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HomeMy WebLinkAboutBLOOMINGTON AVE., 128 ~~, ~-:t) PERMIT NUMBER DATE ISSUED: ";., CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT 286 Fourth SI. Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: 377 8-003-016-0000 PIETRAS EDMUND & JANICE PIETRAS EDMUND & JANICE SULLIVAN HEATING & COOLING IN SUBMITTED: 09/29/2003 VALUATION: Mechanical Fixture Fee $99.60 2215 $27.00 2213 Plumbing Fixture Fee TOTAL FEES: Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries (360) 473-5870 (360) 415-4000 ZONING: PHONE: PHONE: PHONE: PHONE: SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: ADDRESS: SF-3 128 BLOOMINGTON AVE 128 BLOOMINGTON AVE 128 BLOOMINGTON AVE 950 West Hills Blvd. 06/30/1900 APPROVED: EXPIRATION: GAS FURNACE, GAS RANGE, GAS DRYER, GAS HOTWATER HEATER, GAS PIPING Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: fu5 P 0t1,3'D' Fire Inspections HID: Bremerton, Kitsap County Health District PW: Department of Public Works (360) 473-5380 (360) 337-5285 (360) 473-5270 This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervais not exceeding 180 days identifies that work has not been suspended. 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 provisions of any State or localloaw regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State ContractMs Registration Law under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to pass final inspection prior. to permit expiration and obtain a certificate of occupancy prior to use or occupancy. SIGNATURE OF OWNER AGENT: n tions of this permit including all conditions of zoning, building cod s, and State and Federal laws. PRINTED NAME: CONDITIONS , City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. 1. Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to determine whether there are asbestos-containing materials in the work area or structure. The asbestos survey must be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family residences). 2. For more information, please contact Clean Air Agency through their web site at www.cleanair.org or by phone at 800-552-3565 or 206-689-4058. The L&I web site can be found at www.lnLwa.gov/p-ts/asbestos/asbestos.htm. MINIMUM INSPECTIONS REQUIRED Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. Mechanical Plumbing Rough-In Page 1 of2 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT PERMIT NUMBER DATE ISSUED: ~ 286 Fourth St. Bremerton, WA 98337 (360) 478-5275 Fax: (360) 478-5278 ASSESSOR NUMBER: 3778-003-016-0000 ZONING: SF-3 APPLICANT NAME: PIETRAS EDMUND & JANICE PHONE: OWNER NAME: PIETRAS EDMUND & JANICE PHONE: CONTRACTOR: SULLIVAN HEATING & COOLING IN PHONE: (360)405-0723 LENDER NAME: PHONE: SUBMITTED: 09/29/2003 APPROVED: SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: ADDRESS: EXPIRATION: 128 BLOOMINGTON AVE 128 BLOOMINGTON AVE 128 BLOOMINGTON AVE 950 West Hills Blvd. 06/30/1900 Qty 1 FIXTURE LIST Qty 1 4 1 1 Description Water Heater Descriptior Gas Water Heater Vent & Combustion Air Gaspipe System LPG/NATL/OIL Clothes Dryer with Exhaust Natural Gas Furnace +1- Ducting Page 2 of 2 CITY OF BREMERTON DEPARTMENT OF COMMUNITY DEVELOPMENT Receipt Number: . 