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Home My WebLink AboutCAMBRIAN AVE. S., 238 .' .-f' B REM E ~ TON D E PAR T MEN T B U I L DIN G PER M I T -----------------------------------------------------------------~--- ---------------------------------------------------------------------- Application Date Issue Date Assessor Acct # Site Location Owner - Last Name - street. - City - Phone Tenant's Name Agent's Name Architect's Name [X] Building [ ] Mechanical [ ] Plumbing 03/08/1994 '03/08/1994 Application Number 94AP07387 Permit Number 15298 Project Group 238 S CAMBRIAN FOLEY 238 S CAMBRIAN BREMERTON e:; / .- (206) lrrl-/h I ~ First GLENN MI R state WA Zip 98310 Phone(206) Phone(206) [ ] Grading [ ] Move Building [ ] Mobile Home [ ] [ ] [ ] Sign Burning Land Clear [ ] Paving [ ] Underground [ ] Demolition Building Contractor: . . ~---------------------------~-------------~-------------------------- Work will be completed by owner. '- Nature of Work: Changing window to ~mal)er size, U value .38. Building Valuation ~/5 0 . 00 . Council District -----------------------~._-------------------------------------------- Census Tract Construction Type Sq Feet Inspections Required Residence [X] Zoning. Foundation [ ] Business [] Type Framing [~] Other [ ] Insulation [ ] New []Plumbi.ng [] Repair [] Status Mechanical [ ] Remodel [] Code Wallboard [] Addition [] 6 Final [X] ---------------------------~~~-----~-----------------.------------- Recei ved By:7 5~ /l. /'IT '-7 Approved By: 3/151 =================================================-== -=~=-=~===~=====7S1 i>i>..IIDI...DIRBIII.IDRIII.II..> iiii'iiii~lillfliit.~~ril";iili~IRIIIII]~ifj~1[(t~.I~iiliiiiliE.!illllt~lrll ,.,...,.,.....;;.,1IiI APPLICANT: I3l OWNER D CONTRACTOR D OTHER: SITE ADDRESS: cJ3S S. Cthnbfl'OO. OWNER: ~ Ie-tV Ai e to J~ -eeN:rRACTOR: COUNTY ASSESSOR PARCEL #: ~ ADDRESS: ADDRESS: -=e0NTRACTOR LICENSE # EXPIRATION DATE: ,CONTAer-PERS0N:--_ CONTACT PHONE # o SFR D DUPLEX o SIGN D DEMO D NEW D REPAIR o ~OBILE D GRADING(yds): D ADDrrION D OTHER:' " ' -' INTENDED USE: NATURE OF WORK PROPOSED: SQUARE FOOTAGE: Dwelling: / L/ IJi) Garage: , p?J to <L Decks: ;J ~ rJ' ~_ - ----- ."--'.~..-._--- -~- .----~--- ---~~-.--------.--..----- --..., ''.~. (\e . 1 ()J;JJ- ~ 3B -5 +-r l<=- I t-y Gp<::~t -l)c,\,sJE-.- . / af- 'f'e-G-J UJ'\-./\J.~W, (\ Cc::, 0'- <;;;/N- 0---C ~\ i'^- C-..-^- Cf..- " o f- )\..o~ '1 Cl~ \ <J\.j ta<;aA:rtG~$.)".i.'...$Q1'JmJ':.E,~)>... ,~RGY: ,$';0.00 $ , ,\TE: $4.50 cR-~~ ~ \ he date of application s~aJl expire by ~ \.1.,.,,:~Ao... ~\.lter be returned to the "applicant or .time for action by the applicant for a Ircumstances beyond the control of the I extended more than onCe. In order to it pl~ns and pay a new plan review fee. ,_-- . -~------7--------;J;r--------------------------J----------___._______.-____.-._-~he best of my knowledge. APPLICANT'S SIGNATURE: Ul4AA>-' i!_Uj DATE::'l - ll' - 1.Jf h _t i - ....._~_.-.. I II II 1 I II ' I I ' ! ! /.1 I i I f i i i ; ! I i ! ! ; !: Tiil ; j-l,- - -I i ' I ' I i : , I ! -- i I I a-:. ' , ...., I I : ' I , :111 i : ! 