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BURWELL ST., 1215
- l' ~, t , BREMER'TC~S"-,~ PERrM :1: 'r C;Eri'..tlTEff::(: I 286 4th Streetjt Bn!!.me.rtonjt IJA 98;337 PI. ". ("~60) 478 1C:'~I'7/:.. FAX. "q '0) 78 IJ,-'":I78 ~ lone. .". . -,"':I..,:', ,f ~) -. . (,..6 4- ~ -",;:J",,,,, ~ l BUILDING PERl'1IT Job Addr: 1215 BURWELL 51 Permit No: 97-0020 I ~. Location: 1215 BURWELL ST. UNIT A, 8, & C St i:~ t us :: I SSUr::D Parc(;~l No:: Applied: 01/10/1997 I Issued: 01/10/1997 ~ Applicant: QUALITY SERVICE l~9B'''1670 Expires: 07/09/1997 , f. 8925 ERIE AVE SILVERDALE WA 98388 1 f Owneri TAYLOR DEBORAH ~j;~~7'''''46Li,6 ~ 1215 BURWELL ST BREMERTON WA 98337 Contractor: QUALITY SERVICE 698",,1670 L, :1, c :I~: (~UAL. I S*04~::~:.r~::~ Exp:: 4/2U97 8925 ERIE AVE SILVERDALE WA 98383 SU!;:lcont r : n" " ,," '''l ("W'" ["'[ jr~NM'I"c' .", linT WA'TT'r~ III"" YITf~t' 4 eN" 1'" r P I Nt" ('IR I PI I""X I IN]''I'' A n & C') " ~','~BC;!l ;.:~ ,':.1" ,::> "',,' . ",.? :::,':)!J ,{, ''',,' ,n :::, , ,,, ::~,'f" ~~:, ~~) ~ " :.:.1" .::> '.'"',, ,.','J , .," ,," :::, "'" I." "tl.;}l ,I ********************************************************************************************* Vi:l1uat Ion .)t Per m j t F't:')f:lf,!:: 6.9 ,,00 Total Calculated Ff:le: '74,,()() ,,00 .~ Plan Check Fees: ,,00 AdditIonal Fees: ,,00 ,)t Other Fees: ;':;,,00 Total Permit Fee: 74,,00 ********************************************************************************************* MECHANICAL/PLUMBING FIXTURES-- MECH."Gas Furnace to lOOk btu,,: 3 MECH-Gas Piping (outlets)",,,.: 4 PLBG-Water Heater.."", ~. , " " . .: "i I.. *..****************************************************************************************** This permit shallbec:ome nullancllJoid if the buildil19 or work authorized by this permit is not commenc:edwithin l80 daysfroffi the date of such permit ~ or if this buJ.ldi,ngor work authorized by such permit Is suspended or abandoned at iilny t i. me aft er t he I~Clr k i 8 commenced f{Jr a peri od of 1 BO days. NOTICE - It is the responsi.bility of. the permit holcler1 not, the Chy of 8remerton or Building Official to see to it that requ ired l. nspect ions are made" The permit holder must notl.fy the Building Offic:l.aJ. when ready for i nspectl. ons " Failure of the permit holder to notify the Building Offic:iaJ. of required inspections may result in the stoppage of the work untU such time that thE! pf:lrmit holder crin substantiate tel th€l building offIcIal that the concealed work met~ts err exceeds code requIrements. Any demolit:lof11 testl.ng1 or financial burden €lhal1 be borm:: di'((~ctly by the permit holder. Failure to substantiate code requirements will indemnify the City against any and fill responsibil:lty e)'r liabilIty cCH'lnec:ted with the construction. I hereby certify that I have read and r:m.lmined this permIt and know th~: sa.me to be true and correct, All provi.~3ion8 of laws and ordinances governing this type of work will be complied with whether specified herein or not. Thegranting of a permit {68S not presume to giVE! authority to violate or cancel the provIsions of any at her st at e or I oca 1 law reg~ at I f1g canst rUCfll or t hep,r f orma"ce of canst ruct Ion. /... /;~. / s Ignatur~;_______"_"___jf.ilJ::- -fiJl~-i'{~- Date' ,______________.__.________--.. /ll" 'A A/ / ' . /. . I cert ify. that I am exempt (~o~-'the-~equ:h'em Its of the state Ct1ntractor's registrat ion law, under Secti.t1n ~l, Chapter 1261 laws of 1967, P S i gnat UY' e: _,_,_,__",,,,,,,__,,__..__;.,,,...,,__,__'w.__,,.,_,_ ..4,,,.,.,_..,-,-_.._-_...,....,,.,,,-,,.- Date: ..,,,._.___,___.~,_..,___.._..._,~,._""'_...._""'_..._,_ iHt')(')(")H~X1HHt***iHOt)("X'?OOf,)(,*)f.)(,~..)f . . . l Pf','rm'i t ('f"nt t'Y''''''''''f;PPY' (')VE"rf I:W'. Da't'f:' ,,- /Q- 9.. ". '" ~ d.I,' ,,' i."" <'" I,. J, _ ,.,. ,,," ~ _. .. I .._ I. "j., ""..,. ,,',,;, ..,. " ""'" ."" .,,, ;, ,."..".. - - ------ -''i:f~fi?nf,.'~?/'?i'lo;~fjfiV~''---;_'',?_I*,!Jf,')''''',t'lJ!~J';-I~'iIl:t-'*;~~:{_, 'r'-----,--<;---~-.r_;__;>_.