HomeMy WebLinkAbout140 S French St_BLD2573_2026 F.1 w U Z z �� I c4"
Gzl a" m m O
Z x F � o
CA
a c x a q Z
•��- ,.J � d p F � O cws. z O
y ; a 3 z wa z n v
Z x W p .�, z cc
w a Y cps, w w 3 �? .�w E"" W cu ❑ a pq w a o M a
z z ° Q a o
Q Q " xY oLUce
V p fY 0. F' z F p ' F„ d LQ
C9 ❑
z 3 � sw Z 9 p
o v ¢ aZ U � o o m LM"Aa e
❑ ❑ ❑ — °wa` aZw o m zw n ocQ U
z zm AC4 F = Oo. cn Qce Q
F F V � N Vz
m � � 3 w � o a Z
zg � w zi zF U
w ¢ � z F .. � F oCo M
� cZ F } o W. 1 N
O m
ZaCA
Z z .a
U v � Z pp � p cn m CL o �
FQ z LT. 1
Q is OC Z � L) pGF � p v7 Zm v o ' LZ
aF zC0. p Ca OSn z Q f f O Z
a G W cc �a 6WQoz � u0. ci �
❑ ❑ a F ❑ ❑ ❑ ❑ ❑ ❑ ❑ cl
f
y
I
I
--- CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:140 S.French Ave Permit#:2573
Parcel#:00378800900900 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:BOURASAW BENJAMIN M/CASSIS COURTNEY M Name:Benjamin Bowasaw Name:Benjamin Bowasaw
Address: 140 S.FRENCH AVE Address:140 S.French Ave Address: 140 S.French Street
City,State Zip:ARLINGTON,WA 98223-8571 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-268-4257 Phone:425-268-4257
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
.Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS. OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;
NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBCI 10/IRCI I0.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be re ed on your sales tax return form
and
coded City of Arlington#3101.
y ��LL2 Ben BOuraSa 4—'r
Signature Print Name Date Released By 7 Dn c
CONDITIONS
Pipe shall be pressurized at 15-20 lbs (psi) for minimum of 2 hours. Adhere to approved plans. Call for
inspection.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION
ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
5/28/2019 Gas Outlets Base Fee 1 to 5 $10,00
5/28/2019 Mechanical Fee(Enter Fixture Fee) $25.00
5/28/2019 Mechanical Permit Base Fee $25.00
5/28/2019 Processing/Technology Fee $25.00
Total Due: $85.00
Total Payment: $0.00
Balance Due: $85.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of inspection being requested,and whether you prefer morning or afternoon
it
..
I
�`
f
!.:
GITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON, WA. 98223
is PHONE; (360)403-3551
BUILDING PERMIT
Address:140 S.French Ave Permit#:2573
Parcel#:00378800900900 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:BOURASAW BENJAMIN M/CASSIS
COURTNEY M Name:Benjamin Bourasaw Name:Benjamin Bourasaw
Address: 140 S.FRENCH AVE Address:140 S.French Ave Address: 140 S.French Street
City,State Zip:ARLINGTON,WA 98223-8571 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-268-4257 Phone:425-268-4257
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;
NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be re ed on your sales tax return form
and coded City of Arlington#3101. /
�s
Signature Print Name Date Released By Da
CONDITIONS
Pipe shall be pressurized at 15-20 lbs (psi) for minimum of 2 hours. Adhere to approved plans. Call for
inspection.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION
ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
5/28/2019 Gas Outlets Base Fee 1 to 5 $10.00
5/28/2019 Mechanical Fee(Enter Fixture Fee) $25.00
5/28/2019 Mechanical Permit Base Fee $25.00
5/28/2019 Processing/Technology Fee $25.00
Total Due: $85.00
Total Payment: $0.00
Balance Due: $85.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
it
i
i
Permit Information
Date 5/28/2019
Permit Number 2573
Project Name 140 S.French Ave
Applicant Name Benjamin Bourasaw
Applicant Address 140 S.French Ave
