HomeMy WebLinkAboutBURWELL ST., 1217
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, '. BREMER TON PERMIT CENTER
, i;t - 286 4th Street..,
f ~:" Bremerton.. WI!; 98337
Phone:: (360) 478-5275 FAX:: ( 360) 478-5278 I
BUILDING PERMIT I
Job Addr= 1217 BURlA.IELL ST Permit No: 03~02?4 1
Location: Status: ISSUED I
Parcel No: Applied: OS/27/2003 I
Issued: OS/2'1/2003 I
Applicant: SULLIVAN HEATING & COOLING 360-.405...0723 Expires: 11/23/2003 I
950 WEST HILLS BLVD BREMERTON WA 98312 1
Owner: 4.IINSLOlJ,) LARRY 360-479-3189 I
I
P.O. BOX 339 TRACVTON WA 98339 I
Contractor, SULLIVAN HEATING & COOLING 360-40S-072Lic ,: SULLIHC063QT Exp: 12/27/2003 I
I
950 WEST HILLS BLVD BRtHERTON WA 98312 I
Subcontr: I
Desc~ INSTALL 1 FURNACE 1 GAS PIPING & 1 DUCT ALTERATION I
1
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Valuation * Permit Fees: 55.20 Total Calculated Fee: S5.20 I
..00 * Plan Check Fees: Additional Fees: .00
* Other Fees: "DO Total Permit Fee: 55.20 I
**..*****************************************************************************************
l"itCHAN!CAL /PLUI48 ING FIXTURE:S~- I1ECrH!ias Fuynace to lOOk btu. ~ 1 MECI-H3as Pipil1g (outlets)......: 1
MECH'-Ouct AHeystion...."......: 1 I
*******************************************************1.1*1************.****..************** I
This POlymi t shall become l1IJll and void if the building oy wod: authot'i:r.ed by this Plwmit is 110t commenced within
180 dayS fyOl'O the date of such peymit, 01' if this buildil'19 or woyk authorized by wch peymit is su!.,pel1t;;)ed o~'
abandoned at s,n>" time aftey the ~Jor'k i:s Coml\1l::ll1ced foy' a peYiod of 180 da>'s.
NonCE'. It. is th$ Ye:;lporl~,i.bili'ly of the penni'!:. holder. net the Cit:~ of. BY~neytol1 or Building Official to see
'lei'!:. that 'n,quin<1d irwpecUorls an", made. The plJ>rmit helday must notify the Building Official whel1 yeady foy
il1$f.>ections. Failuyeo'f the permi,t. holdey t.o notify the Buildi119 Official of yequinl'd inspections may y/$sult
in the stoppage of t.he \<Joyk until such time that the peymi'!:: holdf!l' can $ub'~tanHate to the building official
t.hat the conceah,d Woyk meetl!l 01" exceeds code n,'qui yaments. Any di&molition. testing. oy financial bll'r'OOl1 shall
~ bO'('(1<!! di n~ctl.>' by {he peymH holde'r'. Faihlye t~o substantiate code Yequin~mel1t$ will indemnify the City
against any arid ,,,11 responsibilit>' oy liability connected with t.he const.yuctiorl.
I heyeb>' ceytify that I have n<lad and exa.mil1ed t.hi$ pemcH and know the same to blil tyue and CO'rTect. All
pyovieions of laws and on:Jinances 9ovemir19 this type of ~JOyk will ~ cQl'i'lPlied with whethey specified hendn
oy not. The granting of' a permit, does not pye$Ume to give authoYi ty to violate oy cancel t.he pyov1$ion$ of
OW ot~, ..:.~ ,. at.in onst'ructicll1 0\' the peyfclYmance of cOr1$tn.tctiol1.
oate:~ _~~:;}.. ;a..~,,___,_
Slgnatu.y~.. _-,,' "'_.......,.,.,-,,..,-..._.................
I ceytify that! am eX(ffilpt f'r'om the requi n~ments of 'I;,M state cOl1t.rlactor's yegistn.l't.ion law,under
Section 3, Chaptey 126. laws of 1967.
