HomeMy WebLinkAbout2464
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.""PERIVIIT
CITY OFBREMERTON BUILDING DEPA.RTMENT .
PHONE: 478-5281
JOB ADDRESS
3222 BIRCH AVENUE
, OWNER MAl l ADDRESS
CHRISTINE D. STEWART SAfV1E
CONTRACTOR MAil ADDRESS
SEARS/ECONOMY SHEET METAL
ZIP
PHONE
PHONE
692-8709
LICENSE NO,
ECONOSH175RT
Class of work: 0 NEW
o ADDITION
o REPAIR
00 ALTERATION
Q MECHANICAL
CHIMNEY (No fee information only)
Masonary Lines Unlined
Factory Mfg Type B Type L
Location: Internal Outside Wall
o PLUMBING
INSPECTION: Groundwork
Wasted Vents
Htg. Ruffin
Stove or Insert
No.
Type of Equipment
STOVES Gas_ Oil_ Wood_
FIREPLACE INSERT
FURNACE Gas (Nat.-X- LPG. _) Oil_
Wood add on _ Other_ Electric_
BTU
Type: Up flow---X- Down flow_
Horizontal_ Wall_
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 ExhausL- Supply_ Bath_
RANGE HOOD Residential_ Comm._
CLOTHES DRYER Res._ Comm._
Incinerator
ALTERATION TO DUCT SYSTEM
Heating/Cooling_ ExhausL-
TANKS Oil_ Gas_ Propane w/OK
from Fire Dept._ Gallons_
REFRIGERATION UNIT
PERMIT $
TOTAL FEE $
FINAL APPROVAL
Fee
---1L ~
--2. 50
-1i ..5.0..-
- 17' 00
(SEE OTHER SIDE)
RECEIPT NO.
Gas Test
No.
Water
Chimney
Refrig.
Type of Fixture or Item
Fee
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR - SINK OR bRAIN
SLOP SINK
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTER (Grease)
VACUUM BREAKERS & BACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private Public
GROUNDWORK
SUM~
ALTERATION
POST & BEAM
f~ J 1- ){-fq...
PERMIT$__
TOTAL $_----.J
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 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 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 STATE OR lOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR-
MANCE OF CONSTRUCTION,
"/~"~'. ..' ...~, ,?~?':? 0/ \
V ,-A'/"-',.kk-Al' ..(",,~7. 6t...,l/t.'~.<'.-4
(~!PNA TURE OF CONTRACTOR OR AUTHORIZED AGENT
(DATE)
SIGNA TURE OF OWNER (IF OWNER BUILDER)
73415
f~ro
.,,'~ '
(DATE)
24~4
PERMIT NO.
(White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT)
.
_PERMIT
_
CITY OF BREMERTON BUILDING DEPARTMENT
PHONE: 478-5281 3q5 3-003-013 -OCXJO
JOB ADDRESS
3222 BIRCH AVENUE
OWNER MAIL ADDRESS
CHRISTINE D. STEWART SAME
CONTRACTOR MAIL ADDRESS
SEARS/ECONOMY SHEET METAL
ZIP
PHONE
PHONE
692-8709
LICENSE NO,
ECONOSH175RT
Class of work: 0 NEW
IXI ALTERATION.
o REPAIR
, 0 ADDITION
GJ MECHANICAL
D PLUMBING
INSPECTION: Groundwork
Wasted Vents
Htg, Ruffin
Stove or Insert
CHIMNEY (No fee information only)
Masonary Lines Unlined
Factory Mfg Type B Type L
Location: Internal Outside Wall
Gas Test
Water
Chimney
Refrig.
Fee
No.
Type of Equipment
STOVES Gas~ Oil_ Wood_
FIREPLACE INSERT
FURNACE Gas (Nat.--X.- LPG, -l Oil_
Wood add on _ Other_ Electric_
BTU
Type: Up flow~ Down f1ow_
Horizontal_ Wall_
CONVERSION BURNER: Gas_(Nat._ LP_)
Under 1 OO,OOO~ Over 100,000_
OiL-
UNIT HEATERS BTU-,-- Gas_ Elec._
BOILERGas_Oil_ Electric_
Other_ H.P ~
GAS SYSTEM Max. 5 outlet Total----X-
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 ExhausL,...- Supply_ Bath_
RANGE HOOD Residential_ Comm,_,
, ,
CLOTHES DRYERRes._ Comm._
Incinerator
~~
~ ill2.-
ALTERATION TO DUCT SYSTEM
Heating/Coolin9- ExhausL,...-
, TANKS Oil_ Gas_ Propane w/OK
from Fire Dept.-,-- Gallons_
REFRIGERATION UNIT
PERMIT $
TOTAL FEE $
---5. ...5.0.-
---11. ..illL
FINAL APPROVAL
(SEE OTHER SIDE)
RECEIPT NO.
(White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT)
No,
Type of Fixture or Item,
Fee
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 & BACKFLOW DEVICE
LAWN SPRINKLER SYSTEM
SWIMMING POOL - Private Public
GROUNDWORK
SUMP
ALTERATION
POST & BEAM
PERMIT$__
TOTAL $
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
IZEDIS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED 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 OFLAWS AND
ORDINANCES GOVERNING THISTYPE 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 STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR-
MANCE OF CONSTRUCTION,
\
(DA TE)
SIGNATURE OF OWNER (IF OWNER BUILDER)
734 is PERMIT NO, N?
(DA TE)
2464