286 Fourth 51. Bremerton, WA 98337 (360) 473-5275 Fax: (360) 473-5278 BB03 00563 BB03 00563 Mechanical Fixture Fee Plumbing Fixture Fee 1/2215 1/2213 $ 99.60 $ 27.00 Total: $ 99.60 $ 27.00 $ 126.60 $0.00 $0.00 Total: $ 126.60 $ 126.60 CHECK 7041 Page 1 of 1 7!- 13 f)o 3 QOSto "3 (Jj)-h 7 ... ;5 F- ~ ..... '; .':::>;..:;;;.i~..i~'!'iH.Ui:.'..;:iE.':1:':'..;1j!.;.:i?:.~rE~r-Il_rR~m~~mI~~": '. :: : :';: h u u. .~<=;::h.;:::':-:~>:.::f :: :::.;-::-:-:::::::.:,:::.:.:.:.:::::::-:::.:::-:-::ii:-:::.:.::::;::':.:::.;::.:,:-;.:~:.:.::-:.:-:,:.:.;:.:;:.;-:;::-:::':.::;;.:-:-;,:,;.: :::;'::::,:,::;;,:,:.;.:::,:_:: ::,::_::,::_:_::::_::.;.: ;.:;:;--.. ..:::.... _...... '::::: :,:.:::::.:.;_:.:::_;::::.:.;-:_:::.:-:_:.:::.:..:: ::... '.':_':_" ........... .::.. ... :::; .. ... .... ..... ::::":::::::;:;:: :.:: :-::.. :::::: :::::. "." ',', . .'.;:H~!!!~iiY!pt1~r~Pi~Q~f!~~gtqp.-::i~~~7!~ii;::i~t>1ipp~#i\.?pQ)!'~Z~):7.75.;.!!lt~;K3,pQ)..4Z$j?778,.':,~!::" . .~ iJ..Ij.'.oi..i':!,!:!i!';'mmMJt(j~t?1\E1j:;.......:-.;.:... ... 1......iim..............;.:.............:J>EUMBtN~ ... ................. ......~ APPLICANT: D OWNER ~ C~NTRAcrORD OTHER: COMMENTS: SITE ADDRESS:~~IID/Yl~jln OWNER: Id PI [tyas CONTRACTOR:\.S1\ II ~ ftab'rYj ~ ~'I~ CONTRAcrOR LICENSE # \..)\,tll.r Htolo5&1' OWNER PHONE # ?2Qry r'6lo~? 3r7'i bo3 0(6 D"(JOb ADDRESS: tJ6 BlromlfJ51?n ADDRESS: qqn (ft)f HI1/$ 8lod, fy~~ EXPIRATION DATE: pl:21Io~ , CONTRAcrOR PHONE # Lfc8-tf7J 3 --.. . :N();::. ::.:";:::':":::H::::,1TYJ(E::0F:EQt.JIPMENT',.:'.:.:.'.::.:.:: ~ RA1'lGE b cc5 WOOD/PELLET STOVE/GAS FIREPlACE ~ GAS FURNACE htus: CONVERSION BURNER btu '0: UNIT HEATER bttts: BOILER btus: J..j GAS PIPING EVAPORATION COOLERS btu's: AC UNIT btu s: HEAT PUMP btus: REHEAT BOX btu $: ~~~lANDLING UNIT btu $: EXHAUST FANS RANGE HOOD (residential) RANGE HOOD (commercial) ~ CLOTHES DRYER (b,..-;. '\ I INCINERATOR DUCT ALTERATION TANKS type: REFRIGERATION UNIT OTHER: MECHANICAL PERMIT FEE $15.00 ::::.FEE": ':NO~,: ::':"':H:':;":.:'WiimB:()}+;'F1Xl'tJJUa tons: MECHANICAL FEES: PLUMBING FEES: CITY SURCHARGE: ,,':I:'..IQ'T' 4 T ~41=:,. C-, Ijl .. . APPLICANT'S SIGNATu~r'IJ J ) l~ .................n. ..._-..'.........-..... ................... ':FEE:' I WATER CLOSET BATHTUB r-._ LAVATORY In Le ((; /2 U \Vl f$ttJ= SHOWER !....... OJ '-= I KJTCHEN SINi'!'.... SfP 9 a ?nn!) ..... DISHW ASHER- "" -....... .. L'\UNDRY TRAY _ '11\1 . CLOTHES W ASHER-qUIt .~. 'I'lll u wENT WATER HEATER br"/ ') URINAL "",..--"'---"-- ............. DRINKJNG FOUNTAIN/""- FLOOR SINK OR D..AA1N II SLOP SINK / I J1 f\- WATER PIPlu<1c & ALTERATIOt'U/ \ J / GREASE TMPIINTERCEPT,bR /I / X. ./ I HOSE BIB,BS \ '\ I /) '.f vb~ LAWN Sl1RINKLEI Sy,,~h Jr /' SWIMM NG POQI _ (.j BLDG. S~R (m bile / movt;l'house) ROOFD~NS ./ OTHER:., ../" ___ PLUMBING P l'EE 05.00 or 4.50) ) J r--... '\ Af;. f}V DATE: 7/Z//C:>3 , .L / ______ I I \ pmapp.dor revised 4/23/97 Scope of work: Address: Contractor: BllEMERrrON BUILDING DEPARl'MEN1' PIUJnbinglMech'1l1cttl1nspection R~port fb Own er:?r.. i~b~~3 f05IPJ Phone: ~ - - :-. ~ ~ ,., . Under ~t (lOps. for 15 minu~e!l) 12" minimum hdo"!liratle whcn und~OIUl(1 Grolll;d-joint ullions .,;ohihiteiin certain locuions Proper sizing & support _<;'~aled/wraIIp<<1 when undergrotUul or wilhih 6" ofcarth nusllings nol allo~d in conceaktl :areas COMMENTS: GAS PIPING APPROVEO,AP Pc> t& N G-/Y'lt-. 