1__ __.__._j ) y--' ~ ' , I I . , I ' : ! : 1 ~. ii 1: 1! ; : : I ! I ! t i !/ ; i Ii i I L__! ~ ! i I I ! i . , i I i I i I i I i j_.___ --....----, I I I ; i i -~-"-'-'-"-'--!i' i ! ! i I i I ! I ' I : ! - i ' , , . f I, --:---;-._------- I I ; II I I I . I I ! I ! I i I . I I ! 1 ! : I ~'I J ! i I ! I I I , t::: }..) :: ; , L---- i( ! i \",,) " ; I : ----.-----., L.-.__ ~ ~ I ! i . I '~ i ! .s:- , Ii : I I II i ) i I I; J-- 11----=_.11-=--.....:/ ~s.- :<\ · tI.//rtL{f€ ~ " ~ ~ \'\~~ I :~:~::=~_ '~~~__u_ l' -'--~ --- ------.-..- -'-~ .----- i I i I ! \ -- I ;\ \) :. i I i i i I ! i i i i j II i I i I kj I ~i 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 permit, 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 fmancial burden shall 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 or cancel the provisions of any other state or local law regulating construction or the performance of construction. ~~/-4 Signature ~-"iS - r~ Date I certify that I am exempt from the requirements of the state contractor's regbtration law, under Sec. 3, Chap. 126, laws of 1967. Signature Date Permit Number pcrmit.doc . T~ R 1': N F: R .,. (') N P fJ T l, f) .r N c: RRCRfPT # OH7047 n v: P A H 'I' M F: N "'> * "'hi'3 Is Not. A Pel":'mi t '1< Mar OB, 1994 Building 11?-:~??. 1001 P~r.mi t F.'f~li'I~1 $ 15.00 ot her:' F~F.'fl 7,on.i.ng Fees Amount: .p;:\id pLan $ ].C).OO ,.. >.' :1 /:,,00 ----,-.------.-.----.---.------ ~ -... .. -,...., -.- ~.." ,..----- -,........ ......... -- -- lS.O(} H~("'(:-)i v,,",d f<'rnm; nlenn POlAY 'lH60 r- ,"/ Amount Paid $ 4.50 $ .00 $ 4.50 nen Paym8nt other Pees I<:ner9Y ChargA St.;::.lre SIr. fi 4 :) - ? 37 . 1 ~~ Tn t <) l. 1:;'(~AS Amount Pairl $ Print P.aymi?nt. $ -- - .- -- ...- ..... -- ..... .- .- '- _. ....... .-.. _. ~. $ :?9.?5 19,50 .no RnTan(!f"! o 1.\ Ct $ On 03/08/1.'194 pnr #94AP0'73WI [IDQ1JD[1[Q)D~@ @)~~ &~uQ5J~~u @D[j.'V @[? ~~~~~~I]'@~ Phone 4 78~5275 ~1f(Q) If W (Q) ffiI& A 1f (Q) N eJE JJ(Q)~ L~)(~~Uo(Q)1ril ~ ~ 8 ..5 . Q~ b r 1.0.. "1 l1lilO$ $~Ii'lUI~~l),JJIi'~ Ilil~$ 1bJ~~Uil OUil~~~~~~(Q] ~Uil(Q] ~Ilil~ ~@ijij@WOUil@ Vij(Q)lL.t'Q\ lij(Q)~~ @~ (GD~W lL.~w~ ~Uil(Q] (Q)li'cdIDUil~Uil~~$ Ilil~~~ 1bJ~~Uil ~@l),JJUilcdl: _f~~l-b r~JJ\f ~ ~r- V\~W ~ \~ "~_ L w ',~cio w ~ 0 b~;" _~e,.rM.~~ G\-b ~ Y ~ - ~ ~~ b~ \-0 r c- 0.,v\; "V ~~ J Y! @l),JJ ~lIr~ 1lil~1i'~lQ)W Uil@~D~D~(Q] @U~~ ~Ilil~ 1allQ)@~~ ~(Q)Ii'Ii'~~~D@Uil$ $Ilil~ijij lQ)@ IM~(Q]~ ~!EIF(Q)IR1!E AINIY! IFlLIJlRllT'I)=(]!Ejg] W(Q)jg]~ 0$ cdI<<JJUil~. lF~oijl),JJli'@l ~@ 1i'~~!l2J@Uil(Q] ~@ ~IlilD$ (Q)1i'(Q]~1i' WD~IlilDUil ~ (Q]1alW$ IM~W 1i'~$lUJ~ft Oli'il ij~@~ij ~~fto@!Til. . [I;>ie ~ ~ 1"$l"eo::i@, .