-.~-~.:~;~~-",. -,- -~- ';' '''''" BR MERTON P RMr~ CENTER ,........286 4th Street CIf.en::::merton# . WA 98::"137 Phone:: (360) 4~78'-5:2.75 FAX: (360 )478-5278 Building Permit No: 97-0020 Job Address: 1215 BURWELL ST Status: ISSUED L..ocat :1. (Tn:: 1. ::~l!::) BUF<t"Jr:l,.L. S'T'" UN I "I" A ~ B. & C I ~3S('H'H::!:: 01/10/1997 Assr Acct No: Expires: 07/09/1997 I::) I:::' (",) I' 'I' I::; I:':' 1'" 'f t,1 ,::' 0 F' (" "I" 'I' n N ,::' !: " ,.. II d " ,....,,; ,. ,'l ,,,) I .".. d ,I. \,,1 "") , It: f:,)m:: 0 1400ME:CI.;,IAN I CP11, D(-:~jpt:: nl.",OG D :1, v :1, El:i. on :: . 'I'';'' ''''m'' (') 1 I;:' I::' (') 1")1 l IMP 'I' \1('" ''')<'W)'l'''' PI 1")('" ''') 'llv "1. (" 'I ""r'l " I...... " \" f,7:~ It "J, ~,,) .,,), """" .::> " I ~ :;.1 I" f,"::. t" ~ II ,:;:~ """ .';4 ",." \,','i< '.' \",l II (I ~. KNXHHHX"X"XXXMX"M*M""""""M"X""""X"W"""""""""XXXM"""""""KHH""""MM**""""*"XX"K"""K", I TESTING: Must be recognized by the Washington Association of 8uilding Officials 1.,. C'j:) I:::' ('" 'I" N (:::1;) :: M.I I eo" ,I" t,,) ".',' Y' ("" "'.1 'I ~,; ,(" ',", Y' '.'i,' ("I W 'I' 't" ." .[" .'1 (I.',' c; .1" 'r> '1'; (;;". (") 'f'; 1.1.0 " f' ~,J "" ,,", '."'~ - .,,.l./i'..'> \~ ", \". "~'.:: ,,~,,'li ~ ~,,~ \"J" ., f II f t ,,~ ~". 1(,,, ,,' ,,' ", Ij<,tj"'l : S"I OF' W~i:: St at ~:"l cd': WA Df."lpt" cd': L"aboY' and :I: ndu~:d; Y' :U!H':~ 4'7B:''''49~? 1 HEALTH: Bremerton/KitsBP Health District 478-5235 ALL INS~ICT[ONS PERFORMED BY THE C1 OF BREMERTON MUST SCHEDULED THROUGH THE nj-j3M'''I'' (~I-N"I'I-'~ (rl~()) A~~ F~4r f' :::,', ,h "I .:::, ~;:, ''\ , ~;: (;;) , '~'l' ,; t;} ,,,,, ..::) 1,::.1 .) " , "K"KX"K"*""""""*"""MMMMM"""M"MM*MM*"**""""MM""""M"MWMMMMMMMMMMMMMMMMMMMMMHMMMMMMMJ . ~. J " , ,. I. /~,?<:... .//";;<("" .. i Pf,"tm'l t. I-- ") I (" ';"Y' ~,.:, I!. /' i ,,/ ... .J' ~~ "',, i '",.,..~ .,,'to /',' . ,',,' , ,;; ,,! ,,' /~'./ _ . i S:1. !:: ni:lt u 'f' (':;) " !. . / ..' ..," ..... ".,,, . Di:" t (~):l :: II'.:..' J ......... "" "" "..."',..,......... "'''!'?o\itt=.:J ;~&".../".-r;'w /." . .." ... :)i' (.", ,., '",." ! . . ,\. 0" , f" ..../ ",. I ~- t/ f/ - , . / I f ! [ .1 f ~ ~ l t ~ t t I · t 4 [ ,~:,~~, ,,~~~,.~,............-,.,.~~.- --.,.,-- '--~---". If;\!O- .. '.. . "c)(f:\ \ .)\{'\'\(- " I: .;;",i!!iim,,,":i:i!::,,;;,;;,, :i!;;:'::::':i!i!'''''' 8REMERTON PERMIT CENTER PERMIT CONDITIONS ,. p(':n"'mJt No:: (9 '/' '"'' 0 0 ;':':~ 0 Pi:'!, i;;lel :: 1 ,.- - ======~======================================================================= ,:rc,b Addr ~:':)~:H':l:: 1;;':: 1. S 8UF~lAIE:t"I..., ST' App:l. :I. ed:: 01. / 1 0/199'7 Assr Acct No: Approved: 01/10/1997 I I I '1 '''', 1 I'" 1")[ JI':)WI""I I ("'''1'' l IN T "I" ^ I") & ('" 'I' I" (') 1 /'1 (')'/1 Cln'''J I .."Dca",: ',on:, ".::,,, ,::l ::~,,', ,:::..." "" ,::, " " ., ,'''I ~ ::~ ~ ,,' "sauee" ,,,.,,,.,:r., I · "'I ' t. ("lllAI 'I'''I''Y. ("'I'."I.:)V'..("'I.... l hPP" :I Ci:Hl";:: ,,~ " 1"'1,,,,, ,::l :::,', .I. ,,' :::, I. Owner: TAYLOR DE80RAH "\ "," .,.,,,,, f."t""" .. "" ,'" '" c,ont Y' act (.::n"';: l.Jl..JAI... J. I 'i ;::;I:::,I'~~) J. LI:::, ,:> De*:,>cy' :1. ptlon :: 3 GAS FURNACES~ 2 ~~T WATER HEATERS~ 4 GAS PIPING ( 'rH I PI.."E:X "'" UN I ''I'' A, B. & C) Cone! :I.t :1. on*:':l:: 1 THIS IS A TRIPLEX-UNITS A~8~& Coo ALL WILL HAVE NEW GAS -fL~NACE AND GAS PIPING; UNITS A & 8 WILL SHARE A HOT WATER 1'''IC:A'T'F:Fi: ~ UN I"\" C WI L.I..., I"IA\)!::: I T'~::; ot,.JN 1"10''1'' ~JA'rE:Fi: l"IE:(.l'rE:F~" ''1''1,,,11:::: SI"IAr~I::]) 1,,,10'1" W(.1"rT]~ I"H:::ArE:r~W I L,I..., I"'I('\~)F: I 'r~::; OWN GA~::; PIP I NU (' i"'I''''I''jl''''I'''^''I''I'''' MI......I.. I"" I'" ) ... ~::> :::, ,,~ :::. .'( ""j :::. :::, :::, ,< .".,.. (; ..1. .~..- I I:) '::" Y' ,." .; 'l" 1,,,1 (")' ,"j (,;\, "':' .I . 9 , iii." i \", ",I., " , '.. ,,,> . / ~ r'x'! .- C' 'I' ("1'r'l '," ,(" \1 v' 'II,' . i. '''' '. I ~ I I") 'I. 'l" "I,' d" ':: (,A'.. I \"'... ",.,..."". ,......." "...... '''/.'.. .Ul !l.....p...,.".:! .'"'' ",.,."..""......"",............"...". ......"."