HomeMy WebLinkAboutBROADWAY AVE., 903
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oJ; _~) 'JG ~ -=~\IIT fN! 1746 A
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City of Bremerton, Washington V/
Phone: (206) 478-5281
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE .RECEIPT NO. DATE
$ $ $ 3'6' .t? '0 f7~ -0 :2- ? ,2~ 77'
SITE ADDRESS I LOCATION 7tJ3 &.~~ ""'Y
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OWNER'S NAME 'O.tv6l. ~&~-t. e,.y' ADDRESS'; 7// ~;:;" /7./""';'- PHONE
CONTRACTOR 5'?/H e_ STATE CONTRACTOR'S L1C. #
ADDRESS PHONE
~ RESIDENCE D BUSINESS D NEW D REPAIR D REMODEL D ADDITioN
PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY
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 D Framing D Plumbing D Electrical D Wallboard D FINAL~
INSPECTION:
FOR INSPECTORS USE ONLY: REINSPECTION:
APPROVED NOT
TYPE OF INSPECTION DATE TIME APPROVED COMMENT DATE TIME APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CE FICATE REQUIRED BEFORE OCCUPYING BUILDING
"
OWNER'S SIGNATURE BY
, . ~thorize~ Agent
BUILDING DErrr/~ -R~~
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