7f.L- '2 -::> 0 - 0'3. rIJ FURNACE ..MaIlufactu~'s~(jc:a.tions 011 site Cbranoc to combustihks Vel~~!~upporu conncctiolls Combustion :air Gas sliut-offwitllin 3' Ducts: she & mpporuinsul:aled when requir~ 1..0cHioll, acocsS, s~E.ort Vc~~tiJlg: ckarancc to colllbustibk3 Vent t~rJnination Chillll~: liner andJor separ2te fll1tS ;u required Pilot elevatod off floor i_n g:arage R.c:turn air COMMENTS: FURNACE APPROVED: MISC~ APPLIANCES Loc.a~~~c.cess, sUHOt( . Vell~_ng: dearaIlOC 10 ,romb us tiMes Vent termination -Cj";L~ii!lCr amUoc separ:lle flUC8 all requited W()()(( Slove & fireplaces: pmpet' hearlh. Gu log,: safety shut-off . Gas Illtut-olf within 3', Ma_lJuf:u:turer'!1 specifiatiol1S onllite Cb.rance to combustibles Vent shin~porucolJnectiol1S Combustion air Gas shut-olf witlun 3 ' Wood stoves: EPA a.rr..roved Wood. stoves &(jrc:pb~~ tight fitting doors . COMMENTS: MISC.APPUANCES APPROVED: WATER BEATER Manufacturer's spedfic:a.tions on site Clearance to combustibles Vent sizing & lIupporuconnections Combustion air Gas slmt-(lff wit.bin ;)' Gate valve on coM W2tei-suHIy Copper to galv:a IIi zed COIlne>C(ion. Seismic strap Location, :acocss, support Venri.!!.;: deannoc to combustibles Vent termination Chimney-liner and/or &c:parate fluc::s:u requ.ired Pilot mated olf floor in garage .. R.c:lief valve drained to.outside Unions on w.ater pipes COMMENTS: ~:',; ...~ -.RP3 ALL WORK UNDEll TQIS P~Q.)DT .APPIIOVIID: e '~ " (7, ()'"'() !./ '-~(l'", ;r ~,...I' .,>" s""'v ~~".......~ It' t1' ~ .;:...... ,.-1" I tf ..J...-<"~~ c."'" l;...t Fee $mp..~__..m,~.~!f~tL.~~.mm.m.m___m____.__m . €~/' t e ~ BUILDING PERM IT CITY OF BREMERTON '. BUILDINGDEPARTMENT R~cipl No. ...i!',l€Z7.............~ Nt] 41422 F. E. IRISH, Building Ins,pecfor . ESsex 3-1411, Ext. 36 Owner's Value Bldg. Dept. Value DESCRIPTION~/f'> '7 ':,:~?'~~, C)t:' 0 '( , '"'", , tJ /11 " 6' j J ,"'-' 'il"- . c Lot ""/;-.:f'; 'v!.~ Block Additions llii..r:t4,1' I ?-t.Af, ,I.,,;~.r,,:;i' ,q'~~;'u,C.....,..v ""'": J ~l if '.f' ..r'"1,~ f ,1 f'''' /"--' fi' . .,..<" /-- 4>'" .9' ~7;>) Address on Job __ __ J_{'!!j. ____ __ __ ___ __ __ _ L.~~f~E~,"1-]:?<';~-!':'J-::"';_ ___ _._..CL.t:~~.t::7.,;~.;;1:~ 7j:tA':?h: Date ____ _ {~_ _:~_!__ =-_-!~ _<f~ __ ___ on __ ____ _____ B 'ld' d ' , ('b L UI. Ing ___________.____ X ,________________ an ________________ storIes ________________________ asement. ot ________________ x ________________ Front Yard ______________________-- Rear Yard ________________________ Side Yard ________________._______ Garage ______________________________ o \ 4,1 /f . t?" ,- ' //1 /~ Z ~~::::!i~z~E~~~:;~~~~i~~~::::.:::::::::.~:.:::::.:::;~~~:::::.::::::.~E~:::::::::::::::~::. This permit is issued for: e,l1'i<t .....rI;:J' " t' "'i,~l r<' .~J .,r/" "if 'I ,1 /""" 7.r~~j _c.-~<'L::,J';f;',,.."~~,i~> hr~~-dU, . Ar:.."l.~~L&:e._____ A~4;2>1 ~lie:",t./ d'!2"'(J:t:~!/- - - - - - - - - - -/- - - - - - - - -- - ~.. ..~-- ~ - - - -.. - - - - - - - - - - -,. - - -'-'- -,,;,.~- - - - -- - - - -- - - ---""- -- - - - -.. - ~ - - - - - - - - - - - - - ':'. - - - - - - - :?;:r- - - - - - - - - - - - - - :ii'- - - - - - - - - - - - - - - - - - - - - - ~ -- - - - - - - -- - - - - - - -- - - - - - -- ~ ~~ ~<;~;.i.