;:;:~~:~:~::~~~=~:~~ ~-Dat~:~*l~;--
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,,' .: B.REMERTON PERMIT CENTER:
~fP'v-~-"
, ~~'h;" 286 4th Streets Bremerton" WA 98337
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,/, . Phone: (360) 478-5275 FAX: (360) 478-5278
); J'
Building ~ermlt No: 03-0274
Job Address: 1217 BURWELL ST Status: ISSUED I
Loc;ation ~ Issued: OS/27/2003 I
PISS, Acct No: " Expires: 11/23/2003 I
'h:- I
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REQUIRED INS PEe T ION 5 I
Item: 01400 MECHANICAL Dept: BlOG Division: I
Item: 015'50 PLUMBING Dept: SLDG Division: I
*********************************************************************************
TESTING: Must be recognized by the Washington Association of Building Officials I
5PECINSP: Must be registered with the State of WA '
BLOG: City of Bremerton Building Department 478'~5275
PL.ANNING: City of Bremerton Planning Department 478-5275
PUBlrJORKS: city of Bremerton Utilities Department 478,-5318
FIRE:: City of Bremerton Fire Marshal's Office 478-,5380
ENG: C1 ty of 8reme)'ton En:G.~i neer i ng Department, 478,-5270
HEALTH: Brernerton/Ki tsap Heal th O<':lpartment 478,-52:35
5T OF 'J~?\: State of WA Dept. of Labor & Industries 478"^-4921
**********************$**********************************************************
~i~~;~u~~;~ ~~________ Da te :~_.~_~:~2:_2-:~_...__.__...__
v ';',-" ''''-,'^ ,,,..~......~-{ ,-,. .I'~'t'?l11fl~t'{f<i':~JlI1!?i\~~1;Yr. ~-~~' '1!.f,:~~Y,~"'j1lt.llWl~1~~J;,!r~rlr ""~'"'--., ".~F::\"v: '~~~'-'
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t BREMERTON PERMIT CENTER
PERMIT CONDITIONS
l No: 03-0274 ",'.',.<, ~ f Page: 1
Jbb f~ddY'e$$: 1217 BlJRl.JELL ST Applied: OS/27/2003
r7/ASS'l AcctNo: Approved: OS/27/2003
!! Location: Issued: OS/27/2003
I,
i Appl icant: SULLIVAN HEArING & COOLING
Owner: WINSLOW LARRY
r ContnlctoY': SULLIVAN HEATING & COOLING
Description:
INSTALL 1 FURNACE 1 GAS PIPING & 1 DUCT ALTERATION
Conditions:
1. PRIOR TO PERFORMING ANY RENOVATION OR DEMOLITION WORK.
PUGET SOUND CLEAN AIR AGENCY (CLEAN An;;; AGENCY) AND
l WA$,HINGTON DEPART!"IENT Of LABOR ?~ND INDUSTRIES (L&I)
REGULATIONSREOUIREAN AS8ESTOS SURVEY BE PERFORt1ED TO
DETERI'1INE!lJHETHf~R THERE ARE ASBESTOS'-CONTAINING MATERIALS
IN THE WORK AREA OR STRUCTURE. THE ASBESTOS SURVEY MUST BE
CONDUCTEDBY AN EPA CERTIFIED (AHERA) BUILDING INSPECTOR
(EXCEPT RENOW-HION OF OWNER-OCCUPU::D SINGLE FAMILY
RESIDENCES) .
FOR MORE INFOR~4ATION. PLEASE CONTfKT CLEAN AIR AGENCY
THROUGH THEIR WEB SITE AT WWt'>l .pscleanai r .org OR BY PHONE AT
800-552";'3565 OR 206--689-4058. THE L&I WEB SITE CAN BE
FOUND AT www.lni.wa.gov/wisha/p-ts/asbestos/asbestos.htm.
Pelmit Holder's Da"t;l'S__~.2:2 - ~,_.""
