HomeMy WebLinkAboutBAYVIEW DR., 1712
e P-=RMIT .
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281
JOB ADDRESS
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OWNER
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CONTRACTOR ,
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MAIL ADDRESS
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PHONE
PHONE
LICENSE NO.
Class of work: D NEW
D ADDITION
"
~ ALTERATION
D REPAIR
~MECHANICAL
lXI PLUMBING
CHIMNEY (No fee information only)
Masonary Lines Unlined
Factory Mfg Type B Type L
Location: Internal Outside Wall
INSPECTION: Groundwork
Wasted Vents
Htg. Ruffin
Stove or Insert
Gas Test
Water
Chimney
Refrig.
No.
Type of Equipmimt
STOVES Gas_ Oil_ woo~
FIREPLACE INSERT
FURNACE Gas (Nat._ LPG. _) Oil~
Wood add on _ Other_ Electric_
BTU
Type: Up flow_ Down f1ow_
Horizontal-,---- Wal'-
CONVERSION BURNER:Gas_(Nat.~ LP_)
Under 100,000_ Over 100,000_
Oi'-
UNIT HEATERS 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_ SpliL-
Add on_ BTU Ton_
MIXING OR REHEAT BOX CFM_ BTU_
AIR HANDLING UNIT CFM_ BTU_
FANS Exhaus~ Supply_ Bath_
RANGE HOOD Residential----; comm.-,----
CLOTHES DRYER Res._ Comm._
Incinerator
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ Exhaus~
TANKS Oil_ Gas_ Propane wlOK
from Fire Dept._Gallons_
REFRIGERATION UNIT
Fee
No.
Type of' Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
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 & BACKHOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private Public
GROUNDWORK
SUMP
I. ALTERATION
POST & BEAM
Fee
---::3 SO
--
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PERMIT$~rO
TOTAL$ /4- 00,
PERMIT $
TOTAL FEE $,
~w
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABAN80NED 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 COMPLIED WITH WHE-
THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE-
SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY
OTHER ST,ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR-
MANCE OF CONSTRUCTlbN.
(SEE OTHER SIDE)
RECEIPT NO.
(DATE)
-JJ-
(DATE)
2312
FINAL APPROVAL
, PERMIT NO.
Nt!
(White-ORIGINAL, YeUow:INSPECTOR, Pink-APPLICANT)