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HomeMy WebLinkAboutARSENAL WAY, 3703 it .~' .......~ . (p, /" , a... '. ~ ~ . . ,- I I. BREME:R-rIDN PERMI TeNTER 286 4th Street" 8remer:tan~ tJA 9833.7 phone:: (360) 4.78-5275 FAX:: (360) 478-c5278 BUILDING PERMIT :J ob Addr:: :T70:3 AI:~~::;E:NAI. WAY Locatiori:3703 ARSENAL WAY pardel No:: ~ i Perm :i. t No..:: StatUs:: Appl led:: .I. ssued:: E:xpJ Y'i;)S:: 96.....060;::' ISSl)E:D 09/1.7/1.996 09/1.7/1.996 . 0:3/16/J. 997 i'; App:ticant:: I~AY 'SI-WAC 1. ;,:: 1. b I VY I~[) IJI:~[:MEJ~TON ~ l4A 90310 'C) t;.J rH:''lY' :: JMI3[:NT'[:I~PR I :::;[:5 69;;::"".957 J. . -::r7():3Af~SE:NAL l,jAY'Ell:~I::::M[::rrI"ClN' vJA 90:::112 'I , I Contractor: RAY~S HVAC 1.21.bIVY RD bREMERTON~ WA 903tO L.i.c:Il::: 1:<AYSI..rClo.30D?E::Xf::l: ~Ull1997 Subcontr :: DeBC:: ClI~~:; F'tH~NAC[:, GAS 1..lcrrWIYfER 'rANf" GAS PIPING ., . , .. . '. c,' * 11: 1\ X XX: X X y+: y:-xx')(){)( :11: )(. x X.X. ,)(x .)(.x.x.j( ,x..x X.K X,X 'XX'K X'XX ,x XX)(, x .j! ,x. x.x XX.K .j(..x X 'j(.j( ,x x x.)t 'J( 'j( X)(.x X'X ,J()~ ,x ,x x'~ X ,x' X: ,x x X 'X')(-1()( 1( x' X. x' x X x' xx * Vafuat:ion ,j(, .pcrm:i,t F'ees:: 41. ,,70 'rotal Calculated F'ee:: 46,,70 .00 *_ Plan Ch~ck F6es: ~OO Additional F~cs: .00 ,x (..),[" ;'1""''(' 1:::',(:;,":;"(:':: I::)' (')('), ""1"(")'[" .:, 'I l::lpY'm'I' 't.. j::'pf'" ::.Crl'( '7" Cl .. : .., '. ,'.,."- ',' / ,I ~,.o ,,0 t.~ \"'>", ,'. ~" ,11 , ,,' " ,c,,I;.. .', ,,0, .. I "". ..' ,,) It . "x K ,)( ,)()( x' ,x ,x' ,J(. ,x' ,x x X x,x,.x x' x' ,x ,x x.J(.)( 1(' ,)(.x.x X * ,x' ,)( ,x X ,)(- ,x,.~ * 1(. .w.x 'j( ,x 'j( 'j( 'j( 'j( ,xj( .x' ,x,*'x"x ,x ,x. ,x' ,X'1(' x .x' X ,)( *.j( 'j( *.)(,~ ,x' .x..)(.)( x- x' ,x X'1('X ,)(.)( .)( ,x ,x' 1(, -)(. ,x' ,xx. ,)(-.x. 'j( ,x ,)( . MECHANICAL/PLUMBING FIXTUf~ES""-" MEtH""Gi1S Furnace to lOOk bt u,,: 1 MECf.I."Gas pipJ. nq( out lets)" " , : 2: *G'''''water Heater"""""" ~,'.;,,: ,x :11:,)(- 'j( -)(.x ,x 'X.KX ,x 'j( ,x' * ,x. ,x' .J( x :j(-)('j( x X,)(.j( ,x ,x kx ,x. ,x' .x::)t ,x.)( ,X ,x * ,j(.j(.J(.j( ,x ')(-C)( ,)( ,x. .x' -)(,.x ,x--x 'x .~.x j~-)(,.X)( * ** *.)( ,)( ,j( ,x' ,x' j(u)( .'X .x' 'j(.x ,xx 'II' -)(. ,x ,x' ,)(.x X ,j( 'X ,!\ '11' '!\' ,x. ,!\. 'x x '!\' Thi s permi t shElll become nu'll aridvoidi f the buHdi'n9 or work authi)rl zed by t his permit l.?3 nc)t commenced wit hi n 180 da"Ys hom thellateof sudrpermit, 6r ifthiEibufld:i,n9 or workauthodzed by such perm"i'I,': ifi Blw,pended or . abandoneda't any time after the work is cClmmeficed for t:J peri.Dd orlBO dayti" . .' . NOller:::. It is the responslbU,ltyof the pc:rmitholder, not the City of Bremertc)'f'l or Buildinc; Official t:osee '\" .'1 .: '1":,:'[" t'l :".1'" 'i' '''C'111''1' i' (;'("1 l' '1.