION:
A B E F H
1 2 1 2.1 1 3 1 4 1 1 2 1 3 1 2 1 2 1 3 4 5 6 7
I M R S U
1.1 1 1.2 F2 3 1 1 3 1 1 2 3 4 5 17 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. ONE-HOUR N ONE-HOUR N H.T. ONE-HOUR N
Item inspected&completed
Signature & Date:
Site Plan: Approved Denied
Access Requirements:
Required:
Fire lane:
Sprinkler system:
Alarm system:
Knox Box:
Fire extinquishers:
Hydrant:
# of hydrants required:
Location of Hydrant:
Location of Knox Box:
Location of Fire Extinquishers:
Fire Flow requirements:
Location of address on building:
FIRE DEPT: — l Date: Z
Signature
Build\form\fdchecklist
City of Arlington Building Dept"-
// '' FIRE DEPARTMENT CHECK LIb i' p/
PERMIT # 0/ -4-I`t�'( DATE:
NAME: tb
ADDRESS: 3 S*ttk &)1_< LEGAL:
BUILDING USE: OCCUPANCY CLASSIFICATION:
A B E F H
F
1 F 2.1 3 4 1 2 3 1 2 1 2 3 4 5 6 7
I M R S U
1.1 1 1.2 F2T3 1 3 1 2 3 4 5 1 2
TYPE OF CONSTRUCTION
I II III 1V V
F.R. F.R. ONE-HOUR I N ONE-HOUR N H.T. ONE-HOUR N
Item inspected&completed
Signature & Date:
Site Plan: Approved Denied
Access Requirements:
Required:
Fire lane:
Sprinkler system:
Alarm system:
Knox Box:
Fire extinquishers:
Hydrant:
# of hydrants required:
Location of Hydrant:
Location of Knox Box:
Location of Fire Extinquishers:
Fire Flow requirements:
Location of address on building:
FIRE DEPT: Date:
Signature
BuilMomiUchecklist
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN
PERMIT NO.
OWNER PP1;CQn IF MAIL ADDRE55 CITY III, PHONE
k��P�NK /73/l SM�; PI X 4e1-XZ,;i aJ, V✓A 5�?92 3 3W a,56 g2z5-
ARC141ILCTOR DESIGNER MAIL ADDRESS CITY ZIP PIIONE
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GLNLRAL LON I RAC I OR MAIL ADDRESS CITY 4ZIP PHONE LICENSE
F,4YzeYl�5_ 281"" 5T 415794-5-a IS• 0 0 246) 60/ ekg* il SetYLFCC 0, Jc
MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PiIONE LICENSE /
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I
3 CLASS OF WORK
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❑NE W ❑AUDITION ❑ALTERATION REPAIR ❑DEMOLIIION ❑BUILDING RELOCATION
CC VALUAI ION OI WORK
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EPIC w r9 6�1= -GGt z 5��, -I, ��. i � TcR�a2 �/�"T72 y or o��zfQ,v
W PRUPUSI 0 USL Of BUILDING
w ANk I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
Z LLGAL ULS(RIP)TUN UI PROPERTY SIIUWN BELOW OR AT iAL1i/OUR COP115) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J
LOI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OF A PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO
w6¢5 3-600-faDl -0107 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX 10 NLIMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CL
2 CONSTRUCTION. PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
SIGN CONTRACTOR ORAUIHORIZ AGENT
C) )OB ADUR1,S5 DATE
r SNok�t:' P17- W , �izGrti �o�i x
(OPPICH USTI ONLY)
PLUMBING 14PCIIANICAL
NO. 7YPBOP PMURQ FEB :'•PIXTURIS NO. TYPE!OP COUIPMUNT 1,I413 zi PI)C URES
WATER CLOSL'r ILLrI IR COND.UNITS—H.P. EA. * ul .Ilt••
1AT117,U0 LETRIGERAITION UNITS—H.P.RA. * d .11t•-
.AVATORY ASTI BASIN 10IL13 S—I I.P.PA. 7 ul .TIME•"
;IIOWQt AS PIRDD A.C.UNITS—TONNACIBH& Seuln.list"
ITCHEN SINK A DISPOSAL FORCED AIR SYSTDMS—B.T.U. META _
)ISHWASHER WALL IIENrURS—D.T.U. M
.AUNDRY TRAY JNIT IIETATQRS—B.T.U. M
;LOTI16 WASIIQR IVAPORATIVD COOLERS
WATER 111LATER _LOTIIPS DRYERS
1RINAL _ VENTILATION PAN
)RINKINO POUN'TAIN LANGQ IIOOD COMMQRCIAL
ILOOR DRAIN ABIL ITANDLING UNIT— CPM
ACUUM BILIAKERS CrOVQ
LOOP DRAINS—RAINLEADQRS AirrAl.PIRDPLACE A CIIIMNQY
'INK QRVICQ—DAR.Mr. ATER IIEATER
AS PIPING *(up to S-33.00.addnl. 3.75
113qulpmerst list must be rovlded
SUB'r0'rAL SUB TOTAL
PERMIT PERMIT
TOTAL PCB TOTAL PQIT
SIDI.Y ART)5L I BALK StRLI.ISLIBACK REAR YARD SETBACK PLAN CIILCKNUMBLR PLAN CHECK FEE
l -O I FEE �/ RECEIPT NO.