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Number: 03000454 Amount: 55.20 11:24
P,lYtlll:int Net hod;; CHECK, Notation: SlltLIVliN HtA1ING Init ,: PC
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Permit No: 03-0274 ryp~~\ t1/P'''c;t Mf:CH/PLBG ." OVER COLI
t l~~ : l.t11? BllR~jf~LL
Tot . ~>5 "20
T Pdymt:Hlt 5:5.20 rot. al t'\LL IJI11 t ~~: S5~20
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f !~CCt')t\nt COdf* iption i'-ilf/OU n t
l(~" .100S (' Z;!;tb) ,MECHANICAL PERMIT 55.;:?O
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Di.:.im:::.i:'I.m[m:::[:~C~(jAlill:.:.::.::I'I'::.;:::::mI:: .~~ ::il:.::::::::;':i'.:.:::.' .:...::..:.[PlSlJMBING....... :.....::.....i:i......;.:....::t
APPLICANT: D OWNER ~ CONTRACTOR 0 OTHER;
COMMENTS:
SITE ADDRESS:J2l11>wuodl
OWNER:laf(~ WlnS\llJ . ADDRESS:f.(). fu'I '339 r(tt(~WJ C(1)83,
I~' CONTRACToR;jlllh~CVl ~eafjng f ~roI/~ )IM- ADDRESS:~ ur;} Ud h. 6tod. lfeJY)t(17n
CONTRACTOR LICENSE #\.lw.uHt(j.i~&' EXPIRATION DATE: IJkl1Jo'3-
OWNER PHONE #51~- 3(11 CONTRACTOR PHONE # '-ll15-- 07;)3
.. ... .... ......... ........... . ...... ......~Qi... ......... .... ......... ................... ........ ...... ..... ....... .......... .......... ... . ......... .. .. .... ................... .............
~N.O~ ::::::.: :::.::::.nTYPE'OF:..s. :.UIPMENT :.::.r.:::: r.::FEE:...:..NO~.:i.::::::::::::rIYPE()EFlXI'IJRE ..FF:::::::.iF:EEE::
RANGE WATER CLOSET
WOOD/PELLET STOVE/GAS FlREPL\CE I BATHTUB
. I GAS FURNACE btu's: LAVATORY
, CONVERSION BURNER btu's: SHOWER
UNIT HEATER btu's: I KlTCHEN SINK
. . BOILER btu's: I DISHWASHER :
1/f.... GAS PIPING ,to lLtf\rv1LL L\l.JNDRY TRAY
EVAPORATION OOOLERS btlls: CLOTHES WASHER
AC UNIT btu 's: WATER HEATER
HEAT PUMP btu's: tons: URINAL
REHEAT BOX btll's: DRINKlNG FOUNTAIN
AIR HAL~DLING UNIT btu's: FLOOR SINK OR DRAIN
EXHAUST FANS SLOP SINK
RANGE HOOD (residential) WATER PIPfING & ALTERATION
· RANGE HOOD. (commercial) GREASE TRAPIINTERCEPTOR
CLOTHES DRYER HOSE BIBBS
INCINERATOR IAWN SPRINKLER SYSTE..\f
: IA/ DUCT ALTERATION SWIMMING POOL
V -- TANKS type: BLDG. SEWER (mobile / moved house)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER: I
MECHANICALPERi\1IT FEE $15.00 PLUMBING PERMIT FEE (15.00 or 4.50)
MECHANICAL FEES: bS: 2-~
PLUMBING FEES:
CITY SURCHARGE:
TOTAL FEES: 35'AO
APPLICANT'S SIGNATURE: }/~~ _ DATE: S~27-.;y
pmapp.dot revised 4/23/97
tlll.Cll'I....Il.1 Ul.... Dl.J.lL..I.1l....". I..ICJ,"l\.l\ I l't'lr.l" I
Plulublng/MechanicnllnSI)ect!on UelJort
SCilpe of work: ilusJ):)LL I ~1'+5 rL//ltVIK(; I)ennit Ntttnber: 03-027'1
Address: I (;p,1...S f/rP~:k f)u.cr'-TL.r Owner: L ;t:}-XA'j bV/MI'Lou/
/d /1 t34I(Wct...L .$i
Contractor: Su ( Llv/tto..l H~H-'TINb I)bolll~: ~=3 .