..,,,,,,..,,,,.,,"'.,.. " t" '\"'..",...""",..,. ,,,"''''' '''''' ,..,.".""..."", ..,.,., . ul.._.. v t :./ . .1..7.... ,. 'j .,t ,')/ i & . 4 I . t *# '/(,:l{'M,1V *** * * *1<' *.jli tHH'i ')Ii 'IHH( ** '* ;*1i': * *~. ~~ * *,~ ***** ~'ii' * ~;)(::KlHk l\:.~ * 1i: ** )\\ X:~:Iii 111~' * lI'.l'{; )/;,)l; CITY OF !iRErIEn'ION nFCf.:'IPT *****************N********M**W****M**********M********HMRMMM"MM* m?CE1PT NUtYlh€:)'j" ~ i?'?ooooao AmQont: 74.00 01/10/97 16=04 Prj~vm(}n1t 1'1[::.t hori: CI\ Nn,t git ton: lJUAld '('V'IH 9;J'~) Ini.t ~ VW ~1'. ,_", ;..', ,",I w.~ .,i."- <"" ~A _. '."'C."" ".", ,..." "'.. ,.... .,~, ".'" ......,"'- T 'oO", "_',", "'" ".,,; ,-.' ','" ,,,' "^" .),,. ,>>,. ....", ''',' ",." ...,. "_.,, ",.. ".J<' "'~., "'" ""'> ""', "'''" ".0' t '., "." e'" M., "" 'h" ,!".., ._, ",,,,"'" ,.'" '."J" ...", j',~ . "". ",,, ,,,' "",.,..,' w,'" .".. ,.", l Pf~ Y' m ), l; No :: if ?'"O(J~~() 'j'ype ~ HIP f1ECII/PIJ~O PEI~M'tT te Addrf%ll:'n 1?j~} BUHWFLI HI !,Of~i:'it;trm~ l~~~lt::) BIJHWELL, ST. UNIT A~ n. &- c Tot ei 1 F f;l~:l1il: ,00 Th 1. \l.~ PaYlYwmt .00 r elt; i;~ lPiU" Plfrl; ti:1 : 7 ~, , O() FI~!} l~nC:r.;l ~ .00 ****N*****.**M****#.*M*M****M*****~*****.M*.M*MM*.~IM*****...*** Ac(;cnmt COdH l)f~(:mr :1 pt i on tdl'lCltlnt l. 6 "":3 ?;i! " l. ClO:~ (, is) r"n':CHfiN 1: Cfi',l. PENM II' 4 <1 " ~:i() 1 ,1 cma (:I'?l ~.i ) PI.lJr1t]lNr':1 PERt'Ll T f'F,FS 19 ;.~',o Bl . 100(1 ( I. {,t ) PERM IT SURGI.II,r~nF 1$,,00 ~~' '",'" ,,_<i ",,' .,..' ''''. ","., "'" "w. ..", "^" "".,"", ;"'" """,il,o'''''''' I"",,,,, W.." """...>0 ",., :.o~, ">I, """"1,_., .." '"'' "". ,,,.,, ,c'" ,,.,'Io,., ,','. '"" M.' ,,",. "'" ,", '"''.j''' '.'1' h......,. "',_ ",. ,,', ."""." ".. ,1-" ..,,, '''''''~" ,,'" ,..,. ..,. t "~'" ""' ..~, ,.,,, ""'.' ._, ..~ - ..- ...---.-- ......- # BREMERTON BmLDING DEPARTMENT . PlwnbinglMechanical Inspection Report Scope of work: 3 Gas furnaces/ht wtr htr /piping Pennlt Nwnber: 97-0020 Address: 1215 Burwell St. Owner: Deborah Taylor 527-4646 Contractor: Quali ty Service Phone: 698-1670 . ..', , , GAS PIPING Under tat (10 si for 15 minutes) 12" minimum below rade when und round Ground-joint unions rohibited in ~rtain locations COMMENTS: - GAS PIPING APPROVED: - FURNACE . . Manufac::turer's specifacatiOQS on site CIcaranc:ic to combustibles Vent shln &: su ort/connections Combustion air uired Gas sl1ut-off within 3 ' Ducts: size &: Sit rrlinsulated when uieed . . COMMENTS: FURNACE APPROVED: MISC. APPLIANCES Manufacturer's spcdfacations on site Location, access, support CIcaran~ to combustibles VenunJt: dea.ran~ to combliBribles Vent sizing &: supporrlcollheCtions Vent terminatioll Combustion air . Chimnev: liner andJoc separate flues as te<lwrcd Gas ibut-ofT within 3' Wood stove &: farc:pLaa:s: proper h~rth Wood stoves: EPA approved Gas 102:8: safetY shut-ofT Wood Stoves &: farcplaQC:8: uRht fattint doors Gas shut-off within 3' . COMMENTS: MISe. APPlJANCES APPROVED: WATER BEATER Manufaaurcr's s 'fications on site Clcarano: to combustibles Vent siu &:su ortl corincctions Combustion air uieed Gas shUt-off within 3' Gate valve on cold walei' su to alvanized conncaiollll Seismic: stra I , COMMENTS: WATER HEATER APPROVED: ?- \ f17 ALL WORK UNDER THIS PERMIT APPROVED: l r i I' ---- I .- - -- '::".:.::;,:::.::.:\~:.:'::,:.:::::'~::.:::i':.::';;'.i::..:ii.::::>:.::,:..:;::....-.:.D"......?&...Fr.. ..:::.::':...,:....:0 ..:::......~:.:.,.. t'l"!IO..'~::.",:::,:::.::,:.:-".:::..,::. .,," '::'::.. .. .. .... ....... ..... ........., .....I.:...L:Ia;l'.I.I;....~."3L,r:I.:..I~ ~...t.. L'..... ..... ........ '.. ..' ... t.ti~i~:;~i~~;~:;;.:~::0!;i;;;:;!~~:::~i:~:.i]~:i~~:;~;~;;:~;~;:;;'~~[,:;::':;;.:b. :>,::,::'::,..)~~,;:.::~:,:,.:~2',~~?,;~::" :':,.. ..:;:r~t::.;),i.......::::::;':;:;::.:,::::':::;,::;;~'.!:.:: \~:":' '~,....~:.. ..... ~ . ,. .. "~~"('L::::>;'::::::':',,,:,~:,,,',::::~:' - .. .:;::::::.:".Cl1'::'T"Q:t.E.reme:-:o:rI"":W~nmc-rnrF.:~8 ~10:::::':'::::'Phane::,t ;Q6f':~8'~~~"':''''';::: E.l"'\.::..f: J 06)..;.tj 8:..~"1 is' .. ..;,.,.,. . .". :. .. . . .''''