\:'DI"'C,'I' ~ .1"'.1"';' "lV'~' ma' (11<', "l"rl"" fJ"'i'm l' t" "'II"'] (,j.,V' mu';'1" fl''')'t I' f=y .t ",." 1:)(' ~ 1 (~J r' '''I f'1'F" i ,.,4 ',' 1 Wt'I""1 I',""""'ly ~~'''''.' I~", .1'/1'1 l.A1 ~.,. ,. "',, I\~, ,,'..llI.LJI\,,) 1.1,... '~I~'II 1,1-", nj", I ,1.J,,,g~,.1 \..~I i" !f 11,\", .JJ.J, ".ll~:. \,,1 I ',1. \""L tJ. l\~,l \".(;;1,\" 1\,.1j :i,nspet::;t:i,ons" FaJ.luY'f!. of the pI':.1rmJ.tholch;~Y'to notifY th~~ Buildi.n9 Dfflc:lal of, i'i::qu:i.red jnspectiont~ ffir1Y remllt " iri the stpppac;eof the wDrkLmtU such time that thepEH'mit holdei: can substantiate to the buildin9 official. that. the concealed war k meets Dr exceeds code requi rements "Any demoU tion , testing, or f:l nandal burden shall. be bar'nedirl':.1pt ly by the permit'holdc1'(, I::'ailure t()substant iilte code requi rt3ments wi 11 indemni fy the City ",,,.. ',:'~" ',. j'''l'i "", ""1'''''' lit- ". 'l~"'''1 J 'It'v " f", ,t',' dtf' t.i.,,;,,, ,.,+. ,.k' ",' agd,ll\.",\, any aile. a" re"",pcm,.,l",J. ,..y Ui ),dtL.. I. I (.,0, ,n~.c f.,Clv", ,I 11<:,,, I"Mi->\. nJCI, l,(,n" . ' , . I he!if~bY cert Hy that I haVE! read and exami nedthi. 8 psrmi t and know t he same to bc~ trUE! andcOY'rE!Ct. All r')Y'(""Ji~.:"I'r)t'I'.".. ("If .1....'''W; s., ,"nd' c')V'd"'.rl'''I'IC''!'(,'' flfl,j"V'.r.li!'I'I, t"I'l'c' t'Yf'" Clf 'Irwk WI' 'i1 1")0' ("omp"lL>cl WI'f'h" Wr1'"t"'.I,,"'" op.,c,,'t"'1""I"1 r."I"'V'.'.1'11 r'! "'v...",>,,....le> ,,1, I;~, (,'4,. aJ l,lJ, ",.,,,n,,~ ~~w"'I;;.", d.!~~ -I,,",) ,I "1". ,,' IN""., ",,!', I"'i;;,, ,I I J,f,;;"" v .,.....,!_~,.l \,,' ;;':"DI... J.~".~ .1;;.11,',;., or ThE! gnmti.ng cif a perroit does not presume to 9iveauthodty to violate or cancel the provisIonB of any"'t. :1t'~1 CI'" 1 "j''':'' '1'1 ;,'" "';','C!I' 1 :~~" ,; n'l ''I'''l',(:,t' v'; """. {'lP tll" 'I" f'IP pprfp"'ffi"lf'i"'P ,,,,f' "'Ol1c't V'uct'.J on . : .Si gn"{,tlre,:,.~~:_~. ::?~:'.~'_:~::'.~'._:::~::_'.__:~:_ . D;;~': :.::_~)~~clq,,_____.._._. "I'i' t'".I",;y', HI"'," 'r .:'11"1 I"X "'m'''I+' 'f'-V' I")m "',~. "I'''' Y' '.(IU 'I'.i' c.,m':'flt' c' C)'F +- L,),,, ~"t. :'1+' {O,I '''''''I'I'~' v' "1("'" '''JY' , I':' ..'''''['l.t' ",'" Y: "f' ~ Pl'I' 1 "'i.' . U"I'''IC>v' J, ,.'"' ~jtJ,..1 ",loll J. ..,1, ~.,r...l,fn\' L" L.1.L'1\;,' "i'~.d/l:.;.. ~~ I 1"Ir.;, ",}""l".I.., t,IU l.,.1[."(.\,,, ",~ ~\"..",\"~\~,I.,1",~...,I, .l.r.~Wll. It.H.:.! Sect j6'n::1 ,Chilpter 12tl,~ ).ai~H Df 1967" " C:~(I!'\'"+:,',;Y'C"': .', . . . \, " . \,ol J, .~ I ,&1 If ,L;:. "s l! ~~" .,", ."''''~' "',.,,'" ,,,,; i""'''''''m;~'' .,,~ ''''''~'''''''''''' .