~ [Q)@ ~@u oornQ;J@wrn u[x]D~ u&@ @~9 BRIIMBRTON BUILDING DEPARTMBNT Inspedlon Report Scope of work: Address: . Owner: Contractor: Window 238 S. Cambrian Glenn Foley Self Pennlt Nmnber: 15298 Phone: Phone: COMMENTS: liable) FOOTINGS APPROVED: WAllS APPROVED: COMMENTS: line uir-d.KOtlil uired 10' /IA~ ~- -v~~~ APPROVED: ENERGYCODECOMP~CE COMMENTS: UNDER FLOOR/FOUNDATION INSUlATION APPROVED: WAll INSUlATION APPROVED: CEILING INSULATION APPROVED: beartb. COMMENTS: MECHANICAL GAS PIPING APPROVED:___________FURNACE APPROVED: OTHER APPLIANCES APPROVED: COMMENTS: PLUMBING GROUNDWORKAPPROVED:_________PLUMBING ROUGH-IN APPROVED SHEETROCK COMMENTS: SHEETROCK APPROVED: COMMENTS: FINAL APPROVED: Wct-~ uired ., l - B REM E R TON B U I L DIN G D E PAR T MEN T PER M I T --------------------------------------------------------------------- --------------------------------------------------------------------- Application Date Issue Date Assessor Acct # Site Location Owner - Last Name - street - City - Phone Tenant's Name Agent's Name Architect's Name [X] Building [ ] Mechanical ( ] Plumbing Building Contractor: Contractor street City Phone Representative state License # City License if Nature of Work: Reroof Building Valuation 11/04/1992 11/04/1992 Application Number 92AP06002 Permit Nu~ber 14100 Project Group 238 S. CAMBRIAN FOLEY 238 S. CAMBRIAN BREMER TON (206) First GLENN MI state WA Zip 98310 Phone(206) Phone(206) [ ] Grading [ ] Move Building [ ] Mobile Home [ ] [ ] [ ] Sign Burning I.and Cl ear [ ] Paving [ ] Underground [ ] Demolition BANKS NATIONAL 8613 14TH AVENUE S. SEATTLE (206) State WA Zip 98108 BANKSN*163PQ Expiration Date 02/14/1993 Expirati.on Date $4000.00 Council District ..-::.._- 7 Census Tract Construction Sq Feet l Inspections .d1:, Type J Required 1 Residence [X] Zoning ioundation [ ] Business [ ] Type &aming [ ] Other [ ] . .-\ Insulation [ ] New [ ] Plumbing [ ] RepEd r [X] Status Mechanical [ ] Remodel [ ] Code Wallboard [ ] Addition [ ] 5 Final [X] Recei ved By: ...111. M O-~ Approved By: f ( I / & ! 9 cl---- ~~~~~~~~~~~=:::1~~=================================================== DiITI'-ifil1iJ~HfiiiWrili'lIiiiAiD1iiliIH......~Ai.illJfi.I.......<n1iJ) ......(t..ttJ.~.l,....EJEiIfL.1.'....:~.w=-.....~~.}....~.1~: APPLICANT: DOWNER 0 CONTRACfOR D OTHER: s~ (f/lMgn4/'J kk:/ CONTRACfOR: &/Uh ,/I/~hd/vff'/ ADDRESS: &"'/5 /7~4 Ae'>: CONTRACfOR LICENSE # ~ /V /f:5' /V At5~t:.f7EXPIRATION DATE: ;Z - ~ ~ OWNER PHONE # L/79-/09ib CONTRACfORPHONE# '7Zs--//rJ SITE ADDRESS: 2- 3 & r1/6NN TAX ACCOUNT NO. OWNER: ADDRESS: 2~8 s. e.41"-'1 B/'"/ ;4f'\J [Yf SFR 0 DUPLEX o SIGN 0 DEMO o NEW 0 REPAIR D MULTI-FAMILY 0 BUSINESS D OTHER: D MOVE BLDG. D REMODEL D MOBILE D GRADING(yds): o ADDITION D OTHER: NATURE OF WORK PROPOSED: ~o/ .)"ALtJATIQN . .pLANltE'\11EWFE.Ei: )))?eERMt'tftt> ...SORPll:ARPfS . ..:mOr1\HFEES..).. $ /-//')/\0 $ $ I 3- 0'..... ENERGY: $50.00 $ 0 7, ':::J-f\ f '--"'-'" It? v STATE: $4.50 U Applications for which no permit is issued within 180 days following the date of application shall expire. by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official. The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by the applicant showing that circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee. APPLICANT'S SIGNATURE: ~~~~ DATE: //-- V-'-Z .. B REM E R TON B U I L D ! N G D E PAR T MEN T * This Is Not A Permit * Nov 04, 1992 RECiHP'I' n 085265 Building 62-322.1001 Per.'mi t F'ees $ 63.00 other Fees Zoning Fees Amount Paid $ 63.00 $ 63.00 ===~=~=====~=====~===~= 63.00 Received From: Banks National '19755 $ PI an Ch~wk Fe~s Amount Paid -----~.