. ~'~"". _. ....:... ......... . .._ ._ ',., _r .. .J-f, J". .... . ,,- .. /. -. J- I:...~:.::::.:,:.".,.:.:...:..".,...;:;:.':.::.ME. . fiL'.:. :\1'~rr€. ..~,..' ..:::...... .. ..::;:. .......'.:.1 f=" :::,::::.. ............. ..........p. L. 1}MB' . IN-'G ..... I . .. ...:;..............:.,...-........... .,...-.- , '. -. ' - ."... ..... .......... ,~'. .,. . :...... " '" '.'.".-'... ..:.............. ". ..........;. ' . . ::.:.::::'..::;(};;/~:>;:::::;:;:;:fl .:.' .~. .... . -. :. :: ,..:.' '::..:,.:'''::..''',,:: .:'-:':.,':. ,,::::,;,::/:::,;,.-:::,,:,,,::,:::,>:.,.,,.,, ",:. . '. .'.:... ... ..: :\pp!..::c. """,' LJ CW'i3 ~ C:JN7:tK70 R 0 C7:~" q l ~ CJ 0;) 0 C 0 M}Yf'=~7S: SiTE ADD ItESs: /;)-/5""l3a~ 67L .5:/ < ' . 6;1)-4-040 O'#"NL~ ~~ "77fjt~ ADDRESS: CONTR.\CTOR: rjlI /l?IT..tf.6E2!'iJ1 a;;- .-\.0 D RSS: . .~ CQNTIACTOR l.r<E"st # iftl /J?/S..j(' o'/dJ2. EXPIRATION DAr:.. O\~ERPEON~# CO~TI,AcrOR?HON~~ MP /67L/ , t,:N€}$~E\~~~it#&~~~~N0m~~0FE:iF~~~?11 l. ..0 ...~, _._ .1 '\ . i ;g 1. < - '";] (". G".. , c=~". . -"'. ","" .~', ~.' .'.i.' "'1".= ~ t\"'s '.1 ',:L'\..l"'i.J. ...,...,..... . ~ ....-.-..' ---~-- i . 't -"",;J -<", .t~... ~ . 'F. . IJ it L \ WQOD[PC; T '="":'" SlOV': l! i 3A~":""uo ,~ .t,' ,'~~';' ~, _. I ~ ':'.-.0- '.. I GAS ..,01L.'i"ACE !;r-""I: i j ! !....~ V..l.TORY ! CCN'\(t:3,SION .3LCL'i-:::<. b~l ~-: !: i SEO"W'E3. i t..'~.nT $~n..~ b~J: ! ! K:7C..:"t'?-j 5DiK I I "'OrT=~ . , ,I --Of.."""" '".-~ I .~.~.;:\. in".l s: ! i I !..I Sr: W .-.\.Sf"":'~ '~n~:'<. ll'il LJ . G' '.'1:)''''G I ' '~ " .........---n., ' =- I i .AS.I: L:-!0i .. , I i .1-.l..l.i~.J,.JR1 J. J:I..-d ' I I .~.,;). on'.....o."~Co,-,r:;--' '. '.. f. I. I .C.1 O~-:::.W...c,.-.,."" ""-"".;,,,"""'. ' I .... y ,-u;"""'" i 1 ..~... . . V:\._ !J~:J. >. ,. ... i ..~....~ .~r:. :\ ,... i ACtl'Nl'T bt"".l!: ! i:l i W.-\~R EE.~TE.:-i.L /L/ ! l u.....'.T.. p1~.(n. '.' I I V I C=>'.;,.. I ..~~_ _~__-WlYl:i. tn':lS-: :311S: I 1 . ;.i\.J.....'~r..l. ' lREF--:;A.T BOX ut"".ls: I I ! DRINKING FOL"NT.AIN ! ! AIF. H...>u"'iDLINC iJ~1T q~t s: I I i i'1.00R SINK OR DRAJ;S ! I ~T"...r 'U'.<;1'" ~\N5 1 I I "OP -ry...'K" i ....."""~. ~ _ r.-u ! ~J.... )u.... ! .~"'i"GE hOOD fresi6::nc::li ! i ; W.-\T'.ERPIPIl)iG.&; ...\T TE~.:\.HON ! I R..Iu:"iGE HOOD icornrn<::'ci:::Ji i.') I GRE..-\.SE D..A.PfIN~tzC2'TOR [ I I CLOTH-ES DRnE. . ! I I H05:EBIBB5 .\ ' I INCIN!RATOR 1 I I L-\~'<N SPRINKLER )rS~M I I I DUCT ALTER.-\.TION I!! Sw'1~iMING POOL ) I T.-:\."iKS t;rfJ~" I I I BLDG.SJ:.W:cR (mobiie! lIlovecl.aoUSe) I I RE?HJGE...'t~nON tJNL I I I ROOF DR.-\INSl I OTHER:.. I I I Orr-FiR: I I MECH.-\.NIC.\L Pt::Fl\ilT :.:::E. ! .5'15.00 ! I pU1MBING PE3.;,\oiIT E::. (15.00 or4.50) ! .~ ~: DAT~: 1;;0#1 I ,. f / / [ .--.. --------c--~~-~~--~--~.c-. . ____m___ I o E PAR T MEN T I I r) '1:::: r~ fv{ J. 'T~ t ~,_:U=:=:=::~:.....q=:=::::;::~:=:;~::=~::::::::::=::~=: (J 1. /./ 1. () ../ 1. \7,1 ~;::' () 1.{j,31 1 () :::i ,:? () r:) Y' iJ .j (:~ C~ "1:: Clr i I i I ......u.. Lx] Fc)u. t t ()(l f" ::I F~'(' i:'~ rn:i f"1:] '! I 'Clf::'}fj I tJ.t: i (){i PI u.intl:1 Tlo::a ~::; t: f:Y. t us f'1 c.:: C~ Cod""O) .4 .. 0"" "n' ..... "." >-,., ,'n, ....; ..... '"' ..,.. ...., ..... _., ,~.., "n' .,_...,.... ..~. ".,. ."., ",. '",. ..~, ..... ..... ..... ..... om. '''''' . ...., ...., .., ..... ...., .,..., _,. ..... ...., ....., ." 0"" ..... "" '.'n ... . ,-,~_._-~. (206) 478-5275 , ~ ;;'~..,>,~~,;;: ,'" ~_~ .~~'~.'~<'''c.''''''';:'''';'''','i'',:. . ~.~ .....~a"~"~ - , .. .. . ~~ --~ . DEPARTMENT OF COMMUNIlY DEVELOPMENT II Jf""~ ~ ~~~ '~ '-.- -,+-- +~f .. .'... . -".:f3-.' :"U~::;"~"" ..~.... : .... .......ft:'ki ~'" . ." I "....H"- . ~ .....~'w'_. ",'n",' - l;; , <' ..... .. .......................L.J.le. . .. . -.