- ,
GAS PIPING
Under I.c3t (10psi for 15 minutes) _ J~~l~r~i_~i~~~~l'llOrt
~~illirnltfll kl~~ fi-;a(I~~~~1\ \Inde~~r_?~lII(~~ ___ _~?~~c:.1!wr_arp<:t_I_~~<:,!_,!~!lergrOlU}d or withih 6" of card.
Grolt,;J~ci;;~lh)~I;p;J~ibiled-ill cc:;;ai-n Inotiolls Bushings 1I0t :lllo'M:(1 in concc:akll :ue:;u
COMMENTS: .----------------- -~--
~-_.
GAS PIPING APPROVED:___________
FURNACE
I M:lJlufacturcr's specifications 011 site _'__' }::'!9~~~!!-~_<:~!~~ll'P_~~t .
---_._---- -----------.--
Ckuano: to aJlIILustihks _V~I_~~!~: ck:uallCC: (0 ooll1ll1ndl,b
--
Vc!~!:i_,~ & s~porlloollncctiol_1.S Vent termination
Clmbustioll air -- _~J~J.;~;;~j[.~a.:.~lIdlor sepan~<:.!lIlC315 requ;r<<1
G:l!l shllt,-()ff within 3' ~___ ~_~t~~al<<1 onJ1_~_~i!_I~~~j;e
-----.-----
" Ducts: she & mpl'ortliJl-'lulated wilen requir<<l Return air
. ,
COMMENTS: --
FURNACE APPROVED:
MISC. APPLIANCES
.
~~_(~_~~~c:r's sl'eciJiotions 011 ~ile _~::'_t_~-,-~cces~_I!l'l'_~~__
Cklfallce to aJlIlousubk:9 _~~I!..~l1i~~_r!-!lce to oombllstihks
VCIll Sh~l_l~~rrort/coiUlcctio~1!l Vent (crmin:l(ion
-- -------------
Cmllbustioll air --'_ _~)~!~~: li_'ler alllUoc K~ratc flucs as required
-+ G:ushut-off within)' ___~0041 S_(OV~ & fi~~laces: prop<< he2rlh
Wood. stova: EPA ap~roveJ _gas logs: sa_~cty shut--off
Wood SWVCll & ~rcpbCC8: ti~~uinr; doors G", sllUt-off within 3'
--- ------
.-
COMMENTS:
MISC. APPUANCES APPROVED:
WATER DEATER
Mantlfacture~fica~~l1S OI~_te _~ti~'-'!-~~~~-'--'l'p_ort ,
Cbuna: to comhWlubks __ Ve~~i~'li: dcan~'a: to cornhwtibks
Vellt sizing & s".EP~rtlconoecti~~1.S Vent termination
-_..~~-~,--_._- ----
Comhustion air Cl!hll_ner: Ijller and/or 9<:~_ute flueJ U (C()uired
G:u shut,-()ff within)' __ _~)_<!_t e~!~~{r ~~~i~~~ge
G ate valve on co~(l w;ttU ~lrr_1y Helief valve llraill<<l to olltsi(lc
- ~.._-.-, ----, --"-..- --------- - .----
Cop~r to galvallizocl aJ~tnoction. ___ _Uni()~ofl W:ak~pes
Seismic stup
COMMENTS:
.
WATER HEATER APPROVED:
ALL WORKUNnEll TIllS PFBIID'l' APPI1OVIID:
REM E R TO N B U I L DIN G D E ~ ART ME N T
P ER M I ,T
J ~~~~=='====.~=='======'===~======'===,==~=~===========~====~=-~~===='=='~'=-===== 1
t Applidation Date 10/02/1995 Application Number 95AP08962 I
, Issue'D@te 10/02/1 995 Permit Number 16589 l
Assessor Acct# Project Group, ',,-
Si.te IJocation 1217 BURWELL i,r.' 1
Owner -' Last N,ame KITSAP CO MENTAL First HEALTH J.tI I
- street, 5455 ALMIRA,
- City BREMERTON State WA Zip 98310 l
- phone (360) 373-5Q32 ,
I
Tenant's Name Phone(206) -
Agent's Nam,e Phone(206) -
r ' Architect's Name
( ] Building [ ] Grading [ ]SigD [ ] Paving
[X] Me,chanical [ ] Move Building ( ] Burning [ 1 Underground
[ ] Plumbing [ ] Mobile Home [ ] Land Clear [ ] Demolition
--'---~-~-----~~----~--~-'------------~'------,------~--~--~-~~-~~-------- 1
Building Contractor: 1
~ ; Work will be completed by owner.