~~~~~~~~~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ All work to conform to all applicable building ordinances and amendments. Please note the following special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION --- Re,jnforcing steel must be i1nspeded a,fte,r pladng and beifo.re co'vering. FORMS shall be inspected and appro'ved before pouri,ng. All plumbing, wiri'ng and the fra,me of all buildiings must be i,nspected and a,ppro'ved befo,re covering. Wood p,re'servafi!ve to be used o:n all wood a,gainstmaso'nry. Ve,ntila:te fo,undation and attic. Se!pa- ra,te permits requ'jred for plumbing, wiri,ng <I'Rd heaHng. See City Engineer before wo,rking o'n streets or sidewalks. - -.. -.. - -,. - - -,. - - - - - - - -- - - - - - -,. - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - - - - -- - - - - - - - - - - - - -.. - - - - - - -.. - -,. - - - - -,. - -.. -,... - - - -,. - -,. - -,. - - - - -,. - - - - - - - - - - -,. -- - - - - - - - - - - - - - - ~- - - -"" -- - - - - - - -,. - - - - -,. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - -- -,. - - - - - - - - -- - - - - - -,. - - - - - - - - - - - - - -.. - - - - ~ - - - ~ - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - -.. - - - - - - - - ~.. - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - -..,. - - - - -,. - - - - - - - - - - - - - - -,. - - -,. - - - - - - -,. - - - - - - - - - - - - - -.. - - - - - - - -,. - - ~ - - - - -- - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - -.. - - - - - - - - - - - - - - - - - - - - - -,. - - - - - - - ~- - -- - - - - - - -.. - - - - - - - - - - - - - -.. - -.. -- - - -..- - - - - - - -.. - - - - - - - - - - - - -,. - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - -,. - - - - - - - - ~ - - - - - ~ - - - - - - - -,. - - - - - - - - - - - -,. - - - - - - - - - - - - - - - - - - - -- - - - -,. - ~ - - - - - - - - - - - - - - -- .... -.. - - - - - -.. - - - - - - - - - - - - - - - - -.. - - - - - - - - - - -.. - - - - - - - - - - -,... - - - - - - - - - -- - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - ~.. - - - - - - - - - - - ~ - - - - - - - - - - - ~ - - - - - - - - - - - - -- - - - - - - - - -.. - - - - - - - -- - - - - - - ~ - - - - - - - - - - - - - --.. - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - -.. - - - -.. - - - - - - - - - - - - - - - -,. - - - - - -,. - - - - - - - - - - - - - - - - - - - - - - - - - -,. -,. - - - - -,. - - - ~ - - - - - - - - - - - - - - - - - - - - - -- - - - - - -,. - - - - - - - -- - - -.. -..- .. - - - - - - - - - - -.. - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -.. - -..; - - - - - - - - - - - - - - - - - - - - -.- -.. - - - - - - - - - - - -. - - - -,.,. - - - - - - - -,. - - - - - - - - - - - -,. - -,.,. - - - - - - - -- - - - -,. - - - - - - - - - - - - - - - - -- ,.-~-,.---;......_--..,.-------..----~----------------,.-_.._-----------,.--_..,.-----------~-------~----------_.._-----------..---..-----------~---~-_.._------------,..._------------~-------..