-. . ., .. .. ~ Gateway to the Olympics and Home of the Puget Sound Naval Shipyard B U I L DIN G D E PAR T MEN T December 4, 1991 Timothy Germaine 1215 Burwell Bremerton, WA 98310 RE: Building Permit #10590 Dear Mr. Germaine: It has come to our attention that your building permit #10590, located at 1215 Burwell Avenue, expired on 2/17/91. Pursuant to Section 303(d) of the Uniform Building Code, a permit shall become null and void if work is not corrunenced within 180 days from the date of l.ssue, or if work authorized by the permit is abandoned for 180 days after l.ssuance. Please contact our office at 478-5275 within 2 weeks to discuss your intentions for this project, or to schedule a final inspection. J~ Janet Lunceford Permit Technician cc: . file . . 286 4TH STREET .. BREMERTON, WA 98310 .. (206) 478-5275 An u,WIl Opporl.nily Emp/mp . _"'~"':"."",,"""""''''~~''''-~''''''''''''''''_''~_~_'~'=A~.''>;-~~''m;...,,~~.,,..nm~__'.,.-_----:'''_.~m._.~''''. ._',n"""'-."',...........---.'~_-..~_-"7-'~-'M..~-A', ~~n~~',~,... -~-~-~ ! .i < i I I ...-..--.- -~'''-~~. ~._",:t-.- --;,;- ... ~,.~---...-_. '~._~, -- .... -- . ---._-.---I.?~fJLLt.ii+.l-Cr~c-~.~.~-.... J~l,C~IEk~ .w.et(;. .J,t~7 ('1D. '.. ..... c. ... .... .n ~ ~k"~'.." ........'........ .............c_.~__~..~~~.....~.- d- - ---.r .... -. .-'.. .'_ .. '.. .' ... </" . . . .. .... . '. ... ~. ... . '.' ",-. 1"- ", ,_ _ '_ _', . . . - . . ...x:2.a-z.. __;~_,. ..~. ..._. I I. . -.- ~ . -..._"...~.' -.... fhr.RcttrM{r:uw<z~.. Z('.5a)~:~:~. .. .. p ./),.. fl. .... ........ ............ .... ./J~P, I,/}/) /1 -. .--..,~-~..-:-#=-- ~..:...ttii...--~-.~--- , .. . ~. . '. ~ , , - .,. - , ,,' .' - -' ,'. ~ - . - - . .' ,':',- .' ;,'-' " '-" -" . ',', - .. ,-', ", . ",. ~.__.~."',:.:._~- '.. ...... .. ......;..... ft . _ .. .....-.. ...~...~.":~-.~.~..-.ijQ.~ ~ -.. ... .. ...... _I) ...]J'IJ() ~ ~ ~. ~..".- k__" _ _ _.~,~__ -.-.-~.__~~~ __~~~~.--t.~". .:..- - d_ 0; u . .. ... _.u.. , ~. ...~.._-.......o;....- ...-;!_....:-;..r.--.--. _ u.. "". .._.. ,.... --.. . .-- -. ---.1 -,,- -:--.;.-- ,,-- ;~,:>~~ '7~ -- ~..;;_..-.-...- f . , 'i '. - . '\'1 - .. ..m_____....---_ "'H~,..~---'-~-_---...m.~.'-....-.~~T:~..mT.. / . . -_..,...-~- ......-..... --'-.. -- ._- ............-. ..-.-......+....-..... .... ..-_.~. . II ". ....., '.' ......... fr {1."i'_9_L...._..___ +-~",.,-~-- . ~,-,_.-- .-,--~ ,,--,-.. ~ -, t- 1--,- -._~ -' n __. __,_,"'u_ ... ,__ __~~ _ '., _~.,.." _ __ ._" .__.. _..' _ _ '_ _' . 1.1' .... 'I .1 ' .-...-.. .----- -..- -rf~---' ----. __m.._ .__m.. -.--..'._.-__. . _cJ~' -:_... :--c........ ....._.-............. "_~'_ _u _ i i -,~.-.._-"--'--+_.,_.,-_.. ._-.-;.- - ._.._---_.~--~----_...;....- ,--- ,----.--- ",,-- .. - .--,' ",---.'-'- -- .-..--~~,~:. ---'---.-". --___.,..._. ,_,~_ ~'C"'. _..:........ .""'-.... . ~;-,,"i<o~,:_ __",,__ _,_,.._-,"_,~, _.. _b_'~.___,~_ ___" _.~ _. I INSPECTION ~ECORD CARD. - CITY OF BREMERTON BUILDING DEPARTMENT 10590 PERMIT NUMBER ADDRESS 1215 BURWELL OWNER TIMOTHY GERMAINE PHONE 479-0665 CONTRACTOR s elf PHONE ~ FOUNDATION 1. PERMIT ON SITE 7. CHECK FOR FILL 2. CHECK PLANS TO PERMIT 8. REQUIRED STEEL IN PLACE 3. CHECK SETBACKS 9. CHECK FIREPLACE FOOTING 4. PROPERTY STAKES 10. ANCOR BOLTS 5. FOOTING WIDTH & DEPTH 11. FOUNDATION VENTS 6, SOIL BEARING O.K. 12. CRAWLACCESS . COMMENTS: FOUNDATION INSPECTION APPROVED BY: 2A FRAMING 20. AREBLOCKING STAIRS . 1. WIRING APPROVED DROP CEILINGS 2.FOUNDATION VENTS TUBS OR SHOWERS 3. SHIELD UNDER POSTS ROOF & CEILING LINES 4, POSITIVE CONNECTIONS FURRED OUT AREAS 5. SOIL TO WOOD CLEARANCE AREPLACE AT CEILINGS 6. BEAM SUPPORT HOLES PLUGGED TOP & BOTTOM 7. m. MAT. NEXT TO CONC. LID IN VOIDS 8. WASHERS ON ANCHOR BOLTS 21. WINDOWS 9. BEAMS PROPER SIZE MEETS ENERGY CODE CLASS 10. FLOOR JOIST SPAN SAFETY GLAZING 11. NOTCHING & DRILLING REQUIRED ARE EXITS 12. STAIRS WINDOW SILL HEIGHT WIDTH 22. CEILING HEIGHTS RISE & RUN 23. SWAY BRACING WINDERS 24. TRUSSES LANDINGS PROPERLY INSTALLED HEADROOM STAMPED 13. ATTIC VENTILATION (upper & lower) PROPERLY BRACED 14. CHIMNEY STRAPS SECURED 25. ATTIC ACCESS 15. FIREPLACE COMBUSTION AIR 26. RAFTER & JOIST SPAN 16. FANS VENTED TO OUTSIDE 27. ROOANG. FLASHING. SHEATHING 17, WATER CLOSET CLEARANCE 28. SIDING 18. SMOKE DETECTOR 19, SHEETROCK BACKING COMMENTS: UNDER STAIRS ABOVE GARAGE