~
I, Nature of Work:
gas furnace and piping
, ' '
---------~-,-~---------_._--~----------------------~----~------~---'--~~'-
Council District Census Tract,
Construction SqFeet Inspections l
Type Requi red J
Residence [ ] Zoning Foundation [ ] 1
1
'I
Business [X] Type l"raming [ 1 1
other [ ] Insulation [ ]
New [ ] Plumbing [ ] 1
Repair [ ] status Mechanical [X] I
Remodel [ ] Code Wallboard [ ]
Addition [ ] Final 1 ]
~-----------~-~--~-~---~~----~--~-------~~------~-------~-~----------
::::: :::_:: ~ _ ~ _ _~_ __ _" _ _ :::::~:~ _:: ~ _ _ ~_ _" _~ ~~ ~ ~ !E__ 1
-.------~---------~~--.-~._-~---------~----------~--~-------~----._~~~-
,'~~i_;..._..::'_J........,i.o;;;..,..ol__...:.~~__....,........__..:.-~_'~._~,~_::~_:J...:..;,.:_.,'._:;;,.........,~~.....:.i;..,___.j~,......;;;......:~~'_~~.~;o_.,_""~;.....'~;;....:_,__,_o..~..;;"",._~_,'.:............._,~~-.:...,___..L:.:......,;;...;.j__:.",;..;.,2~,~.~,~,....:.:.:,~,
B REM E R TON B U I L DIN G D E PAR T MEN T
,~'/'::II' ~: -;v
M E C H A N I C A L p' E R M IT' A P P L I CAT ION
--------,--- =====~=========================== ---------------~
----------- - - -.- _. -........... -- - - - -- --
)., "::"'", .:f:;(f.,;, ,t~;::1',,~~~x"j', '" \."
Atpplicatdon Number 95AP08962
Contractor NELSON'S HEATING
street 5873 W. WERNER ROAD
City BREMERTON
Phone (206)479-99.76 state WA Zip 98312
Representative JERRY Expirati~~ Date 06/09/1996
State License # NELSOI~228LZ
City 1.icense # Expiratioj1 Date
i Stoves. {
, Fire Place Inserts
~ 1 Furnaces j
Conversion Burners
Unit Heater
Boilers
1. Gas System: Max 5 Outlets
Evaporation Coolers
.Air Conditioning Units
Heat Pumps
Mixing or Re-Heat Box
Air Handling Uni~s
Fans \
Ramie Hoods
Clothes Dryers
Incinerators
Duct Alterations
Tanks
Refrigeration Units
Other I tams
==~,=:===~='==.==========,========,====================.=========:==========
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NOTICE OF PERMIT REGUlATIONS
This permit shall become null and void if the building or work authorized by this permit is not commenced
within 180 days from the date of such permi~ or if this building or work authorized by such permit is
suspended or abandoned at any time after the work is commenced for a period of 180 days.
NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see
to it that the required inspections are made. The permit holder must notify the Building Official when ready
for the inspections. Failure of the permit holder to notify the Building Official of required inspections may
result in the stoppage of the work until such time that the permit holder can substantiate to the building
official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial
burden sball be borne directly by the permit holder. Failure to substantiate code requirements will indemnify
the City against any and all responsibility or liability connected'with the construction.
I hereby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work will be complied with whether specified herein
or not. The granting of a permit does not presume to give authority to violate oTcancel the provisions of any
other state or local law regulating construction or the performance of construction.
~ 5' ~ JIJ ~ 1 ~ '1S
Date
I certify that I am exempt from the requirements of the state contractor's registration law, under Sec. 3,
Chap. 126, laws of 1967.