City,State,Zip Arlington,WA 98223
Contact Benjamin Bourasaw
Phone 425-268-4257
Email benmack6@hotmail.com
Permit Type Residential Mechanical
Site Address 140 S.French Ave
Valuation 0.00
Status Applied
Permit Issued
Permit Expires
Square Feet 0
Type of Construction/Occupancy Load Residential Mechanical
Number of Stories 0
Proposed Use Install gas line extension
MIC/Opportunity Zone
Assigned To Raelynn Jones
Property
Owner
Parcel Address Legal Owner Phone Zoning
00378800900900 140 S FRENCH I JBOURASAW BENJAMIN M/CASSIS 111 Single Family Residence-
ST COURTNEY M Detached
Contractors
Contractor Name Primary Contact Phone Email Contractor Type License License#
3eniamin Bourasaw 13eniamin Bourasaw 425-268-4257 )enmack6 hotmail.com %PPLICANT
Fees
Fee Description Notes Amount
Gas Outlets Base Fee 1 to 5 322.10.00.00 $10.00
Mechanical Fee(Enter Fixture Fee) 322.10.00.00 $25.00
Mechanical Permit Base Fee 322.10.00.00 $25.00
Processing/Technology Fee 341.43.00.02 $25.00
Total $85.00
Uploaded Files Upload File
Date File Uploaded B
5/28/2019 2:20:36 PM 12573 Site plan.jpg Jones,Raelynn X
1 5/28/2019 2:20:36 PM 12573 Applicatic If Jones Aynn
All
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551
THIS APPLICATION 1S TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND
OR GAS PIPING FOR EXISTING RESIDENCES, PLEASE FILL OUT ALL PAGES OF THIS APPLICATION
AND INCLUDE ALL INFORMATION.
Hu
Project Address:'S french Ave
Project Description:Gas line
Owner: Benjamin Bourasaw
Address: 140 S French Ave City:Arlington State.'WA Zip Code: 98223
Phone: 425-268-4257 Email:benmack6@hotmail.com
Applicant: Benjamin Bourasaw
Address: 140 S french Ave City: Arlington State WA Zip Code: 98223
Phone: 425-268-4257 Email: benmack6@hotmail.com
CONTRACTOR INFORMATION
Contractor Name:N/A
Address:n/a City: n/a Staten/a Zip Code: n/a
License Number:n/a Expiration: n/a
Phone: n/a Email:n/a
STAFF USE LY Received
Permit#: 3 L-b 26-1 3 Accepted Date: MAY 2 8 2019
6/16LP Page 1 of 2
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE• Arlington,WA 98223• Phone(360) 403-3551
SELECT ALL PROPOSED APPLIANCES
Furnace (80+) Model # AFUE
❑ Heat Pump Model # AFUE HSPE
❑ AC Unit Model # SEER
Freestanding Stove ( Fire Place Insert ❑ Outdoor BBQ
l Gas Piping [a1 Solid-Fuel Appliance !J Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: flex gas pipe
Pipe Size: 3/4
Distance from Meter to Furthest Appliance: 30'
Total BTU's of all Appliances:55500
• New gas piping requires a pressure test hooking to any appliance
• Sediment traps (drips) are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper Combustion air and venting required for all appliances
• A shut-off valve is required within 6 feet of all appliances
`--Applicant Signature: Date 05/24/2019
Applicant Printed Name: Benjamin M Bourasaw
I hereby,certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.
6/16LP Page 2 of 2
i
R
LM
n"
- -- - V v', A7 roo► ,
,o
U
Q
0
— 3
s�
�i
r
�,, s-�:
I
A a A w z �� •
oa
w w �
IS
V �✓ r� a A _ F z A
x a _ � z 3 � � z Q CC ❑ � � o �
A ❑�. y C wa zo Ln pa va0
z me a U
a U Z a a F" C cNn � m V
r W �
�F �
oL O
r z0 0 3 H A v C z
CC4 ¢ z w �'" a �`` o a
CC A cn O
(Z aF. a
W O z U x z
InoG a fx CC F F o
�1 Q O Q w OF zCda p C� CI
(� ❑ ❑ CL O F ❑ ❑ ❑ ❑ ❑ ❑ n r
RESIDENTIAL MECHANICAL
PERMIT APPLICATION
t�N Department of Community & Economic Development
City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551
THIS APPLICATION IS TO BE USED WHEN APPLYING FOR NEW MECHANICAL INSTALLATION AND
OR GAS PIPING FOR EXISTING RESIDENCES. PLEASE FILL OUT ALL PAGES OF THIS APPLICATION
AND INCLUDE ALL INFORMATION.