DOOR HANGERS FRAMING INSPECTION APPROVED BY: 23 INSULATION COMMENTS: 1. PROPER R~VALUE 2. VAPOR BARRIER 3. PROPER FASTENING INSULATION INSPECTI~N APPROVED BY: O~ ~ (fIr. '10 . - - MECHANICAL - ~ ~v~ HVAC APPROVED BY: 1. PERMIT ISSUED 2. FURNACE LOCATION GAS PIPING APPROVED BY: 3. FURNACE CLEARANCE WDST 4.181 VENT SIZING 5.18' VENT CLEARANCE 1. WOOD STOVE CLEA-RANCE 6. '8' VENT SUPPORT 2, CHIMNEY CLEARANCE 7. COM8USTION AIR 3. HEARTH EXTENSION 8. DUCT SIZING 4. CHIMNEY HEIGHT 9. DUCT SUPPORT & JOINTS 10.GAS PIPING TEST WDST APPROVED BY: 11. GAS PIPE SIZING 12. GAS PIPE SUPPORT COMMENTS: J PLUMBING ~ ,. PERMIT ISSUED 6. PROPER FflTINGS 2. UNDER TEST 7. REQUIRED ClEANOUTS 3. WATER PIPE SIZING 8. PROPER GRADE 4. DWV SIZING 9. HWT PRES. RELIEF VALVE & LINE 5. PROPER SUPPORT 10. SEISMIC STRAP COMMENTS: UNDERGROUND APPROVED ROUGH-IN APPROVED BY: BY: 3 WALLBOARD 6. FIRE SEPARATION IN GARAGE 1 . LID OVER SIDES 7. Arnc ACCESS 2. NAILING 8. DRAFT STOP IN ATTIC 3. W/R AT TU8 OR SHOWER 9. PROPER CaNST. OF FIRE WALLS 4.518 UNDER STAIRS 10. DROP CEILING & LIGHTING 5. FURNACE ENCLOSURE COMMENTS: WALLBOARD APPROVED" BY: 4 FINAL 1. HANDRAILS 9, HOT WATER TANK PRL 2. GUARDRAILS 10. OUTSIDE GRADE HEIGHT 11. SOIL TO SIDING CLEARANCE INTERMEDIATE 12. SMOKE DETECTORS 3. EXHAUST FANS 13. FIREPLACE HEARTH 4. WATERPROOFING IN SHOWERS 14. SAFETY GLAZING 5. DISHWASHER AIRGAP 15. INSULATION 6. FIRE DOORS WINDOWS MEET ENERGY CODE LABLED AS REQUIRED UNDERFLOOR & ATIICE INSUL. SELF CLOSING WATER PIPE & HEAT DUCTS 7. ARE DAMPERS INSTAlLED 16. WOODSTOVE APPROVED 8. PENETRATtONS IN ARE WALLS 17. WINDOWS & DOORS CAULKED FINAL PLMB. APPR. (comm.) COMMENTS: FINAL MEeH. APPR. (comm.) FINAL BUILDING APPR. - -- - - - - ~ - ~- -- - - -- -- --- - -- ,; BUo~D \JG " = ~_\11 ~- 'N! 1665 A 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 $ \ 0870 -- $ - -$ I \ ~ f7'-'/3 ~- :J..'- 7 ~ SITE ADDRESS I LOCATION 1215 '(3 u '('" W'6-l,... t- OWNER'S NAME J,m 'Pt~.,-r ADDRESS PHONE CONTRACTOR (:tee 0 12-\C. K. Lofo.ls"~ . STATE CONTRACTOR'S UC,# ADDRESS PHONE o RESIDENCE o BUSINESS o NEW o REPAIR o REMODEL o ADDITION PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY THIS PERMIT ISSUED FOR: . ~s T'tt76"X II S~~c.. k. 'RM t:')N 3~ ~LdO '\ '13s~\/T APT. dN .\J Tn... I ..,.. 'i' ~ \ D'E:- I A~'D <':,+\A~ G G. DDO~S ""'0 2.0 fw\ \ tJ UTt.- 12A-r'N6 I ( SeilS '~I'R-C. Jl&?1" l-I ~ ~A'lFe:-f It' L:LJ Dc co k'PU A,\,l C(5 LiE:7'r'i5fL At-tAC~) ., 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 orthe performance of construction, INSPECTIONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Electrical 0 ,,:,allboard r;L FINAL 18. INSPECTION: FOR INSPECTORS USE ONLY: REINSPECTION: TYPE OF INSPECTION DATE TIME .l\PPROVEd AP~R<&"VED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY I ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE opC I OWNER'S SIGNATURE BUilDING DEPT. BY \: A!V~ I I I , .. AP?LICATIO~ ., '!.. . CITY OF 'BRE_RTON BUILDING 9cPARTMENT . ~- ='..+.~~K7....J "'." m ,j/~.. SLe'" ~J C.:'~~:':...) , ~- ' ADOR~SSfLOCATIOI~ OF ,.IO~.......... ..~,. ./ ......... ..~... .., ..../~......r.. .....: ....~.... . M........"2'... 'PPLICATION ISSUED FOR: .... . .........;./1~.t??C..~... :.~.J:'..:,t..:"'" . ..t/>1.-.............,.~{.... " ~ ~~..=:tf:' ~ ", . PLANNING FIRE ZONE......:..... OCCUPANCy............ OWNER....... CONT.RACTO'R . . ; ....,....................... , ... ;~...~........~.....,......... ADDRESS. .. .. ., ... .. .. . .. .. ., .... _ . . . . . . , . . . . ... . . .. . . . . ... . . ADDRess .:::5l ~. . . . L.. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ".. _" .. .. .. .. .. .. .. .. .. .. .. .. .. ...... .. .. 0- .. .. PHONE..... .. .,. . .. , . . . . . . .. .. ... .... . ... ..... ., . . . ... .. . . .. . . . . . PHONE' '-179- SOSJ(.ST 'TE Ll C I . ;J. -;~~....~...... " . ..........Ad?i{:..... S I GNArURE APPL I CANT. . . . . . 'e' . , '.' . . . . . . . . . . . ., ..... . . ... ., DATE......... '_' . 