~" ",.. '"~ ".., "~, "" "'~ "",;".; "m ~'" ,,'" "'" :"" .",. ;\j",,,,, ~"' .,~ n,,, "", ;".;,'m..'","""""",."",,,,,,,,,,,,,.,,,, ~'" ,'~, "'" **********x*****X**xxx-x**xx PermftCenter--Approved By: Date: DL~t El ~ F1, e ON P CE'N 4t/l .Stree"t (j BYe!fJeYtDh~ ItJA 983::?7 Phone:: (::160) 478-:5275 FAX:: (:'~60) 478-5278 Jo~)j AcH::l'('(':':!SEl:: 370:3 ARSE:NAI.... WAY , .. "._. '" ,1 .. , :, I.."UC,d, L .I. un" 3703 If.jE~~::;E:NAi..., Wr:W A~':.~~.:n"li f~cct No:: ,j. . Building Permit No: 96~0602 :::;tatus:: I~::;~::;UE:D Issued: 09/17/1996 ~~~xr:)j,Y'88~: (:):~~~/],~~/1,C?C~7 I ~ Q U J P ~ 0 '1 N e P ~ 'T 1 Cj j'~,J ';i:~' It.: E'!m ::01400 t1 I:::: C 1,::1 AN I Crd.... Item; 01550 PLUMBING Item: 02700 FINAL Dt':'lpt:: DI.."DG. i::h:~')r:q';:: ElI."DG Dept:: Bl,.DG I,,' , , J :I. \,i:l. :":'~:I. on :: 1")' , , " :I. \,i :I. S :I. on :: I")' , , " l\,i:l.S:l.Cm:: I . , ' , . . . . ,)( 't~: ,x' ,){ x ,x. ,';(: :;(. 'x- -x- 'x- ,x. .x' .x. ,x' ,x. ,x. 'x- ,')(, ,x' 'x- .x-.x- 'x- ,';(: 'If,' 'x- -If: .x' 'x- 'X- 'x. 'x.x' ,x. -x- ,x. .x. ')J! ,x' 'l\: ,x .x ,x' ,x' .x' .x.x. .)l;.)l; 'X"X"X ,x' .x' ,';( 'X,)l; .)l;,x:,)i: ,x ,x ,x' .x .x. 'x' .)l; ,x -x- 'K ,x 'X .x"x, ,x' 'X' 'K 'X- 'x- ,x' TESTING: Mus~be recdgnI?ed by the Washington Association 00 Building' dfficials' C' 1:;)1:::' ('" 'I' I" C'I:) :: M ['1 ,':' 'l" ''') (::,' "y" (::.; cl 'I' q;I" (:,.., '(,' (:...., (,,{ W 'I' ,[" ~'l 'l" ~'l ,::" C' 'l" ;:.,'1': ':''', ("l'[:: W {., ' ,.,,) .." "t .. \I _,,) I . ",;:0 t ~...... ., .._ .;: ., ,~..' ~, ,,'" .,,' ..J .'" I "I ~"" _,,) " t~. ,1,.._... 1"'1 BLDG: City of Bremerton Building Department 478~$275 PLANNING: City of Bfemerton PlannIng. Departmbnt 478~5275 PUi:JWCH~},~::;:: C; i ty of: 13n':')mc,:,rrt on Uti 1 it i ('::'l~~l. D(':~'lp€n.t r)'H:,:.mt 4'ZO"":!::;:::l), El p::' I F~ E:':: C :i: t y 0 f: 1::$ Y' e! m (:':~)" '1;; 0 n F' :1, 'i" f':) ~1 a'( ~j h a], w *~~ 0 f: f: :1, c (.::; 4'? El'''''!;;) ::In 0 'F: N G :: C :i,t; y cd": )3F(':':Hl'H:') y.t; on F: nq :i, m::,) (':"!)" i n 9 I::)f:':'l part m~:':H'l't; 4- 70 "." 5 ;r7 0 1"'IF:AI...."I"I''''I:: 13remE.)'('ton/f,:i.t E~ap l"I(:::,)i:'~ 1 tl'l . Dt:'lPi:'H.tml'::')nt 4'7H""5;;:~:::l5 .. C1I:::' [;Ib:: . C''I;'':;,'''''::'\ nf Lit"" I") ,::., n.j" c,-r:: I ."i")f')Y' & TY'jcJt,{,','I"y": i",,~,; /;')'\',~",;.A9"'.\1. ' ~-X-~~-X-~;-X--x-*~;~;;-x-;*-x-;~-x-~;;;;-x-;**~:~;~***;~~~;;~;;;-x-xx*-X-**;~;*;~;~-x--x--x-*-x-x-x-*-x--x-****-x-* ~ . .~.,., , . P('::~r m:i. t 1'''lcd df':~Y' ~~.:~ ',,',' " ". , ' " " II I. II"" t: u,'" :: .... ........... .,..~;.;.. ... .............. .,:.....".. .... ..."'..".".'"