---- : - -,. - - - - - -,. - - - -,. - - - - - - - -.. - - - - -,. - - - - - --,. ~ - -.. - - - -,. - - - -,. - - -.. - - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - .. - - -,. - - - - - - - - - -.. - -.... -.. - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - -.. - - -,. ~ - - -- - - - - - - - - - - - -,... - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - -; ~.' ,')- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- (:' ::::::::::::::::::::::::::::::::::: :~::.:::::::~:::::::::::::::::: :,:~::::::::::::::::::::: :::::::::::::::~; ~~~~:;/:::::::: ~,~~: ~:;: ~:;~~::::::::::::::::::::::::::::::::::::: Owner's Signa tuf!;l(~~I~~;;~b;{~~!f,.fi~~<J"ot _ _ _" :~~~;~~j~:@?f';;:"'--- _ _ _ _ _ ___ j' I v 1,./ ~. .....J'''/,,-"' _ ",;-,:;- ,~:'-"',lr~" ,,~,,-.'" rJ ~",tl . By"\:;..--"........'" {tl ""-'~J~4~11'" ~~ Li 6 ,:.,'';f.,.'"...~~"''~.:t~'~~.......t,.,r--'.'~..".:~.t:.;:::~,.(,;~r...~,"'''"-. - -, - - - - - - -~ ..5. f - - - - - - - -F- - - -\, - - - - - - ,-,'" -." - - - -'t - - - "!-,",.~,~ =- -' - -, - - - - - - - - - -:".. . His Authorized Agent /} e /.' . Building Inspector __ __ __ _ on. __ _ -~;t. ,,_ __ _ (,,~_ _ ~_ ~ _!b~~'"1~_(,~__ _ _ __ __ __ __ __ __ ___ ___ __ ___ _ __ _ ___ ___ IF,./ " By . -- _ _ _ _ __ _ _ -;tIiiL~ __._ ___ __ __ __ _ _ _ _ __ _ _ __ _ _ __ _ _ __ _ _ ___ ____ _ ___ ___ __ __ _ _ ___ ___ __ ___ __ ~DF ~ 3889 /1 AI / au LD NG _ERM ,T ..~ City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE $~t1tJ .e-. PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE /t!J /9#/ , - OWNER'S NAM PHONE CONTRACTOR STATE CONTRACTOR'S L1C, # ADDRESS RESIDENCE o BUSINESS o OTHER o NEW REPAIR PHONE o REMODEL 0 ADDITION o DEMOLISH PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY THIS PERMIT ISSUED FOR: a:d ~~~A~~, 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 local law regulating construction or the performance of construction. INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Electrical 0 Wallboard 0 FINAL SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. FOR INSPECTORS USE ONLY: REINSPECTION: PPROVED' NOT TYPE OF INSPECTION DATE TIME APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY ERTIFICATE REQUIRED BEFORE OCCUPYING BUilDING ; j;;A1-Jsy ~ .Authorlze~en~ BUILDINGDE~~~ ~.. OWNER'S SIGNATURE au ,_J NG '=,q \liT 1t N~ 4843 A City of Bremerton, Wa,shi ngton , , Phone: (206) 478-5281 v// OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. ? /9.3? DATE (;,-;t?-?J $;Y: STATE CONTRACTOR'S L1C. # m" 5?-~ '~_ ~.(!~~. D BUSINESS D OTHER D NEW AREPAIRD REMODEL STORI ES ,PHONE CONTRACTOR ADDRESS 3// if ~ RESIDENCE PLANNING IZONING , dJ /~ PHONE, D ADDITION 'D DEMOLISH o SIGNS OCCUPANCY THIS PERMIT ISSUED FOR: ' R--- r-v-:'" . ~...;...... ..a.. C!lt2 a.:,/O~- )... ~ .f' { ~o"' All provisions of laws and ordinances governing this type of work will becomplied with whether specified herein or nO,t The granting of apermit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the, performance of construction. INSPECTIONS REQUIRED: Foundation D Framing"'- Plumbing D Electrical D Wallboard ~, ' FINAL ~ SEPARATE PERMitS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL., TYPE OF INSPECTION DATE TIME REI NSPECTlON: FOR INSPECTORS USE ONLY: COMMENT DATE TIME APPROVED , , FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF," OC,' CUPANCY CERTIFICA,TE, 'REQUIREDBEF,O, ',R~ OC,CUPYING BUIL~,INN.~G', ." I I , ", ," ," OWNER'S SIGNATURE ", , BY~'./~~ /J /~uth,(jriZ,edAgent BUILDING DEPT. /~ r '