7. . . . . RECEIVED llY ~ \. . . . . . . , . . ACCEPTANCE OF APPLICATION DOES NOT INSURE ISSUANCE OF BLDG. PERMIT. PLANNING CO~~ENTSfREVIEWED By.......... ' ~ ENGINEERING COMMENTS/REVIEWED By.......... ':'"\ SEPARATE PERMIT REQUIRED fOR WORK IN RIGHT-Of-WAY, EXCAVATION,' PAVING, SIDEWALKS,SANITARY & STORM SEWER. ,j. FIRE DEPT. COMMENTS/REVIEWED By.......... ~ / 1M. .~/u.eI~~c-k ==- ~ IY~6 <Ay <A ~- ~ .TRAFFIC DEPT. COMMENTS/REVIEWED By.'......... " .I PLUMB I Ne; REV I EWED By........... " SEPARATE PERMITS REQUIRED fOR PLUMBING AND MECHANICAL 1010R,K. "" ELECTRICAL REVIEWED By.......... "' SEPARATE PERMIT REQUIRED fOR ELECTRICAL WORK. ~" BUILDING REVIEwED. By.......... ~ J .L\. "' r '" Compliance Of!icQr ~: . . . . , . . '" . . . , . . . . . . . . . . . . . ..", '- \)A TE . , . . . . . . . . . . . . . . oJ . ~ - . ~ ~ .' PER M ITS -- - - - - - '" Indicate below what' requirements', permits are required for this project. .. PLANNING DEPARTMENT o SHORELINE o REZONE 0 SPECIAL USE PERMIT ElVARIANCE . D SHORT PLAT 0 CHANGE OF SITE PLAN . i D:ENVTRONMENTAL IMPACT ASSESSMENT ; D. . ENVIRONMENTAL IMPACT STATEMENT" ".' - , . . . . " . BUILDING DEPARTMENT DBUILDING 0 ELECTRICAL 0 DEMOLITION C1MECHANICAL 0 GRADING ' 0 SIGN' DHOUSE MOVING ENGnmERING DEPARTMENT . ~ DSIDEWALK CONSTRUCTION D. STORM SEWERS 0 DRIVEWAY o CURB & GUTTER CONST. 0 SANITARY SEWER CONSTRUCTION o 'STORM' DETENTION REQUIRED DINSURANCE AGREEMENT FOR RIGHT-OF-WAY WORK HEALTH DEPARTMENT o SEPTIC TANK 0 FOOD SERVICE . < . l~. '~">",_"_>O'~""_' ".,-,~^" ~ ..- ,rW CfTY HALL e ;~. e ' ". .... ". ~. ,/ _ 'I'~ ...' -'W'. ,. l ... / ~' ' .. . .,.... , ~. II: '... -. '...... , .-. . <-.. -......-' ". . - - ~ i c..::- _ ~ \ ... ..... . ~ .' ,~.J . '" -./ . .. - . J ~ ~ ,,' '- '~".:,"}:,}".;' WAS'HINGTON ~ _ ..".... ..' ... ..'- -. - ,-'. . -'- ....~'''',<,.~;. -- --- - . r..... -......,. " .... #', " _,...r-~.. __~ .,.. THE Oly.....PlCS -. ~__.. _ ~ ..2' _:--..~"'! -'-;:'.~~. ,_'- _ L -_ _..______ _t~~.~~_g...E9URTH ~TREET gB~10 GLENN K. JARSTAD ~ ~ TOM SWANSON I.IAYOR AND CO..........ISSIONER . ~ CO..........,SSIONER OF PUBLIC HEAlTH AND SAFETY f ~ 7 ~ C-( 7 ( ~ OF PUBLIC WORKS AND UTIlITIES ROBERT 8. STEWART ( KATHLEEN L. MANDlO COM.....ISSIONER \J CITY CU:RK OF FINANCE AND ACCOUNTING --~=~-'\. No V em b ell. 1 4, 1 9 7 8 AND PURCHASING AGENT I -7 0 L-.....: J~ ~~t'. . ' 1215 BUlLwell . /. Cj \ ~e: Home Sweet'. Home ApalLt.mentl> BlLemelLt.on, WA 98310 ~, 1215 BUlLwell ;.--------..------ VealL MlL. P,iat'.t'.: Th~ lettelL ~ ,in lLegalLdh to OUlL lLecent t'.elephone convelLl>at.ion on NovembelL ", 1978, concelLning t'.he apalLt.ment building at t'.he above addlLel>l>. The ~~ml> l,il>ted below deal with 6,ilLe and l,i6e l>a6et'.y, el>l>ent,ial z .~ plLot'.ect'.,ing l,ivel> and plLopelLt'.y: \.Jd7..,.... (i". ~ All dOOlLl> mUl>t. be t.went.y (2 O) m,inute 6,ilLe lLel>,il>t.iveti I P (':J \.../ . N...r-V~l", <9 Ba.l>e.me.nt mUl>t be one (1) hOUlL 6,ilLe lLe-6,i-6t,ive COnl>tlL. c:tiolt. dt-J..., l~ Combu-6tiblel> mUl>t be Jtemoved 6Jtom bal>ement. (1--(;}2. G? Accel>l> t'.o attic mUl>t be l> eculLed '. /(1 '0)1. 5'Z.1 C 'D' d t; j f . ~h' dID. b ( 1) h ~ t; ~ vjver. e-<"-L-<..ngl> an wall~ 0 n "- -<..1L n-LCOlL mUl>t e 0 ne ____.l!utl./ . (r-<--1 I . 6,ilLe lLel>,i-6tive COn-6tlLuct,ion 7 ~ ~~ Inl>tallation 06 l>moke detectoJtl> ,in t'.he COlLlLidOlLl> on . ea.ch 6l001L ,il> JtequilLed. ~SO ~) FiJte ext,ingui-6helL-6 -6ha.t.t be located on each 6~OOlL. ) We w[Juld appJteciate YOUlL coopeJtat,ion ,in cOlLlLec:t,ing thel>e ,i:teml> . with,in t'.wo (2) mon:thl> 6Jtom the lLece,ip:t 06 thi-6 .te:ttelL, a:t which time we w,i.tl lLe-,inl>pe.ct the plLem,i-6e-6. rt ,il> OUlL plea-6UlLe :to -6elLve you ,in t'.he 6ield 06 F,ilLe PlL~ven:tion and Li6e Sa6et.y. 16 you have any queJ:tionl>, pleal>e contact oulL 066ice at yOUlL eaJtliel>:t convenience. () y~~;;;~. f7<f':;!'4,O CHET MEIGS, F,ilLe PlLevelttion 066ice~ F,ilLe PlLeven:t,ion Buteau BlL em elLto n 1'i ,e: Velp-Jttment C W M I b h C f, - J.,t-vl).. cc: Chie6 r ) File ./' . HOME OF THE PUGET SOUND NAVAL BAS:: AND SHIPYARD e e t ",jt);,' '.'