_.".. .., 1"1.,.'1"(,:,,:: '9'//7/' '~, b'" ,,~ tl. ,tl .._ "...,"""".,,".'''''''''''''''''''''''' "'" "" """C"""""""""""'''.'''' "". I I I I I I r I I i- I I 15 I L r::;'" ',",,' ill" I " ;ri""".."",,-,:,.p i, : '" ! ,,,~^'" " ,1'rw (i:,i";,~jY!l~, \f'~:d~J!!t~f,~';:,,'IJ ., " '1f?r~~~I-i;.Jpj,~~:1:';''(1!6~~'':~'!.o; :;,' -. r BR MERTON PERMI C R 286 4th Stieet~ 8remertDn~ UA Phone:: (36,0) FAX: (360) 478-52.78 JNG PEf~M!T St/:ltus 96""'0602 'I' .I. 09/17/1 09/17/1.9'l6 16/1 1 j I I ! ! I ~ 3703 i~f~SEWIL WfW 2i70:;1 f.)I:~SENAL WAY Pe'f'm:l.t No: 11 ~s !"I\HiC 1215 IVY RD BREMERTON. WA 98810 f.1PP 1 i !;~d : I B i~ll..l(:,!Cj : E:xpi n~s:: Owner: 3MB EN1~RPRI 3703 ARSENAL WAY RREMERTON WA 98312 1 I ractor: RAY'S HVAC 1215 IVY RD BREMERTON, WA " Lie #: RAYSHIMlSdo7 EXp: 1/1.9')1;' 10 r~ t,A~:; rtJF<NACE ~ GAS HOT L>.)ATEf~ TfilNr\ 9 (~f~S PIPING ********************************************************************************************* ValuBticm * Permit Fees: 41.70 Total Calculated .70 .00 * Plan Check .00 Additional ,00 * Other Fees: 5.00 Total Permit Fee: 46.70 **************************************M***X************************************************** MECHANICAL/PLUMBING FIXTURES-"" ~lECH-Gas Ftrrnace to lOOk btu,: 1 MECH-Gas Piping (out lets). " ,: 2 PLBG-Water Heater"".,.",.,: 1. ********************************************************************************************* permit shall become null and voId If the building or work authcrized by this permit 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 aft.er the NCffK is commenced for a period of HJO days. NonCE "" It is the reBPofll:dbiIity of the permit holder, not the City of Bremerton or Building Official to S8t:1 to it that required inspections are made, Tnt! permit holder must notify the Building Official when ready for inspections, Failure of the permit holder to notify the 8uilding Official of required inapectilJl'18 may result t stoppage of the work until such time that the permit holder can substantiate to the building official that the conceale:d work meets or exceeds code requirements. Any demo1ition~ testing~ or financial burden shall borne directly by the permit holder. Failuti3 to fllubstantiate code requirements will indemnify the City any and all responsibility or l:i.abiUty cormectEJdwith the construction, r hc:reby certi that r have read and eXiiffiin~!d this p(wmJt {mcJ know the !:lame to be true and con8ct, 1 provisions of la~J~; and Clrdinance~ governin~~ this type of work ~)ill be complied with whether specified r,,:"':lin or not, Tn!'! granting of a permit does not presume to give authority to violate or cancel the provislons any other or local law regulating construction or the performance or construction, {} '.'