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Plumbing/Mechanical Inspection Iteport
Scope o work- `� ��f _-__-_,__.____Pe trlt Numberi -(-s
r•ess:
relr• fit.t ��.
contrMacto"'n ( A.6 U.-f A- K C ---""-) (n (Y,
GAS PIPING
Under teat(lOpsi for 15 minutes) 1pCO1xK a171n�BL 911 port
12"rrtioimurn helovgrade,when underground CoatorllwrappcalwheA trndcr round or withih 6"of oarelt
Groruul-joint unions trerhibitorl in certain locations liushin ds not allowed in concealed arose ---�
COMMrNT,3:----______ _—__—___--------__---- -- —_ _--
- __- -
GAS PIPING APPROVED:—
FURNACE
Manufacturer's spocificatiotts on site Location,stows,atryport
C"rance to combustibles to wmbustibka
Vent shin &su r ore/eonnectiotLs Vent _
Gpurbustion air — Chimney:litter and/or selrarate flats as required
Gas shrtt-o_f_f_within_3' _ -Pilot_e_kva_t«I off flcwr in era e
11uct.9:s6z&su p port/tnsolated whene(u KirL`dl� _ Rettim air—_------_-__
COMMENTS: --
FURNACE APPROVED: . .
Manufacturer's specifications on site _l.arc_at%ora,stows,suprport
Clearance to cortrbustibloa _—_ Venting:clearance to combustibles
VCBtt siaiI &err port/courtections Vcnt ttrenlnation �—
Corttbtastiotr air _ C_1®imllee :litter antVor scp req daratc lluc-a as uired
Gas shut-off wi_driu 3' W_oapd stove_&lirTlarxsUw hearth
Wood stoves:EPA adr�provotl �_ Gas(o afet�altutrolT
Wood stoves 8r Grcjplatxa:ti Its t�fittitey doors IGas shut-off within 3'
COMMENTS:
MISC.APPUANCES APPROVED:
WATER BEATER
Manufacturer`s_9Frecsficarions on site lo_catiotr,ac«ae,suppioort
Clearance to combustibles Vetttinig:clarauor.to axrrtbustibles
Ycnt sitin 8t support/connections _ Vent torrnination
Combustion air Chim.ner litter srrd/or scrarate flues as nuired
Gas shut-off within 3' Pilot cicvatetl_of floor in era c
Gate valve on cold water supply Relief valve drairuxl to outside
Co pjpec to-Ka ntux n lvartized cotios - Uuitms on water Ipid>oe
Seismic 9tra
COMMENTS:
WATER NEATER APPROVED:
ALL WORK UNDLIM THIS PEMMT ' < r # 17h
MECHANICAL.. PLUMBING
Type of Fuel: Electric -Gas Oil Propane
Occupancy: Residential Commercial
Site Address:
Owner: Contractor: f
Address: , t oe Address: q el CM? ,` 1()e !'
.,ewt ,k 0 3 a Se lue-Ade ,h
Phone: Phone
,�- Contractor's License Nurnberf Expiration Date:
�f
No. TYPE OF EQUIPMENT No. TYPE OF FIXTURE
RANGE WATER CLOSET
WOOD/PELLET STOVE/GAS FIREPLACE BATFITUB
GAS FURNACE btu: 10 LAVATORY(bath sink)
CON-VERSION BURNER btu: SHOWER
UNIT HEATER btu: KITCHEN SINK
BOILER btu: DISHWASHER nn
t GAS PIPING I,AUNDRY'TIUW
EVAPORATION COOLERS btu: .CLOTHES WASHER „
AC UNIT btu: V WATER HEATER
HEAT PUMP btu: URINAL
REITE Vr BOX btu: DRINKING FOUNTAIN SULDING )- @
MENT
AIR HAtNDLING UNIT btu: FLOOR SINK OR DRAIN
Ei`HAUST FANS SLOP SINK
RANGE HOOD(residential) WATER PIPING&ALIERAI ION
RANGE HOOD(commercial) GREASE TRAP/INTERC,EPTOR
CLOTHES DRYER HOSE BIBBS
INCINERATOR LAWN SPRINKLER SYSTE;vI
DUCT ALTERATION SWIINTMING POOL
TANKS type: BLDG. SEWER:(mobile/moved,house)
REFRIGERATION UNIT ROOF DRAINS
OTHER: OTHER:
MECHANICAL FEES: t'
PLUMBING FEES:
CITY SURC:LIARGE: �
TOTAL FEN:
.APPLICANT'S SIGNATURE: DATE:
FOE# WIF 08
VICINITY MAP
BREMERTON
BUILDING DEPAPTMENT
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10
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