-------~-~-----~- -------~-~--~---------- $ .00 62~'34~). 8300 Gen Payment othei' Fees Energy Charge state sic 643-231.13 Total Fees $ Amount, Paid $ Prior Payment $ Bal a.nc€' Due On 1.1/04/1992 For#92AP06002 $ .00 $ $ 4.50 .00 $ 4.50 ....--.....----..... ~.._-,""'--_-....- 67.50 67.50 .00 -.-,--.----- --....-----..... $ .00 BIUlMERTON BUIlDING DBPARTMENT Inspection Report Scope of work: Reroof Address: . 238 S. Cambrian Owner: Glenn Foley Contrador: Banks National Pennlt Number: 14100 COMMENTS: Phone: Phone: FOUNDATION FOOTINGS APPROVED: WAllS APPROVED: COMMENTS: line 10' APPROVED: RNERGYCODECOMP~CE COMMENTS: UNDER FLOOR/FOUNDATION INSUlATION APPROVED: WAll INSUlATION APPROVED: CEILING INSULATION APPROVED: MECHANICAL hearth COMMENTS:________ GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: uired COMMENTS: PLUMBING GROUNDWORKAPPROVED:_________PLUMBING ROUGH-IN APPROVED SBEB'I'IlOCK COMMENTS: SHEETROCK APPROVED: E E Buildi Buildi uired COMMENTS: FINAL APPROVED: INSPECTION RECORD CARD CITY OF BREMERTON BUILDING DEPARTMENT ~ ADDRESS & DIRECTIONS 238 S. Cambrian OWNER Ross CONTRACTOR A & M Heating PHONE PHONE 373-1766 1 FOUNDATION CORR O.K. 1. PERMIT ON SITE -- 2. CHECK PLANS TO PERMIT -- 3. CHECK SETBACKS -- 4. PROPERTY STAKES -- 5. FOOTING SIZE CORRECT -- 6. WALL SIZE CORRECT -- 7. CHECK FOR FILL -- 8. REQUIRED STEEL IN PLACE -- 9. CHECK FIREPLACE FOOTING -- 10. ANCHOR BOLTS -- 11. FOUNDATION PLATE -- 12. FOUNDATION VENTS -- 13. CRAWL SPACE ACCESS -- COMMENTS: FOUNDATION INSPECTION APPROVED BY: 2 fRAMING COMMENTS: CORR O.K. 1. WIRING APPROVED -- 2. FOUNDATION VENTS -- 3. SHIELD UNDER POSTS -- 4. POSITIVE CONNECTIONS -- 5. SOIL TO WOOD CLEARANCE -- 6. POST CLEARANCE - 2" -- 7. BEAM SUPPORT -- 8. TR. MAT. NEXT TO CONC. -- 9. WASHERS ON ANCHOR BOLTS -- 10. BEAMS PROPER SIZE -- 11. FLOOR JOISTS ?PAN -- 12. NOTCHING & DRILLING -- A-FLOOR JOISTS -- B-STUDS -- 13. STAIRS -- A-WIDTH -- B-RISE & RUN -- C-WINDERS -- D-LANDINGS -- E-HEADROOM -- 14. ATTIC VENTILATION -- 15. CHIMNEY STRAPS SECURED -- 16. FIREPLACE COMBUSTION AIR -- 17. FANS VENTED OUTSIDE --- 18. A-BATHROOMS -- B-LAUNDRY ROOMS -- C-KITCHEN -- 18. WATER CLOSET CLEARANCE -- 19. SMOKE DETECTOR -- CORR O.K. 20. FIREBLOCKING _ _ A-STAIRS _ _ B-DROP CEILINGS _ _ C-TUBS OR SHOWERS _ _ D-ROOF & CEILING LINES _ _ E-FURRED OUT AREAS _ _ F-FIREPLACE AT CEILING _ _ G-ELECTRICAL HOLES PLUGGED_ _ H-PLUMBING HOLES PLUGGED__ I-LID IN VOIDS 21. WINDOWS A-SAFETY GLAZING B-VENTILATION C-REQUIRED FIRE EXITS D-WINDOW SILL HEIGHT 22. CEILING HEIGHTS A-BASEMENT B-MAIN FLOOR C-UPPER FLOOR 23. SWAY BRACING 24. TRUSSES A-PROPERLY INSTALLED B-STAMPED 25. ATTIC ACCESS 26. CEILING JOIST SPANS 27. RAFTER SPANS 28. ROOF SHEATHING 29. ROOFING APPLICATION 30. SIDING 31. CLOTHES CHUTE 32. SHEETROCK BACKING A-UNDER STAIRS B-ABOVE GARAGE DOOR HANGERS FRAMING INSPECTION APPROVED BY: M MECHANICAL CORR O.K: CORR O.K. 1. FURNACE SIZING -- 1. WOOD STOVE CLEARANCE -- 2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE -- 3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION -- 4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT -- 5. 