/ ( t ! (" / '(;" r, _. , S j ~mGttlre ~ ~:..:~.~:.-t.;f.~*~_"c;~;.s-:.2:1l:!:g__,.____,~...._~.___....__.._,,__~, Oat €I ~ ..__~:i '-)]-f-:t(~.._,--_.__._""-- \:) ( , r certify that I am exempt from the )"!')quirements the state contractor's registration law, under h:m 3, chapter 126, laws of 196J, Signature *************************** ~~er Ii!:i. t Cent er """Approv(~d By ~ .".""..,,",",," Oats: 1J~1t!:1 : . , , . '", ., .--.-- .'\.. ~";~"" -:i . ~"\frr.::7'r1,,!>'I11"1:f"",,:1""". .'~:r.~i"j""",':'h" '\I".~,Wif ~>~'l".~'J::::~~ ;h1; ~~:'i"J;,J"... ," _. ."'''''' .o~' ,,4 R MER 286 Phone: ( 0"'"1 h St '11 ) 478-5275 (:;: r...s E R ~ UI1 98:'::']37 FAX: (360) I 1 j'" :, .I, C 1 no Job Address: 8708 ARSENAL WAY Location: 3703 ARSENAL WAY No :; I 09/1.7/19'16 I:::: x ~::~ :t Y' ~:~~ E~ :i 1 t~ ,/1 C) (:~ -.", () <::) () ~<~';: i~ ~f: !~j U 1 I'~ y,: f) INS PEe T ION S Item: 01400 MECHANICAL Item: 0 550 PLUMBING Item: 02700 FINAL Df~;pt:: BL,DG D(!.~pt:: f3LJJG [) (':1 fJ t: ;; [) :t (~l i *:~,~ i () 1'1 ii D:I V:/. s:1 on = [) J..\l t ~y.~:t ()r~.:; *****************************************************************~~*************** n::::~:~"rINCi= Mi.H-:"t b~:,) 'rec091"l:l.z(:~)d by the t,Jr:Hii:hirl1;rton {i~,;:SOC:i.{;~t:!.on of: I:Jui.ld:l.rH;;! CJf'f':i.c:i.;:d,i!.i: INSP= Must regi ered with the state of WA BLDG: City of emarten Building Department 47B~5275 PLANNING: City of Sramerten Planning Department 478-5275 PUBWORKS= City of Sremerton Utilities Department 4 18 FI City of Bremerton Fire Marshal-s Office 478-5380 ENO: City of Bremerton Engineering Department 478-5270 HEAL Bremerton/Kitsap Health Department 4 ST OF WA= State of WA Dept. of Labor & Industries 4 1 ********************************************************************************* P~:<)'r m 1 t !"Io:l. ck~Y' ~ i:~ Signature=____ __ -0 . f.: .,., ,~~"'/'?::C~~~:".". .." '.... Oll'f ~'''''1. De~t (':): ,,,,t., ,l[!,,1~.. . . "'~""-'-"'~~,,--'.~~<-""~-' '.", ' . t; I '~ "~~~it'1~'r;(j~~,;., """'ir~\~~~~~:ll:" I j ""c/" ... J. OF Bl<EMF,RH)N HFCFIPT 46.70 09/17/96 14:]9 RAY'S 121990 Inlt: VW Nwnbm" : t1et tln!,'.:l : Pl;frmit No: S 1t ',~dd '(' !;ff~~l:i\. ~ Itmt rype: MlP WiW ~IAY MECH/PLl3G PEf~~l II' {'tri f.~ Paymt3!ot T r,lJ fotHl (~LL Pmtf~ r, BEI.:l i:HlGf3 : 46,7() 46., ,00 Cmle: "lOO~:} ( " I OO::~ { ,1009 ( n, AmCIU nt .70 1 .') ,t , !~i .,(JQ J " ! I I 1 I I I I t I I I' " I I I I I 'f' - " I . . CITY OF BREMERTON POSTING MEMO FOR REFUNDS The amount of $46. 70 is to be refunded to: received as Mech. /Plbg permit fees Ray'sINAC 1215 Ivy Rd. 