UST /UNI LOT ART A VACANT SITE v '`J-
❑YES ❑NO FEES VALUATION FEE
I YPL Of CONS OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG S
SILL Of BLDG. NO.or STORILS MAX.00C.LOAD BU 101NG f ��
PLUMBING
F IRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE _I
PENALTY U.B C.
SEC.)031+)
AUG WATERrSEWERFEES
.Rl INGTON TOTAL °( 1"C
PERMIT VALIDATION
• WHEN PROPERLY VALIDATED TIN THIS SPACE) THIS IS YOUR PERMIT 6 RECEIPT
PAID CRII BY
AVIlt Ir P"T Tr7CA1_8Ir7r-r` mI nr. rvroT pt"!DliY..;f�r fa?.l ^— --`— DATE
CITY OF ARLINGTON
CONSTRUCTION
PERMIT T.L.
❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN PERMIT NO.()
OWNER jp Pp1i CAn IL MAIL ADDRESS CITY 11► PHONE
3// 5HL7eE;-, ��iti7 Ti32 �gA2G//VLv ic,•v W44 �ZZ3 3(,o `5h �2Z5 AK(.IIIILCT OR DESIGNER MAIL ADDRESS
CITY ZIP PHONE
GLNLRALCUN µAL UR MAIL ADDRESS CITY 11P PHONE LIC NS /
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MI CIIANICAL CON TRACTOR MAIL ADDRESS CITY LIP PHONE LICENSE
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PLUMINGCONIRACIOR MAIL ADDRESS CITY LIP PHONE LICENSE
N
,�vCLASS Of WORK
co'[]NI.W ❑AUDITION O ALTERATION El REPAIR ❑DEMOLI LION ❑BUILDING RELOCATION
a VALUATION01 WORK)
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W 1�AN 1< I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
Z LL(,AL DI,SCRIP IION U) PROPLRTY StfVWN BLLOW OR AI IALII FOUR COPIES) TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
J LUI RlU(k OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a GRANTING OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO
as� �r7�j—00� —p0�— OHO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
oom CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
106 AUDKI SIGNATURE OF CONTRACTOR Olt AUTHORIZED AGENT DATE
73// 5 O�F;l P_r PR. lwL1N61T0Aj
(OPPIcu U511 ONLY) P�4 llzfGi� UGH;
I'I,uMMUO tWITANICAL
NO. TYPQ OF PIXTURQ PLQ aY PiXTURPS NO. TYrQ OP CQUIPMLNT PQIT It's PIXTURFS
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IIL�TPR
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DRAIN
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AS riPINO o(up to S"$3.00 addnl.me 11.7S,. •
ut m•n( Iht muK fx rorldtd �
SUB TOTAL \ SUB TOTAL
rP1iMIT PPRMIT
TOTAL PP13 TOTAL VVE
SIUI.Y.1KU SL IIIACK $TRLLI SETBACK REAR YARD YBACK PLAN CHECK NUMBER PLAN CIIECK FEE
F RECEIPT NO.
U51' /VN LOT-A�K"F.A VACANT SITE 9 , Q
c ❑YES 95+10 FEES VALUATION FEE
I YPLI01 COMA 1, OCCUFFY GROUP NO. DWELLING UNITS PLAN CHECKING VG /5 T,r� to
SIZEI BLOC.. NU OT STORIES MAK.00C.LOAD BU'LDING
PLUMBING v
FIRL SPRINKLERS RLQUIRED
[:]YES NO MECHANICAL Sn r_ra� /rr
COMMENTS STATE BLDG.CODW
ENERGY CODE SURCHARGE ` s
1�17 r: ;' PENALTY SEC. 0]I.1
WATER/SEWER FEES
AUG 3 LOOT i TOTAL j I o 50
PERMIT VALIDATION
WHEN PROPERLY VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT d RECEIPT
PAID CRII BY
CC'AS�rrri0►T, A^"• "'ti.tIT.Tr7r_/SIJRCP. r3LD6_DEPT.
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