Project Address- 104 S french Ave
Project Description:Gas line
Owner: Benjamin Bourasaw
Address. 140 S French Ave City. Arlington State.WA Zip Code: 98223
Phone. 425-268-4257 Email:benmack6@hotmail.com
Applicant: Benjamin Bourasaw
Address: 140 S french Ave City. Arlington State.WA Zip Code: 98223
Phone. 425-268-4257 Email. benmack6@hotmail.com
CONTRACTOR INFORMATION
Contractor Name:N/A
Address: n/a City: n/a Staten/a Zip Code: n/a
License Number. n/a Expiration: n/a
Phone: n/a Email:n/a
STAFF USE ONLY
Permit #: Accepted by: Date:
6/16LP Page 1 of 2
Y. RESIDENTIAL MECHANICAL
PERMIT APPLICATION
SING Department of Community& Economic Development
City of Arlington • 18204 59th Ave NE• Arlington, WA 98223• Phone(360) 403-3551
SELECT ALL PROPOSED APPLIANCES
❑ Furnace (80+) Model # AFUE
❑ Heat Pump Model # AFUE HSPE
❑ AC Unit Model # SEER
❑ Freestanding Stove ❑ Fire Place Insert ❑ Outdoor BBQ
C� Gas Piping ❑ Solid-Fuel Appliance ❑ Other
Gas Piping Information
Not Applicable: ❑
Pipe Material: flex gas pipe
Pipe Size: 3/4
Distance from Meter to Furthest Appliance: 30'
Total BTU's of all Appliances:55500
• New gas piping requires a pressure test hooking to any appliance
• Sediment traps (drips) are required on all gas lines
• Gas lines are required to be supported/secured every 6 to 8 feet
• Proper Combustion air and venting required for all appliances
• A shut-off valve is required within 6 feet of all appliances
Applicant Signature: d5a513be"a92O�tlb81'e`1e6' Date: 05/24/2019
Applicant Printed Name: Benjamin M Bourasaw
I hereby certify that the above information is correct and that the construction, installation for the above mentioned
property will be in accordance with the applicable laws of the City of Arlington and the State of Washington.
6/16LP Page 2 of 2
I I
CITY OF ARLINGTON
.l
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:140 S.French Ave Permit#:2573
Parcel#:00378800900900 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:BOURASAW BENJAMIN M/CASSIS COURTNEY M Name:Benjamin Bourasaw Name:Benjamin Bourasaw
Address: 140 S.FRENCH AVE Address:140 S.French Ave Address: 140 S.French Street
City,State Zip:ARLINGTON,WA 98223-8571 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-268-4257 Phone:425-268-4257
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;
NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be ed on your sales tax return form
and coded City of Arlington#3101. a�—'
Signature Print Name Date Released By Da
CONDITIONS
Pipe shall be pressurized at 15-20 lbs (psi) for minimum of 2 hours. Adhere to approved plans. Call for
inspection.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION
ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
5/28/2019 Gas Outlets Base Fee 1 to 5 $10.00
5/28/2019 Mechanical Fee(Enter Fixture Fee) $25.00
5/28/2019 Mechanical Permit Base Fee $25.00
5/28/2019 Processing/Technology Fee $25.00
Total Due: $85.00
Total Payment: $0.00
Balance Due: $85.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
CITY OF ARLINGTON
.l
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360) 403-3551
BUILDING PERMIT
Address:140 S.French Ave Permit#:2573
Parcel#:00378800900900 Valuation:0.00
OWNER APPLICANT CONTRACTOR
Name:BOURASAW BENJAMIN M/CASSIS COURTNEY M Name:Benjamin Bourasaw Name:Benjamin Bourasaw