'lIp f/ J1fl K /I1)E- Bremerton, Wa. 98310 as a result of Job address is located in the County. Date and number of original Treasurer's Receipt (if applicable) 9/17/96 Receipt # 96000855 Fund/Revenue Account to be debited 16- 322.1005 (2215) Mech. pennit fees 29.70 16-322.1003 (2213) Plbg. pennit fees 12.00 81-322.1009 (2219) Permit surcharge 5.00 Valarie dofJ.~ PREPARING CLERK ' 10/2/96 MtP// SUPERVISOR Paid by Treasurer's Check # Dated CITY TREASURER 4 ):~,,::;I::!::.:ii~ji;j!i;::ii::;!;;;:iIi';i.::';,i::::.;;:,:iII::i::i,i::,::,:;it:i:,iK,.,:DE....;,';'UTWF,.', ",,:':,:i:::;:\.{....n..r:..~r&:.,~I~~:':.i,.ti:,:;i:i,'::i:i'::::;;,,:::i':-:',:i::::i:,:::':;::.i:. '" ".."""""."..., "'," '" "., '"I::JEtI.1T.I:L.:,:""rwE::.EiIl..U1:1:.:"l:.~I.."',,,,..... """"."..,."" "".."... l'r~I~1~I!!lt~~:hffi~1Ift9~~~.it&i(I~\1~~j~~:g27;5},:F~2~~6~~~i~fj~!~%;jl :J/:::::~;r;ii::;i:i@::iii,i:~::@;t:::::,:'i~Ct:n;:::::::::;,::::::::i::::i::,.i;:'::i;i:IO';':;:;i,:;:':;i:i::;i.i;;i::;':;::::::::i:r~::':::!::::::f:.i:{J!EliMBING:."".,.,.,.,.,'.....,.: ):,:".'.:,..'f APPLICA.l~T: D OW'NER D CONTRACTOR 0 OTHER: COMMEJ."l'TS: SITE ADDRESS: 3 7 03 ftJl1S~hal (va. 4 OWNER:-In113 F n t- ell' JO r',' S -e~ () . I CONTRACTOlCl(. C{1's If 1/ IJS Iht'_ . CONTRACTOR LICENSE #JS.1JYS Hl--f:: J 30V? OWNER PHONE # Ct, 14 - 957 I ADDRESS: 11 S~ ha.:2tj S ADDRESS: / ~ J 5, :r:. lI1' , Ref EXPIRATION DATE: Fe'/; 77 CONTRACTORPHONE# 377-5ZJ06- I3rem. J5re/J1 :::NQ~::i ::::;:J:::i::@::::::~ii:fi:::i~~;:~B:::$~tJIIIM~m:i;::::i:::::i:~~:@:::::::m::::ifF.~:t::::J;:r~:Q\~:;i:ff::~m::;:::l::If;:::;;:li:n~E;::QE::E~RE:;i:::::::'@~jfj;::I::I:lt::;;:a:Eg::::: " RAI~GE I WATER CLOSET WOOl)/PE.llET STQVE , , BATHTUB n r~ (rJ r2 n rJ1 rc~ , X GAS FURNACE btu ~.: LAVATORY n~ ~ ~ l~ U V ~ I CONVERSION BU~ER btzl S: SHOWER .JU .. UNIT H.EATER btu's: , KlTCHEJ.'i SINK ~t='P 17 1996 BOILER btu $: ! DiSHWASHER /\ GAS PIPING ,', LAUNDRY TRAY IUI'I EVAPORATION COCKERS btus: ' CLOTHES WASHE'lN1lI1 mnll'~ .,"', AC UNIT btu's: , <' X WATER HEATER HEAT PUMP btll 's: tons: URINAL REHEAT BOX btu's: DRINKING FOUNTAIN AIR HANDLING UNIT btzl $: . FLOOR SINK OR DRAIN EXHAUST FANS SLOP SINK RANGE HOOD (resid!=ntial) WATER PIPIING & ALTERATION RANGE HOOD ( comme::rcial) GREASE TRAPIINTERCEPTOR CLOTHES DRYER HOSE BIBBS INCINERATOR " L>\ WN SPRINKLER SYSTEM DUer ALTERATION SWIMMING POOL TANKS type: , BLDG. SEWER (mobile I moved house::) REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER: MECHANICAL PERMJT FEE $15.00 PLUMBING PERMIT FEE 05.00 or 4.50) I ; 4 I MECHANI CAt FEES: PLUMBING FEES: TOTAL FEES: APPUCANTS srCNATURE:~~o1,:a c:~ DATE: 9 /)719'~