Signature Date Permit Number
pc:nait.doc
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x " " D
. .;'::i~l;lf.ilfwf;Jillf~!i!!lt~CJ~;~t$l~w~Iifi!i.i&tIr :i~ili~*~:~fi}lfj~;fgt!:!li&Pl1tI_~G/;E''=:'...'M.!':g/,..,.'.',.
AJ?PUCANT: :J OWNER ~ CONTRACI'OR 0 OTHER:
COMMENTS:
SITE ADDRESS: J a 17 f3lJRw<( v,....,
OWNER: ti tSl\ r Co, /11 'r .vtJd L JJ <iA t T}--l ADDRESS: 5 Lj S J /I L J"ll RA
CONTRACTOR: AJt~SONS tire:,. r A~ c\ ADDRESS: S'8 ) :> tv. f,J f /l N0/2 R 0 ,
CONTRACTOR UCENSE -I An. L So 1..( 2 'La L G EXPIRATION DATE: 0 '.1 -1 ~
OWNER. PHONE -I 2> 7~'" $' 6 '3> '\.., CONlRACfOR PHONE: Lf;'1 -11 7 t.
'NQ'W "'*>=*'''''<'';'':'.-<.;''<;'mJ!t0.tr~''!tlEf!lii1il'''<<''''*''''-*I~Ei!~t:<;' '_!1[_1.!t~f~~~i!jilitif,ili{t~liliJ
.- ., ~'.":. .....m..."_......... . .. .. ,... . . . -.;;;.."..~~. '" . ....
_ . .x. ;~~~~~*~~*1"~._~~ :_...:~....: ~:.,::' .. _:::.7;. '." -:: . ..~_._..:_._.:,..._ _ . - .~.~._:~~~1:E~-~:~~;~ .--;t..~..- ...._.;~
'.' .,::.:.
RANGE WATER a.OSET
WOODlPmET STOVE BATHTUB /
I I GAS FURNACE M.}: IS,OCJD lAVATORY
CONVERSION BURNER M.~ SHOWER .
UNIT HEATER h1t~ MCHEN SINK I
BORER _~ DISHWASHER
I GAS PIPING -I L-\VNDRYTRAY "
. EVAPORATION COOlERS Dnt~ I CLOTHES WASHER
:\CUNIT DntS: !WATER HEATER
HE..\T PUMP DS: tl1t1S: I I URINAL I
I REHEAT BOX D's.' I I DRINIONG FOUNTAIN I
AIR HANDLING UNIT btrI S: I ! FLOOR SINK OR DRAJN I
.EXHAUST Eo\NS I I SLOP SINK ,..'.. ,., , I
.. .
I RAl'iGE HOOD (residmtiaD I , WATER PIPIING &: ALTERATION I
R.-\L'lGE HOOD (commercial) I I I GRE.o\SE TRAP/INTERCEPTOR r
ClOTHES DRYER . " .,., ../ HOSE BIBBS ,
"
/. INClNERATOR ! "..,.'. ..I--JL~WNSP1lJNKI.ER SYSTh'A I
I Duer ALTERATION r ..",,'. .'.l--I'SWlMMINGPOOL .,.",.,
I TANKS rvpl: I I BIDG. SEWE..ll (mobile! moved bowel I
I REFRIGERATION t~1T I , 100F DRAINS I
,
i ,
J OTHER: I I OTHER:
! !
I MECHANICAL PER..'WIT FEE I 515.00 I PLUMBING PER.'dIT FEE (15.00 or ~.50) i
MECHANICAL FEES:
PLUMBING FEES:
TOT~.u. FEES:
Ai'PllCI.NT'S SIGNATURE: 1,,,, z: n~- DATE: I~ -,2 -1 S
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B REM E R ~ ON :aUll,.DINO n E PAR T MEN T
I RECEIPT t 088972 '1:1 Thi~ !~ Not APermi t 'iii: C)(~t, 02 f 1
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I Permi, t AmfHlnt l?a.td Plan Fees Amou.nt Paid
Mt~(~ b<lu:d, (~a 1 $ .00 $ 27.00
62,*322.1005
Plumbin.g ~ 19.50 $ .1 9 . 50
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62.~322 .1003
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$ . $ .00
6~?'.<$45. 9,?WO
Othel:-I1'ees
8t,ot'z Adapter $ .00
:'~4- .1000
Z rl9ff'ees
(}en PaYlnent, $ j;','
::;.,
ot;he.r.' FeeJ!~ $. .no
Ci. ty Sur-'Charqe$ 5.00
~U- 2.1009
state SIC
64::'!.-2 , l:~ :rJ it';: f;';=:1ti!":' ;:.t:l:-:r~':J
Tob'~l .$ .
