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BREMERTON PERMIT CENTER 286 4th Street~ 8remerton~ WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT 8LIO\~ Job Addr: 2601 CHERRV AVE Location: PACIFIC EYECARE/KITSAP OPTICAL (1ST FLOOR) Parcel No: 3967002-013-0006 Permit No: 01-0448 Status: ISSUED Applied: 08/16/2001 Issued: 08/16/2001 Expires: 02/12/2002 Applicant: MACDONALD MILLER SERVICE INC 206-767-7995 7707 DETROIT AVE SW SEATTLE WA 98106 Owner: ADVANCED MEDICAL IMAGING 2528 WHEATON WAY #103 BREMERTON WA 98310 Contractor: MACDONALD MILLER SERVICE INC 206-767-799Llc #: MACDOMS147HN Exp: 02-01-2002 7707 DETROIT AVE SW SEATTLE WA 98106 Subcontr: Desc: MECHANICAL PERMIT FOR NEW EYE CARE CLINIC UNDER PERMIT #01-0304 *******************************************************************************.*******~*~*** Valuation * Permit Fees: 101.90 Total Calculated Fee: 101.90 .00 * Plan Check Fees: .00 Additional Fees: .00 * Other Fees: .00 Total Permit Fee: 101.90 1*****.************************************************************************************** MED-IANlCAL/PLUMBING FIXTURES-- MECH--E;-;h-:MJst Fans.....,......: 2 MECH-O'.J_ct A1 ten'.tion. . . . . . . . . : 6 1*************************************************************~:*****************I************ This peYmit shall become nul1 and void if the building ':)1' \<JQYk authoYized by this peymit is not comm'~nced \.Jithin 180 daYS fyol11 the date <"T such p<!!ymit, Or' if this t:oui1ding 01' I..,IOYK 2,Uthol'iz:,_?d b)' such pennit is susp':;.>l,ded 01' abandoned at any time after. the wed: is commen::ed fo, 8 peYiod of 180 d3ys. NOTICE - It is t.he yesponsibi li ty of the pel'mi t holdel', not the City of 8'''-'i'meyton 0\' Buildi n9 Off ic::'i'.\l to see to it that n,quiYec! inspections an~ iYlade. The PHllIit hold?y must notify the BIJildi119 Official \.Jh.?n -,.-eady foy inspections. Failun~ of the peymit holder- t'::J n:>ti_fy the Building Official of y<;>quiY!$<:! in$;p~;Hons 01<3_)' r-l.:-slllt in the stoppag.? of the woyk unt.il such time thZlt the peymi t ho1c;ky can sUb$tBntiate1:l7) the buildi 119 official that the concealed 1"IOYk meets 01' exceeds code yequiy<?me-ms. Any demcHtion, t.esting, 0'''- financial buYC.ien shall be boYlie diyectly by th'l? peymi"\:. hold"y. Fail.u\'e to ,:;;ut.lstantlate code yequiy<;.>roents \dll indemnify tho& City against an>' and all -,.-e<>...ponsibility 01' liabili.ty c.:orme-cted ;,Jit.h the constl'uction. I- heyeby ceytify th,,,t 1 have yead and examiT'l>l!'d this peymi t and Icn;;n" the same +..,:) bE> tl'UC an::1 COY'Y0Ct.. All pyovisions of laws and oYdinances 90veming t.his type of wo-,.-k will be ce'f1lplied w:,th \"lhethey $pecifi".d I-Je'(ei.r1 01' not. The Gmanting of a peymit c:k.>e$ not pn~$ur~ to give authoYity to vio13t€' 01" c;;'~llceJ. the p'(Ovisions of any othe st e 01' 10Cil.l _< w r- 1,;;ti0onsRuctlon 01' the pe-,.-fonnance 0: conS~YlJ.ction. Sisnature '-~ oate:.J2_lk=.o-\ t I a,m exempt fr(1m t: yequiYements of the stat.e con+..yactoy's Ye9ist-r3_tion 1:3.1,), uTh..;el" tel' 126, laws of 1967. S:i.snatuye: **********~**************** Permit Center--Approved 8y:_ Date:~ j 10 --() I 0.,'; -,1.1' ';";iIo',r, :';i~', ';,I","/;'1'-"':,:.;;,!t:';" i L.... ,~....... r\"'~'- ~\ ~ .\ \' \ \., ~., BREMERTON PERMIT CENTER 286 4th Streetg Bremerton" WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 G ~-IO \ V'--~ Building Permit No: Status: Issued: Expires: , 01~0448 ISSUED'".,; 08/16/2001:: 02/1:2/2002 Job Address: 2601 GHERRY AVE Location: PACIFIC EYECARE/KITSAP OPTICAL (1ST FLOOR) Assr Acct No: 3967002-013-0006 R E QUI RED INS P E C T ION S Item: 01400 MECHANICAL Dept: 8LDG Division: ********************************************************************************* TESTING: Must be recognized by the Washington Association of Building Officials SPECINSP: Must be registered with the state of WA ST OF WA: State of WA Dept. of Labor and Industries 478-4921 HEALTH: Bremerton/Kitsap Health District 478-5235 ~LL INSPECTIONS PERFORMED 8Y THE CITY OF BREMER TON MUST BE SCHEDULED THROUGH THE . -- PEBJ:1IT CENTER, (360) 478-5275" . ~-_.! ** * *~,* * ** * *** * ** * '* *** *** *** * * * * ** *** * * *** * * * * ** ** ** * '* * * * * * ** ** * * '* * * '* *** * '* *** *** * ~~'f~"I"firiJt" Hold :&~.. . .'. .... ... . \ .,'; '3-1:- g..D.,;>. t Jj r e : . . .. iF ~ _..... --- .~ \ . Clat A ~ ~ - r ~- 0\" . ..~L. _~A ., __ ........~....... ..., _....."'N.....,...~ j....,_'_'-""_~..............-._~.' '4(" It' -,. " ,( j ;, \, .# ( ,{II ...J.~r l ...J J~**~%l~~~'~~~*~*~#*~':~"~*#~'~*~~'~k~j(~~W*~~~'.~~~~~~'**f~~.~i~~;~~~~#i~~t I .: j -' ~ - "- ll....i \ I --Cy\ .V' Rf:I.FIPT .) \,.. - *,~.,~*******r*.*I~~.~***#~***~.~~*~*~~*~*~*_*~t~~~*~*~~*.***MW' PECF.IPT l~u~iI)F.:.r: 010007::f; trnl)Hnt; 101.. ':,,) nil/\~ /iil O-~" i,.s Pa}/ment r1ethod: (Y_ l'JotDLIofli tW:Opl;~'t~~;:; ['~l Tn1'::: 1.;:11 .... -- - _...... '''' ,.,' -, ....,........,. .... '.... -. ".., - "..,...... '.,. .". "".......... '," .. .... "" ..... ,~...... ... -^. '..... - ,",. "'.... --... ,.. ......... "....~............... .~ -~ -- ,- ,,"".........., ...." "'. -..'" ,~,.", --. Pe(od. t No ~ PM(:~d bJ.o: Site Mdress: Loc:atIc'n; OJ "'O'-~{~tl TYF"P;' 3967002-013'-0006 i-j,'-P t'ifCH... PL. FG PFr~r"lIT ,:601 CHEF:RY AVE. p:"lCn:!t EVECARE/IGT::;AP OpnC~;L (l.s,r nOCI') 'j Tot,a}. Fees: 1()1._~0 Ti)~aj ALL PflltB~ IG1~oO B21ance: .00 .~~.*~*x.**a*.'~*******t.*.**.f~*****~.*******.~.**#~.rw*w***~~~ .liccouni: C",de Def:'cr 1Pi; I 011 i11'j;)lJ\it H"Z;!2 .1005 (;~21.5) ~'iECHMn.U'1L PEl:;MTT F[E'~' ),n.'i - 10 T his P.:=l>,nH~nt 10i... qo ___________~_____.~____u.__...~_.~.____w~._____._____...___________~"~_.____ -~''''... ~, ,. ....: .,l>\:_...._. ~ _.~.. \..... ~".- ',' .r,':,V"'-O;"~' <... " \1- ) (' .,..... l --"H" ..0 l - o*~ &tt-~ l!it;f:0!~i:~~:0:~::~;:'1:f.;[:t~t';';~f:f:{~fi:;j~~E" ~R' >1\\;1" ',1" :t1l;:::;:~~:;A\:::~~.:'1~::;.e.. ~I'ON"" . . . .,.....: :........,.\.~...'..~,....".,ol'~.....,.."..:,...W.'...,......W..,', ......W.... ',' I:::-:. 1 ,~ :;:I:.~;: ': .1"":1l:I~..:...Il.T;:~ .Jrlj U 1-1I..::.I. ',. ,.. .. . .... ~.:::.~.t:..~;;.:.: :.::::.:::.~';~<:;::::~~,.~';.:.y.,;;:~:...:.;.~::.::.~~~:.~;.::..,~:~~:~. ........:,,~: ;;....l>~;.;.:...:~.,...:...::,. ';;"';'~':''''''M'''':...: .,:..';'::,: ,,' ....~,~. ..:.~:':.~~'.,:.; :,:, :".:.::::":~~:.:.:o( :.:;..r:.~,.. ':'" ." , ",,:.,. ."'" '" . . ," .. .. ,.. . ~ ." '" , :.... . . . . ::i:!:gLc:ri:Y)?~::BieRiertoW;\W~mngtQ~n:::;983.10~:;g::Ph:~5:n:~i:.:~)/4i8~ s'i7s:::, FA.X;::(2 06).4 78~ j 278 .... ~'~~'~"':'~"':::''::'\~;;''t:;:;:'~\rt~. "IIAN" I(;AJ:j" ......" .... ....,......::.....;:;;...D0........... ................ ... ..... p . .:,.,."<".y..'^'":,,,,,,;,,,,;;:,,, . ,., . , . .: ''''''~',w....,.."............,.." ..............",''":....:::''.........."..... L"nLm~G ~:.....-.~:::~;~'::~:'~:..t:~>:::.~~.'~~~~ ........ . ~:':'::':::0~~:::::~:::~:'::'i:;~~::"::::. ..~~?~:;:.:::::.::.:.:..;:t:.~~:~~~~:~,:.~:..::;~.,. &)1.,.. A-i.'lI '.' ,'.... . .... '.' .1 APPLICANT: D O\XlNER ~ CONTRAC'TOR D OTHER:. COMMENTS: RE:f'\ot\\=L PE:..e....M"LI #- 0 (- 0304. \\E-~\IE- '3 ()L~ E:~:,HAlJS, ~~~~ 'T'IiAT A~ IN..:;P,P.,:rN~ALL ;;J.. N"" ~ 8.. FA~6,' IZE-LOcAI~ f-SE-=-'JFRAL ~;z:.FJ.5€.JL6. SITEADORESS:~<OOI c.JiE.r.~V A\JE-, 'bef'MEJLToN, WA. 9B310 OWNER; (2;.eTQt....E-VTFoJ Mal PACTE1:,C Ey~ kt'~5S: a(DOI CJ~~l?~Y AvE M:J:.LJ....St . CONTRActOR: E:~t..Or-AP A'f2S Df,A ~\Acfu":'~ ADDRESS: '1-1-03:: bE.:Tgm::.r Ave. cONTRAcrORLICENSE# f\f\/>e~M~/41-MN FXPIRATIONDATE: 'd'-ol- ;20091 ~ER Pl;l.,ONE /I . /. , /: CONJ'fU\CfOR PHONE it (;:)0(0) 1(.,?-, ,- ~ q I ~ 'r1 /' I =-h (" Fu p r-/ /rP /~ j j'-.5r~()/J /7? "A 0 . :NO;:;,: ~~;~~j:?;~~~i~H?~E.dE::iE(:R:nf'~Ei~+;;~S:i~~;~::~f:j:f:::: ~:~::FEE<;:IDN})i/ :;:Xi!2~::!/fS;;:~if:YP~:"0 p. FLxruRE:::>;::::~:;~~:.;::;.:;rEEE:. $1'.00 WATE.R CLOSET BATHTUB LAVATORY SHOWER KITCHEN SINK DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER "" URINAL DRlNKINC fOUNTAIN FLOOR SlNK OR DR.A.lN SLOP SINK WATER PIPllNG & ALTERATION CRE.o\Sf. TRAP/INTERCEPTOR HOSE BIBBS LAWN SPRINKLER SYSTEM SWIMMING POOL BLDG. SEWER (mo~.i1t; / movc:d hOlU~) ROOF DRAINS OTHER: ~ PLUMBING PERMIT -Ii.EE (15.00 or ,t~O) ......... \ - ~:;.\;~ n :\ n r= II )~ .';;!J~U W ~ I 1"",,4 III 1 6-2Om- ~ RANGE WOOD/PELLET STOVE GAS FURNACE btu'1: CONVERSION BURNER 6wi: UNIT HEATER btul: BOlLER bru'r: GAS PIPING EVAPORATION COOLERS brut: AC UNIT bNlf: HEAT PUMP btlll: REHEAT [lOX bhl',.: AIR HANDLING UNlT brill: EXHAUST fANS RANGE HOOD (midc!l1{hl) RANGE HOOD (commcrci"J) CLOTHES DRYER INCINERATOR DUCT ALTERATION TANKS rypl!: REFRIGERATION UNIT OTHER; MECHANICAL PEMIlT FEE rcl7lS: _____ UtiI:IVJl:H lU N ! I.... -, ------ " MECHANICAL FEES: PLUMBING FEES: ~ ~OT\EES: APPliCANT'S SIGNATUru;, ~ ~~ ( \ a\ ~ 0 ~TE:f>- ~15- - ~ a60d Z9Z!;8Lv 1398 '0 '::J '0 NOHI3W3~8 Wd 113:89 96. 6Z 9n~ *~~~~*****~****~**~~~~k*ft**~~~***~~~***#~~**~~~.4~*~~**k~**~*~**~ r;! E (' ~~ '~' 1::)'-;-- >1'. p; *~i, * ** ~ :1' ",,:I: ** ***',,, :>j!';*')Y ;::t; 1<"" ',~': *- >l:Y,' i.; :;~ ,.'" 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