Address: 140 S.FRENCH AVE Address:140 S.French Ave Address: 140 S.French Street
City,State Zip:ARLINGTON,WA 98223-8571 City,State Zip:Arlington,WA 98223 City,State Zip:Arlington,WA 98223
Phone: Phone:425-268-4257 Phone:425-268-4257
LIC: EXP:
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Residential Mechanical CODE YEAR: 2015
STORIES: CONST.TYPE:
DWELLING UNITS: OCC GROUP:
BUILDINGS: OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY;
NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be ed on your sales tax return form
and coded City of Arlington#3101,
��yli �bL�/ZG�dG-(i(t
Signature Print Name Date Released By Da
CONDITIONS
Pipe shall be pressurized at 15-20 lbs (psi) for minimum of 2 hours. Adhere to approved plans. Call for
inspection.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION
ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
5/28/2019 Gas Outlets Base Fee 1 to 5 $10.00
5/28/2019 Mechanical Fee(Enter Fixture Fee) $25.00
5/28/2019 Mechanical Permit Base Fee $25.00
5/28/2019 Processing/Technology Fee $25.00
Total Due: $85.00
Total Payment: $0.00
Balance Due: $85.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
r:
f
P roo rv-�
v � s
�7
� J
CPaL-A
;1
Q Lc7 U z O�
w z m m o
¢ z c F-
c� z
Y ¢
z
V ¢ YC 0
o�c p a z 3 � LL, z cz ❑ 2 �-
O V Q m Z v v p Cc
M E-
G ❑ ❑ a' a� QZ LQ
m O F Zm v~i om .a U
Q z � C� cFncG C 1 OCL Ln ¢ q U
QUO N vZ e%f o z
� Cl, o
x � zga m
C Q F Xy = C CCO z ¢ W
3 z o z L6 x =
< F � can
O p� CL z a = cn3 ¢ cn � c z
F a V F FF ZaZ z ¢ y z
oo � m z ac CA O
� o
F A o az In
Oz Ua ¢ t; s <
O ❑ a. °�F ❑ ❑ ❑ ❑ ❑ ❑
Permit#: 2573
Permit Date: 05/28/19
Permit Type: RESIDENTIAL MECHANICAL
Project Name: Bourasaw
Applicant Name: Benjamin Bourasaw
Applicant Address: 140 S. French Ave
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Benjamin Bourasaw
Phone: 425-268-4257
Email: benmack6@hotmail.com
Scope of Work: Install gas line extension
Valuation: 0.00
Square Feet: 0
Number of Stories: 0
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 05/29/2019
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Raelynn Jones
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
BOURASAW
00378800900900 140 S FRENCH ST BENJAMIN I I Single Family
M/CASSIS Residence-Detached
COURTNEY M
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
#
Benjamin Bourasaw Benjamin Bourasaw 425-268-4257 140 S.French Street APPLICANT
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
R15.
AM
09/11/2019 MECHANICAL 09/12/2019 BUILDING Completed
FINAL Gas Stove Final
06/12/2019 R09.GAS PIPING 06/12/2019 BUILDING Approved
ROUGH-IN
Fees
Fee Description Notes Amount
Gas Piping/Units Enter#of units $10.00
Mechanical Base Permit Fee $25.00
Processing/Technology $25.00
Mechanical Fee(Enter Fixture Fee) $25.00
Credit Card Service $2.55
Total $87.55
Attached Letters
Date Letter Description
05/28/2019 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
05/28/2019 Courtney Bourasaw 75517306 iTransactCC $85.00
05/28/2019 Cc Surcharge CC Surcharge Raelynn Jones $2.55
75517306
Outstanding Balance $0.00
Uploaded Files
Date File Name
01/03/2020 6051534-2573 10-1-19IC.pdf
05/29/2019 5123574-2573 Signed Permit.pdf
05/28/2019 5119725-2573 Application.pdf
05/28/2019 5119726-2573 Site plan.jpg