Anu:nnl't P aid $, 51.50 I
J?ri or payrnent 1;. .00 I
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EhlJ anee Due ... .no
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$ $ 46.50 I
F J;' .:,"1 ~ On 10/02/1995 I
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Nelf!ctn"~ t:i fi:15121 ,For # 95Al?08964 I
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" jj B,REMERT'ON BWIDING DEPARTMENT
.' Plumb:UlglM\eebaoieallaspedion Report
seepe.f work: , GAS, E'tJRNACElPIPING . PennitNumben 165S9
r Address: .,.1217, BURWELL Owner: KI'XSAP MENTAL l:1EALm
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i 'COBtractor: NELSON'S I:1EATING. PboDe:
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GAS PIPIN,G
(,l:nd<:rR;St (lOpsi fot 15 minutes) I Proper si:r.i~ be suppon
lZ-D1inimlunbclowgnde whcnun~oJmd CoatedJwrappcd when undetgroundorwidUn 6"ofearth
G: d ' , , hOb' ed' 'toea' Bushings not aUOMd in _n<eaJcd a~' '
','llOun -Jotnt UfiUc()nll pro. 1 It ,tn ceruln' ,ftOllll
COMMENTS;
I' .GAS. PIPlNGAPPR.OVED:
FURNACE
,.. Manuf~~'sspecifications on,she . .- ". . .
Lootio~ a~ll. Su.pfOrt
,CIcann~t.ocombUlltibk:s Veining; dearan~ to comhi.stibks
'rVent $i:r.in~bellupportl_~ons V<nt termination
, ~mbU$tion air. , Cbimoey:1iner. andJQl'sepUaten~u~uired
Gall llhut~fif within J' Pilot elevated off floot in~e
Dum:sizc: 4tsll.pportlinsulatcdwl~ntcquiR4 Return air
\ .,. " _~__" _ . _" " '~_~, _ _ _ 1 I, '" ;'
COMMENTS:. .
FURNACE APPROVED:
MISE.APPUUlCIS
Manufactutet'ss~ficadonson site Loc:atioo, a<<ess, SUPport
C~(e ,to combUllubk:s Vcol'iR$= dcatan~, to cornbUlltibles
V~tsi~i~ lie supportlconne~ons V~tl'4U'mination
CombWldonair Chimn.ey: lille1'andJoe separate fllJ,C$as taIuhed ..
Gassbut..oW within 3' Wood$tQVe&:6t'Cp~a:$: proper .heaah.
. 'Wood stoves: EPAappwVed , . ' ,. Gasl~u~ $hut..off' ,.
. Woodst(Ales&:firep~a:$: ti~bt fitdllJdoofS Gu $liut-off within 3'
COMMENTS;
MISC..l\P,PUANCF;.S APPROVED:
WA.DR IIB4TBR
;- - -~ ,'_:" ',' :; _ _~": _ ! - _' :_i ',' _ '_" '_-
" 0
. Manufactwer'$.speQnQltions on site
Cbrance~o~bWltibleS . "
, Y~tsi~ &:1.Uppottlc.ol1DeCtions
'Cornbustionair .
. Gas shut-oft' within 3 '
GatewJ\.eoncotdwal'4U'sup::p~ ., "
,Copeo-to galvani#connc:crlOlll
.Seismic stta
.
COMMi8NTS:
WATlRHIATER ,APPR9VED:
Al..LWORK I1NBmt THIS PDlMIT APPROVED: a</~,."". .
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