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HomeMy WebLinkAboutBURWELL ST., 1007 1/2 -~---- -- -,--- -- - -,-- - - - -.-- -~-,- - --- --- - - -,- - - - - - - - --- -----~- .. ~=RVLT ~~ . .. ~v c~U :...D~ \JG 252 A / City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ 50()D~ $ - ..- $ .3,2 ~ ~tP ~"Z-- 'jj S"- 'j- 77 - SITE ADDRESS I LOCATION /"0 7 ~ 8vrwe/1 OWNER'S NAME herb Le~1/1!!1 ADDRESS PHONE CONTRACTOR STATE CONTRACTOR'S L1C.# ADDRESS PHONE RESIDENCE D BUSINESS D NEW REPAIR D REMODEL D ADDITION PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY THIS PERMIT ISSUED FOR: It!6,oAI/l.. rile c. PAM4<&E ~ 7z1 S~~ I' 1973 V.l~ 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 %- Plumbing )l:. Electrical ~ Wallboard ~ FINAL ~ INSPECTION: FOR INSPECTORS USE ONLY: REINSPECTION: \b.PPROVEd NOT TYPE OF INSPECTION DATE TIME APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING Bl!!LDING "- OWNER'S SIGNATURE BUILDING DEPT. r . APPLI CA T I ON FOR BUILDING PERMIT . . .......... CITY ceBREMERTON :: BUILDING DEPAe-1ENT .~ PHONE: 479-5281 ~ S 000 VALUE $... ....... PERMIT FEE $......... PLAN CHECK $......... RECEIPT........... OWNER .j:!.t:$.J3. . J..IfN~I-P.l:-. .. ADDRESS j~Q ~.7 y+. E~.l!f<J.Ii!-h. . . . . PHONE. . . ...... . . . . . . . . CONTRACTOR.. /!.I}f?qi-:!>.. .B/.J.ep.. .7N.<;...,............. STATE LIC. it................ Me tJ/h I} will ADORES s. . . . . . . .-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. PHONE............. -. . ADDRESS/LOCATION OF JOB.(.~~.\? f?-=. .7i.qKW~J;J;-;................................. PLANNING ZONING............ FRONT............ REAR............ SIDE.............. OCCUPANCY.........H. FIRE ZONE............ TYPE OF CONSTRUCTION................. 'APPLICATION ISSU~ FOR: .!fF:(,!?/(~.. .Ft /f~... 7?~~.If.c..-?.. ~~... ?'?...... I .. . . . .S'/?.fJ!: $::.. . . . . . . . . .Q. a .<2. . . j .Cf .):1--3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~4 "frJ11e/) :r:1'\~, -k __{; ~ . SIGNATURE APPLICANT ....~ . ~.~~.~~.... DATE... ...~;?RECEIVED BY... PLANNING COMMENTS/REVIEWED BY......~... ENGINEERING COMMENTS/REVIEWED By.......... FIRE DEPT. COMMENTS/REVIEWED By.......... TRAFFIC DEPT. COMMENTS/REVIEWED By.......... BUILDING DEPT. COMMENTS: PLUMBING REVIEWED By.......... ELECTRICAL REVIEWED By.......... BUILDING REVIEWED BY~ ~~ 4 \ tl4 r ~ ~ r APPROVED BY COMMISSIONER OF PUBLIC WORKS . . . . . . . . . . . . . . . . . . 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