'B' VENT CLEARANCE -- 6. 'B' VENT SUPPORT -- 7. COMBUSTION AIR -- 8. DUCT SIZING -- FURNACE APPROVED BY: 9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY: 10. DUCT SUPPORT -- 11. DUCT JOINTS -- GAS PIPING APPROVED BY: 12. GAS PIPING TEST -- WOOD STOVE APPROVED BY: 13. GAS PIPING SIZING -- 14. GAS PIPING SUPPORT -- OTHER: 15. OTHER -- P PLUMBING CORR O.K. 1. UNDER TEST -- 2. GATE VALVE -- 3. WATER PIPE SIZING -- 4. DRAIN PIPE SIZING -- 5. VENT PIPE SIZING -- 6. PROPER SUPPORT -- 7. PROPER FITTINGS -- UNDERGROUND APPROVED BY: 8. VENTING -- 9. CLEANOUTS -- ROUGH-IN APPROVED BY: 10. PROPER GRADE -- 11. HOT WATER TANK P. R. VALVE -- 12. OTHER -- 3 WALLBOARD CORR O.K. COMMENTS: 1. LID OVER SIDES _ _ 2. NAILING _ _ 3. W/R AT TUB OR SHOWER _ _ 4. 5/8 UNDER STAIRS _ _ 5. FURNACE ENCLOSURE _ _ 6. FIRE SEPARATION GARAGE _ _ 7. ATTIC ACCESS _ _ 8. DROP CEILING & LIGHTING _ _ 9. BACKING AS NOTED ON FRAMING_ _ WALLBOARD INSPECTION APPROVED BY: 4 FINAL CORR O.K. CORR O.K. 1. HANDRAILS -- 9. OUTSIDE GARAGE -- 2. GUARDRAILS -- 10. CLOTHES CHUTE -- A-HEIGHT -- 11. SEWER/HEALTH DEPT. -- B-INTERMEDIATE -- 12. COMMERCIAL BUILDING -- 3. EXHAUST FANS -- A-MECHANICAL APPROVED -- A-KITCHEN VENTING -- B-PLUMBING APPROVED -- B-BATHROOMS -- 13. SMOKE DETECTORS -- C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH -- D-DRYER -- 15. SAFETY GLAZING/ 4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED -- 5. DISHWASHER 16. INSULATION CERTIFICATE -- PROPERLY INSTALLED -- 17. FREE-STANDING 6. FIRE DOORS -- FIREPLACE APPROVED -- A-SElF-CLOSING -- 18. WINDOWS & DOORS CAULKED -- B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED -- 7. ATTIC ACCESS -- 8. HOT WATER TANK ....... FINAL INSPECTION APPROVED -- BY: NOTES: PLANNING: e PERMIT e CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478-5281 238 S. Cambrian SITE ADDRESS Ross ASSESSOR'S ACCT. # OWNER ZIP PHONE MAIL ADDRESS A & M Heating, POBox D, Bremerton 373-1766 AMHEA~~222RF CONTRACTOR MAIL ADDRESS o ADDITION 0 ALTERATION o REPAIR Class of work: 0 NEW E] MECHANICAL COMMENTS No. "TYpe of Equipment STOVES Gas_ Oil_ Wood_ FIREPLACE INSERT FURNACE Gas (Nat.--X- LPG._) Oil_ Wood add on_ Other_ Electric_ BTU 35,000 Type: Up flow_ Down flow_ Horizontal_ Wall_ CONVERSION BURNER: Gas_ (Nat._ LP _) Under 100,000_ Over 100,000_ Oil_ UNIT HEATER BTU_ Gas_ Elec._ BOILER Gas_ Oil_ Electric_ Other_ HP_ GAS SYSTEM Max. 5 outlet Total_ EVAPORATION COOLERS Roof_ Wall_ BTU_ AC UNIT Electric_ Gas Elec. Combo_ BTU_ HEAT PUMP Single Package_ Split_ Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CMF _ BTU_ FANS Exhaust_ Supply_ Bath_ RANGE HOOD Residential_ Comm._ ROOF DRAINS CLOTHES DRYER Res._ Comm._ INCINERATOR ALTERATION TO DUCT SYSTEM Heating/Cooling_ Exhaust_ TANKS Oil_ Gas_ Propane wlOK from Fire Dept._ Gallons REFRIGERATION UNIT Fee 9.00 PERMIT $ TOTAL FEE $ 15.00 t/l O/fJO / 24.00 FINAL APPROVAL RECEIPT NO. PHONE LICENSE NO. D PLUMBING No. "TYpe of Fixture or Item Fee WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISPOSAL DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR - SINK OR DRAIN SLOP SINK WATER PIPING & TREATING EQUIP. WASTE INTERCEPTER (Grease) VACUUM BREAKERS & BLACKFLOW DEVICE LAWN SPRINKLER SYSTEM SWIMMING POOL - Private_ Public_ GROUNDWORK SUMP ALTERATION KIDNEY MACHINE PERMIT $ TOTAL $ 10.00 NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS- PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF co,omucno,r;:J. G)"W"-- J~ SIGNATURE OF CONTRACTcfA OR AUTHOFJIZED AGENT 1/,;;Eih7 I / (DIfrE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) 7b~9 N"(} 3305 (White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT) PERMIT R IT AP LICA TION CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478-5281 j.. '3 f( So n, / ;{Yo} SITE ADDRESS ASSESSOR'S ACCT. # IT'o '\ S z 3 r Yo _~--V OWNER MAIL ADDRESS Art-/1/? //t'(;.-;:;~} PIC)' Br>,x j) CONTRACTOR MAIL ADDRESS Class of work: D NEW 0 ADDITION D ALTERATION ~~\~ 1'03/<" ZIP 3/.5--/76" t: ...-uOA-/P PHONE PHONE LICENSE NO. D REPAIR D MECHANICAL D PLUMBING COMMENTS No. Type of Equipment Fee No. Type of Fixture or Item Fee STOVES Gas_ Oil_ Wood_ FIREPLACE INSERT FURNACE Gas (Nat.X- LPG._) Oil_ Wood add on_ Other_ Electric_ BTU Type: Up flow_ Down flow_ Horizontal_ Wall_ CONVERSION BURNER: Gas_ (Nat._ LP _) Under 100.000_ Over 100.000_ Oil_ UNIT HEATER BTU_ Gas_ Elec._ BOILER Gas_ Oil_ Electric_ Other_ HP_ GAS SYSTEM Max. 5 outlet Total_ EVAPORATION COOLERS Roof_ Wall_ BTU_ AC UNIT Electric_ Gas Elec. Combo_ BTU_ HEAT PUMP Single Package_ Spli,- Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CMF _ BTU_ FANS Exhaus'- Supply_ Bath_ RANGE HOOD Residential_ Comm._ ROOF DRAINS CLOTHES DRYER Res._ Comm._ INCINERATOR ALTERATION TO DUCT SYSTEM Heating/Cooling_ Exhaust_ TANKS Oil_ Gas_ Propane wlOK from Fire Dept._ Gallons REFRIGERATION UNIT WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISPOSAL DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR - SINK OR DRAIN SLOP SINK WATER PIPING & TREATING EQUIP. WASTE INTERCEPTER (Grease) VACUUM BREAKERS & BLACKFLOW DEVICE LAWN SPRINKLER SYSTEM SWIMMING POOL - Private_ Public_ GROUNDWORK SUMP ALTERATION KIDNEY MACHINE PERMIT $ TOTAL S NOTICE PERMIT $ TOTAL FEE $ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUS- PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK is COMMENCED. I HEREBY CERTiFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME m BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME m GIVE AUTHORITY m VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) FINAL APPROVAL SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) RECEIPT NO. PERMIT (White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT)