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Home My WebLink About16686 B REM E R TON B U I L DIN G D E PAR T MEN T PER M I T --------------------------------------------------------------------- --------------------------------------------------------------------- -......""""-,. Application Date Issue Date Assessor Acct #' Site Location Owner - Last Name - Street - City - Phone Tenant's Name Agent's Name Architect's Name (X] Building [ ] Mechanical [ ] Plumbing Building Contractor:. . Contractor Street City Phone Representative State License # City License #: 08/03/1995 11/09/1995 3967-002-001~0000 2601 CHERRY AVENUE BRIDGEVIEW MEDICAL 2601 CHERRY AVENUE BREMER TON (206) EYE CLINIC OF BREMERTON JOYCE SMITH BROWN, CONNALLY, ROWAN [ ] Grading [ ] [ ] Move Building [] [] Mobile Home [] Application Number 95AP08830 Permit Number 16686 Project Group First CENTER HI State WA Zip 98310 Phone(206) Phone(206) Sign Burning Land Clear [ ] Paving [ ] Underground [ ] Demolition SUNSET PACIFIC CONTRACTORS 3030 68TH AVENUE W TACOMA (206) 565-6527 ROB MCCARDEN SUNSEPG187BF Zip 98466 state WA Expiration Date 08/07/1996 Expiration Date Nature of Work: Remodel existing reception/waiting area. .' APPROVED PLANS AND SITE PLAN MUST REMAIN ON SITE AND AVAILABLE FOR INSPECTION. Building Valuation Council District ~ Constructi.on Type $45000.00 3 Census Tract Sq Feet Inspections Required Residence [ ] Zoning Foundation [ ] Business [X] Type Framing [X] Other [] Insulation [ ] New [ ] Plumbing [X] Repair [] Status Mechanical [X] Remodel [X] Code Wallboard [X] Additio~ [] 12 Final [X] ;~~~:~-----~~-j1;;r-K'---------~~;~~~~~-;;~--------~------------ ~~~~ ~~-~=~------------------ - - - - ~;-~&1~~~ -------- -=--~-----------_._-- - / '> '-, :., ,..~."'-~. B REM E R TON B U I L DIN G D E PAR T MEN T CON D I T ION S o F PER M I T --------------------------------------------------------------------- ---------~----------------------------------------------------------- Application Number 95AP08830 Permit Number 16686 BUILDING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Approved as revised. FIRE a _ . . . . . .- . . . . . . _ . . . . . . . " . _ . " . . . . II _ . . . _ . .. 1) Fire alarm plans needed......separate permit. 2) Extinguisher plan required. 3) 2 storz adapters (PAID) 4) Corridor one hour separations shall be maintained. 5) Alarm system test required. --------------------------------------------------------------------- --------------------------------------------------------------------- BIUIMIIRTON BUILDING OEPARTMIINT Inspection Report Scope of won: Address: . OWner: Contractor: Pennlt Nmnber: Remodel reception area 16686 2601 Cherry Avenue Bridgeview Medical Sunset Pacific Contractors Phone: Phone: ? 0 fi / C) fi C) - fi C) ? 7 COMMENTS: FOUNDATION Hable) FOOTINGS APPROVED: WAUSAPPROVED: line uired 10' ~ ~4 ///~/7"-- , #- 0;1</ COMMENTS: APPROVED: BNERGYCODECOMP~CE COMMENTS: UNDER FLOOR/FOUNDATION INSUlATION APPROVED: WAlL INSUlATION APPROVED: CEILING INSULATION APPROVED: MECHANICAL hearth Chi COMMENTS: GAS PIPINGAPPROVED:________FURNACEAPPROVED: OTHER APPLIANCES APPROVED: COMMENTS: PLUMBING GROUNDWORK APPROVED: PLUMBING ROUGH-IN APPROVED SBD'l'ROCK COMMENTS: ~/~ / ~~ ///~A) I ~ /MV- . I SHEETROCK APPROVED: E E Buildi Buildi uired COMMENTS: FINAL APPROVED: 3191 BREMERTON MUNICIPAL UTILITIES 3027 Olympus Drive Bremerton, Washington 98310-4799 (206) 478-5318 VTILITY SERVICE AG~~E~NT Work Order No. Tap No. Receipt No. Bremerton, WA. <J /:3 8872)1 , 19~5 ------------------------------------------------------------------------ property owner hereby applies ~ro{) / ~~- au:e oJ Block Lot for Utility service at: The undersigned Service Address: Legal Description: Plat Kitsap COU:1ty SERVICE REQUIREMENT: [] Water [] Wastewater [] Stormwater SERVICE AREA: [] Marine Drive Water [] Sewer District #1 [] City [] North Perry Water [] Tracy ton Water [] County [] Port of Bremerton [] --------------------------------------------------------------------------- SERVICE CHARGES: Connection/Inspection_Fee: Water: Domestic............... Size $ Fire .................. Size $: Wastewater ............................. $ Storm Water ............................. $ BARl?_t Fror~LL FOQtl!8.~_Fee.: Wa ter ................................... $ Was tewa ter .............................. $ Storm Water ............................. $ g~neral FacilLt.L1'ee: Water ......., of units Wastewater ..# of units Storm Water .1 of units @ $ @ $ @ $ $ $ $ ~stem~ey~~opment Charges: Water Wastewater Storm Water $ $ $ Temporary Service $ Road Permit [] City [] County ..$ Street Restoration [] Asphalt [] Concrete $ Tapping Fee .............. 0 . . . . . . . . . . . . .- . . . $ Deposit $ Other $ TOTAL. CI . . . . . . . . . . . . . . . . $ --------------------------------------------------------------------------- 1. Utility charges are the responsibility to the owner regardless of whether the property is occupied by the owner or tenant. Unpaid charge shall become a lien on the property serviced. 2. By this agreement, the undersigned owner acknowledges that the owner assumes the risk and the City disclaims responsibility for all claims for damage or injury to person or property resulting from the following: a. Installation, maintenance and operation of all plumbing, fixtures or appliances connected to the water meter or wastewater main. (Building permit inspections are limited in scope and do not guarantee plumbing design or workmanship.) b. Changes in pressure, flow or temporary shut-off of services due to system maintenance, emergency or non-payment of charges. Name "JJ/eI/)G-eVI€,L<J JJ1SZ>/C/tL &.A.l~ Bi 11 ing Address ;(t,()/ (1jrcf~~ /fv. C i t y ";j3,ee m~'.e7"l:Y}/ Owner'. Signature. ~ --,I;J. II- Agent'. Signatu~Z A::<0'A.- Accepted on, behalf of Bremerton Municipal Utilities: By: ~/ ~-'--L.Ad--' Date Original & Yellow Copies: Utilities Accounting Pink Copy: Utilities Engineering Goldenrod Copy: Phone Number State U JA Date f? G ---- Date I~) / I~ ZIP '/It:fi/(J , 19 , 19 8/~ , 19~ Customer .' ROUTING SfIEET ~I .. Project # 95,hPtJ 8J1 Eo Date Received: !i1~_ Application Review date: 8/8) ? 6- Pre-submittal meeting date: Date accepted as complete: Building Engineering Fire Long Range Planning Neighborhood N/A -s~ ~/<;; ~/C6 Date permit application is approved or denied: Date applicant is advised of approval by phone: ~ II ~ by mail: Date applicant received permit: REQ'D? Y/N Building Utilities Building Firc Building Firc Firc Utilitics Firc Building Lund Usc Enginccring Wutcr FiI'c OTHER PERMITS LOG SHEET ADDRESS: ApPLICATION No. DATE COMMENTS - oo~ - ---J , ~..: ;~~. '..V :.:" '. i~i~~~~~:~~~:~~;~~~~~~ .:: .' '. .' .' ',' ..... :~:JJ!'j.EiJr.;.LJJf;A:L~.a-I.::~rD:.(t/iJ/lJ!fJVi1/Y;U:~tN!.E:;a;;~.k:1Y~"Li1'~..";'"~:;:>: ::::.'.::': :.<....".::.;.. .' .' C";'OF~.w~~'mitl:::. :).:::....:::~.~~. : . . 'FAX:(2tl6l;7.&;;5];7&... .... ... .............;::.>>.;..:. NOTICE OF PERMIT REGUlATIONS This permit shall become null and void if the building or work authorized by this permit is 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 after the work is commenced for a period of 180 days. :.;;:;:;:;:;:;:;:;:;:.;.;.;." ';':':';':';".:::;:;:;:;:;::::: : :::'.:'::: ::::: ;;::;:;::;;: ;:!; :::~:~~~~ ;~r:~:?jji(;;~I!Jt? .. .............. ................................ ............,..............-.. . ........ ../:~~~:?:));/JrIffY :......:...... ..:..... . .......:::::;.::::;;.;;!;:;;;:I;;:i;;I!!!;.illiiill::lil)ii.:ll1illllll'!II~i!!II!ii.lli.!~lli NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see to it that the required inspections are made. The permit holder must notify the ~ui1ding Official when ready for the inspections. Failure of the permit holder to notify the Building Official of required inspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall be borne directly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or loca11aw re ting construction or the perlo ce of construction. ~ I certify that I am exempt from the requirements of the state contractor's registration law, under Sec. 3, Chap. 126, laws of 1967. Signature Date Permit Number pamiLdac V~ '~S?f!-q6qO 'REGIST!:REQ AS PROVIDED BY LAW AS A~,_'h ,.' , :CONST .' C ONT . :~ I' . L....L_ -.)'" REGISTRATION NUMBER .. : ., YEXPIRATION DATE " " )1 . ! ',' SUNSJ!PQla7B~f O~f011,~,~ < ..1.;7 " eFF'FCT'~9E:,bAiE': Ql,(O~1.82 .' '. " ,'" .. ,lj.', l_""";, ~ .': . . I ./- :. .' ". :'-, ".," 'SUNSE-T;:PAC rFIC.,'Gf:.NCONT INC.'-'" 9500 FRONT ST TACOMA ~ WI'. 78409 SIGNATURE ~ · ISSU,=D BY DEPARTMENT OF LABOR AND INDUSTRIES ,. 1 - -- -.- ----- .~ .. -.., " .. ! B R E MER T 0 N B U I L D I N G D E P A R T MEN T P E R M I T A P P L I C A T I 0 N ----------------------------------------------------------------.----- --------------------------------------------------------------------- Application Date Issue Date Assessor Acct # Site Location Owner - Last Name - Street - City - Phone Tenant's Name Agent's Name Architect's Name [X] Building [ ] Mechanical [ ] Plumbing 08/03/1995 ,Application Number 95AP08830 Permit Number Project Group '3967 -00 2 -001-0000 2601 CHERRY AVENUE BRIDGEVIEW MEDICAL 2601 CHERRY AVENUE BREMER TON (206) EYE CLINIC OF BREMERTON JOYCE SMITH BROWN, CONNALLY, ROWAN [ ] Grading [ ] [ ] Move Building [] [ ] Mobile Home [] First CENTER' MI State WA Zip 98310 Phone(206) Phone(206) Sign Burning Land Clear [ ] [ ] [ ] Paving Underground Demolition --------------------------------------------------------------------- Building Contractor: Work will be completed by owner. Nature of Work: Remodel existing reception/waiting area. Building Valuation $45000.00 --------------------------------------------------------------------- Council District 3 Census Tract Construction Sq Feet Inspections Type Required Residence [ ] Zoning Foundation [ ] Business [X] Type Framing [X] Other [ ] Insulation [ ] New [ ] Plumbing [X] Repair [ ] Status Mechanical [X] Remodel [X] Code Wallboard [X] Addition [ ] 12 Final [X] ======~~===================================================== ~~ IlL... APPUCANT: DOWNER D cONTRAcrOR ~ OTHElC,A ~~..., 11'~~ ~J!:IP~e.""lE:.a..I t1EOI~ t.. ~t; . :u,OI ~~rzrz.'( Ave. . SITE ADDRESS: COUNTI ASSESSOR PARCEL II: ~&'1'Ob~.OOI. OO~ 0l~ "",e.14.' OWN . ~ A~ 61--re:.- S:~/,b. CONTRAcrOR: CONTRAcrOR LICENSE /I CONTAcr PERSON: ---tJ/A CONTAcr PHONE /I ~/A o SFR 0 DUPLEX 0 MULTI-FAMILY D BUSINESS 0 OTH~~: o SIGN 0 DEMO 0 MOVE BLDC. D MOBILE 0 GRADING(ych): . . o NEW 0 REPAlR ~'REMODEL DADDI~oN:D OTHE~ , :>< ,~ . INTENDED USE: K~I?Il:-AL t?rr'b~ ZONINC CLASSIFICA TION:~~ COUNCIL DlSTRICf: ',,:. -:''''''''-' NATURE OFWORK PROPOSED~ lZ~HL)Df-I_ e:.X::I~rlct~:{rtUe.~,~J I ~'1'I~ ~ ~~ 56'20 ,~ ';",' F-'- , SQUARE FOOTAGE, Dwdlin",~ ~ DodD, or epartment se ntv t}ttr:yA.tttA1j:&l~tf'JtWW: t'lnfA:$;:~:BtmiI ................PERMntm......w... ttmRSURtHARGESffift :)tWlJtr.~:t:Xt::F.Eli.S::tttII .............. ............ :}~){t:~:~:. ..:_ ,.' .:. ,'.. .::. _:1..:~_ .', .:~~:f}tf:~ ...... _..... ... ._.. _..__. - ... H' $ ~ $ S ENERGY: SSO. 00 $ ~\i'!~ \ ()tJ~ STATE: $4. 50 CITY $5 . 00 p; D U: 0 1 Applications for which no permit is issued within 180 days following the date of application shall expire.,.by limitation, and plans and other data submitted for review may thereafter be retumed...Jo the applicant...()r destroyed by the building official. The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by the applicant showing that circumstances I:J~Jld the controlo~.F~e applicant have prevented. action &om being taken. No application shall be extended more than once. In order to renew action on an application after expiration, the applicant shall resubmit plans and pat~ new plan review fee. I hereby certify that the above infonnation is correct to the best of my knowledge. APPLICANT'S SIGNATURE:.~7~ DATE: ~. ~. i~ y' RI!:CEII?T # 088781 B REM E R TON .H H J }, n 1 N (~ \., Build:ing 62-:122.100l MedlanicaJ 62-322.1005 Plumbing 67,-322.100:3 storz Adapter 34-388.1000 Sales of Maps/Pubs 16-<341..5000 * Thi~ Is Not A P~rmit * n R PAR T M R N T Per-mi. t. F'ees $ 18?00 $ .00 $ . on other. Fef':ls $ 2517.78 $ .00 Zordn9 F'eE"s AmrH.mt.. P.a'j d $ ~182.00 $ :~8?OO ...... - _. ....... _. -' - ._~. - -.... - .... -.. - -...- - -.. - - . ......._......~._.-....... - . .-.-' .-.....~....._.._,.. ..... -. $ 38?OO Received From: RY0 Clinic nf Rr~melton '7?98 ._---~...... -'~~'''--'-.~" _... ".~ -_.~. -- '-.""- ----.--" ---.-.-.. -._-.- ......- Plan Check $ ?4B.30 Feefl $ .00 $. .00 Allg 03, 1995 Amount pai.d .~ 748.30 _.__._~--~_._-~---~-._-~~-- "" -.-...., ......... ........~~....~ ...~ -.,.... ............ '.~ ''''' -" ,-- -- -.... $ ~48. 'iO 6/'-345,8300 Gen Payment $ othF'r. F.ees $ City Sur-Chnrge-$ 81-:j2?1009 state sic 6 4 :3" /. 37 . '1.3 'rot t1) Ji'€"PS $ 7.\.n'lOllnt Pn.i.d $ Pri or Pnyment $ Hal<.lnce Due On 08/03/1995 :I<~O'l'" .ft9bAP09B30 ::; 7.48.30 ~?66.7B 257.28 5.00 .5 4.50 ---.........---- ....... ~__ _. ._ ~.. - ...... ...... .'W B97.08 89'7.08 .00 ---------.- .~. ..- ..... ..... -, .~., ..... -- ...... $ .00 i < ~ .,,1 I / /. . B R E M,..>E R T 0 N B U I L D J. N G D E P A R T 11'1 E N 'It P,'E R M I T A P P L I C A T I 0 N -------~------------------------------------------------------------- ----~-------------~-------~--~----~-~-------------~------~~---~---~-- Application Date Issue Date Assessor Acct :It Site Location Owner - Last Name - street - Cit.y - Phone Tenant's Name Agent's Name Architect's Name [X] Building [ ] Mechanical [ ] Plumbing 08/03/1995 Application Number 95AP08830 Permit Number Project Group 3967-002-001-0000 2601 CHERRY AVENUE BRIDGEVIEW MEDICAL 2601 CHERRY AVENUE BREMERTON (206) EYE CLINIC OF BREMERTON "JOYCE SMITH BROWN, CONNALLY, ROWAN [ ] Grading [ ] [ ] Move Building [] [ ] Mobile Home [] First CENTER 11'11 state WA Zip 98310 Phone(206) Phone(206) si'gn . Burning Land Clear [ ] Paving [ ] Underground [ ] Demolition ----------------------------~---------------------------------------- Building Contractor: Wor.k will be completed by owner. Natur.e of Work: Remodel existing reception/waiting area. .,i, .'~ Building Valuation } ? ----~~~~~~1-~~~~~~~~------;----.-;~~~~~-;~~~~-1J---------------------- ~ 1 $45000.00 1 :~ ~ ~. ),~ ,'...:',,-....."""-. Construction Type Sq Feet Inspections Required 12 Foundation Framing Insulation Plumbing Mechanical Wallbo"ard Final' '^ [ J [X] [ ) (X] [X] [X] ~[ xJ",v . '.' ,. '~:"'''', . Residence [ ] Business (X] Other [ ] New [ ] Repair [] Remodel [X] . Additi 011 [] zoning Type status Code ==============================================T====~===============~~ ~o/4 ~ ~ -^-,-/Y~ ' ~~ OJ' ~/ . A · P! / S-/ Cjl- ~J~ tp -() ~ 0 .. " ',< ~ ~.. ..;tl;:Io ....\ . " " / B R E M E R T 0 N B U I I. D I N G D E P A R T M E N T P E R M I T A P P L I C A T I 0 N ~~===================~=~================~===~===================~===~ 3967-002-001-0000 2601 ~HF.RRY AVENUE BRIDGEVIEW MEDICAL 2601 CHERRY AVENUE BREMER-TON (1'06) EYE CLINIC OF BREMERTON JOYCE SMITH BROWN, CONNALLY, ROWAN [ ] Grading [ ] [ ] Move Building [] [ ] Mobile Home [] Application Number. 95AP08830 Permit Number Project Group Application Date Issue Date Assessor Acct # Si te I.ocntion Owner - Last Name - st :t:"e0t - Ci.ty - Phone Tenant.~5 Name AgentQs Name ~xchitect.Qs Name [X) Building [ ] Mechani.cal [ ] Plumbing 08/03/1995 First CENTER MI St.ate WA Zip 98310 Phone(?'06) Phone(?06) Sign Burning l.and Cl e~ r [ ] Paving [ ] Undergr.ound [ ] DAmal i ticm ---------,---~-----------------~------------------~---~----_._---------- Building Contractor: Work will be completed by owner. Nature of Nork: _. Remodel exi sting r.ecepti on/w8L.1 t\ng ~ret: ~ I). j-_ \.(! a-1c...v W"- f 10. VI. S Y1~~Jec). 2.J ~y/ l"J-iA.. ~ h -ev- ? /0 Y7 Yl~--e cJ .Pd, j') I 5 kif 2. CAJo.{fJ 4( (~/f/I ,'r~J I ~) Co> .y~IJo r I ""'" ~P, c;hce.-I/ ~ \f\I\-Cd vv~ .\~ -€- J. 6 j 4-? 4 y V1-^- "'f) as k0/\ -f--e <6 +- r ~9 L-tJ r ~ J. Building va\uati~-<' 5~'1?o',oo "-' -----------~-------~~------------~----~---------~._------~---~---------- Counci.l District 3 Census Tract Construction Type Sq Feet Inspections Requir.ed 1? Foundation [ ] Ft'L\ming [X] Insulation [ ] pi umbtng [X] Mechanical [X] t~allboard (X] Final [X] Residence [ ] Business [X] Other [ ] New [ ] Repa:i 1:' [] Remodel [X] Addition. [] Zoning Type Status Code ---------~-----~-~-~-----------_.~--------------~--------------------- _ __ __ _____ __ ___ __ _..___ _________ __ ____ ___ _ ___.._ h"_' _ ___._ _._ _ __ __.__....... -.. _ __ __ -- i___ ... ~ . ~ J51q~ CITY OF BREMERTON PERMIT CENTER Application Review Type of Application:J}.,w, A.I~/d. I' Applicant 6~ ~ -:;~ c1' . Application # ,9'5 fif/t:f R ~ 30 Site Location: r:2ftJtJ /. (!)UA fi ~ Submittal Date: 8 /3 /9 S- Committee Revi~ Date: J/g/9s-' Building Zoning YN YN YN Environmental YN YN YN Engineering/Streets YN YN YN EngineeringlUtilities Y YN YN YN Fire (!)N N Y Other YN YN YN YN Additional Comments: V~ '~S~e-q6qO .- , , REGISTRATION NUMBER ! r EXPIRAT,ION DATE ,f' . ,. " , )1 ,; , ;'. -. SUNSttpQle7B~' O~r07"CV.:; .10; '. EFFF"CT~~E','bA1E:' Qlj,O~/82 , " '.. '~ . ,\.," , . I :.". . . 'SUNSFT:PAC rFIC/Gf..N CONT INC. '9500 FRONT ST SIG::~,OMAd/~' 78409 ISSU'~D BY DEPARTMENT OF LABOR AND INDUSTRIES .~~ , : ,. BRIIMBRTON BOIWINGDEPARTMBNT Inspecdon Report Scope of won: REMODLE INTERIOR A.ddress: 2601 CHERRY Owner: BRIDGEVIEW MED BLDG Contractor: SUNSET PACIFIC CONTRACTORS I@ >"f:J - PI6J Pennlt Number: 16543 Phone: Phone: FOUNDATION COMMENTS: FOOTINGS APPROVED: WALlS APPROVED: COMMENTS: line uired 10' u T 'f-~ /~J 7<.- /o,A";4 S- ('^-'Sf' /t' Ic.-J/'f}- ENE.GYCODECOMP~CE APPROVED: Insulation: {\ COMMENTS: UNDER FLOOR/FOUNDATION INSUlATION APPROVED: WAll INSUlATION APPROVED: CEILING INSULATION APPROVED: MECHANICAL Chi hearth COMMENTS: GAS PIPING APPROVED: FURNACE APPROVED: OTHER APPLIANCES APPROVED: uUed. COMMENTS: PLUMBING GROUNDWORKAPPROVED:________PLUMBING ROUGH-IN APPROVED ~/k /0/f~"'- SBEB'l'ROCK /.'......,.~. COMMENTS: / / I , / SHEETROCK APPROVED: /lArI- y- ~,)7 /0-/7-- '7 r sz:-- { L II I (;), 2 J---,. -S- ~ ctJv/ ~ /p/-v o/'~ .,/ / I aired COMMENTS: FINAL APPROVED: (1/1 I I fJt{~-- t / ~{/'lte- . II (I H REM I R TON RECEIPT # 088891 Buildinq 62-322.1001 Mechanical 62-322,1005 PJ umbiug 62-322,1003 storz Adapter 34'"338.l000 BUI{,DING D E PAR T MEN T * This Is Not A Permit * Sep 08, 1995 Permit Fees Amount Paid Pl.an Check Fees Amount Pai.d $ 414.50 $ 414.50 $ 269.43 $ $ ,00 .00 other flees $ 257.18 Zonj,ngP~H!!S ---_.,------------------ -------~--~--~-----~--- $ 414.50 $ 414 , 50 Recei\ff~d From: FloYd Bftker 32648 s .00 s .00 _~______~________w_____ --~-~-------~-_._~~----- $ 269.43 $ .00 62-345.8300 Gen Payulent. $ Other Fees $ Ci tv Sur-ChargeS 81-322.1(J(j9 9. ~iO 257.28 5.00 state sic $ 4.50 643-231.13 ====:==== Total Fees $ 950.11 Amount Pai.d $ 424.00 Prior Payment $ 5'6,7) --...---.......- --.......-......--- Balance nut? $ .011 Or. 09/(j8/19% For ~t95}W(l8657 R REM F. R TON RECEIPT # 08889? Building 62-322 .1.0(1l Mechanical 62-322,1005 PI umhing 62-322 .100:3< BtOrll Mapter 34-388.1000 BUII,UING o K PAR T M K N , 'k ~'hiB J g Not. 1\ P0rmi t 'k / ilep 03, J 9~j~ permH Fees Amount Pai d Pl an Check F'e(~s Amount Pai d $ 414.50 $ 269,4j $ $ .00 .00 other fees $ 75'l.?3 ~onin!.l Peen ~~===:~==~~~==~==~=:~=~ $ 414.50 $ RacedV'ed ltr.om: PI. o.yd Raker 3Zf14li $ .00 " ,~ ,0(1 ----~------------------ ---~---------~._-~------ $ 269.43 fi?"345.830{) ,., i:; .00 <len Payment: $ ?~7,28 Other Fees $ 251.23 city Sur-Chargp$ 5.00 81-31.l,HW) state sic $ 4.50 643-231.l3 ========= Total ~eef, $ 9~O.71 Amount Paid $ 257.28 Prior P~vnlent: $ fi93.43 -...-.......-............- ---....--....-......... Ba hmce Due $ .00 .00 On 09/08/1995 por #951\P08657 ~~...~,.