. . N(] 42955 Fee $.....:uuuu.....Z,....:::..u.......mu.u....uuuuuum__ Receipt No. m...__:';:;,2.{i~.;:;:.r?./i.u.........u.m'u.umu' BUILDING PERMIT CITY OF BREMERTON . BUILDING DEPARTMENT ~ F. E. IRISH, Building Inspector . ESsex 3-1411, Ext.36 Owner's Value Bldg, Dept, Value DESCRIPTION: $ ,,;;,;~:;r,.;:J Lot \ I Block Additions Address on J ob ,/.~../...$.:~!>I.:..,!-::@~.!":'-!~!t:........ ................................... ........ ............~................ __................................... Da te ...~:z..:'": ,,:.~1:::-.~?:&'........ ---...-... --..... Building .............................. x ............................ and ........................... stories ........................................ basement. Lot _......................... x .............._.......... Front Yard ......................................... Rear Yard ....................................... Side Yard ......................................_ Garage ..................................................... / / Occupancy)fk~;,::._..vL~"M(''''1.~.,Z:~~t'K-<-........_.'''~..;!".,.~''''!......:........._.................................................................... Zone ........................................................................ o /r' ... 'r:: ~~ );7 A d Add Ph wner ,a'i1-k_if.~...4"'-a..-:<I..""_!:................::.............,.......-.~,....t:;'........[::.,,:.........................n ress ............................................................................... one ............................... ,,/.:/ j /; , / Contractor ~1.9!...e.i:......../...Cfc-t-;c,~-?.vjfs................................... ........................... Address ..................................................................................... Phone .............................. This perm~t is issued foff "f .. , -:.~""~2~-;.t{,:'t~~?~;!!!".j~:___ ___~f~<:!.<i'~..~.;~t..____ ..:::__ ____:r:1:;"!,=.<f!X~~(;_ _~J~~';::~~__ __.. .. _ __ __ ___.. ___..... ___ _..__.. _ __ ____.. ____ ____ __.. ____ _Oo_ __ __ __ _____ ___..__.. --- --- -- --- ----- -....-- / "IF ............................................ - ~ - - - - - - - - - - - -- - - - - - ~ - - ~ - ~ - - - - - - - - - - - - - - - -- - - - - - - ~ - - - - - - - - - - - -- - ~ - - - - - - - ~ - - - ~ - -... - -.. - ~ - - - ~ - - - - - - - - - - - - -- - ~ - - - ~ ~ - - - - - - - - ~ - - - - - - ~ - - - - - - - - - - - - - - - ~- - ~ - - - - -- - -- ---------~---------~---------------~._--------._-------------------------------------------------~---..~----~-------------------~~--~--.._---------~-------------------------~---- 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,inforcing steel must be ilnspected alfter plaicinig and before covering. FORMS shan be i,nspected and appro,vecl before pouring. All p,lumbing, wiring alnd the fralme of all buildings must be inspected and a'pproved before covering. Wood preservaHve to be used o,n all wood aga,inst maso'nry. Ventila,te foundation and aittic. Sepa,. ra,te permits requ'ired for plumbing, wiri'ng a,ndheati'ng. See City Engiineer before wOlrkiing on stree,ts or sidewaU(S. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - -- - - - - - - -.. - - -- - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - -- - - -- - - - - -.. - - - --- - -- - - - - - - - -- - - - - - - - - - - -- - - - - -. - - - - - - - - -- - - -- - - - - - ~ - - ~ - - - - - - - - - - - - - -- - - - - -... - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - ~ - - - - - - - - - - - - ~ - - - ~ - - - - - - - - - - - - - - -... - - - - - - - - - -- - - - - - - -- - - - - - - --- -- - - ~ - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - -. - - - - - - - - - - - - - - -.. - - - -.. - ~ - - - - - - - - - - - - - - ~ - - - ~ ~ - - - - - ~ - - - - - -.. - - -- -.- - ~ - - - - - - - - - - - -. - - - - -- - - - - - - - - - - -- - - - ~ - - - - - - - - - - - - - - - -. - ~ - - - - ~ - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - -.. - - - - - - _.- - - - - - - - - - - - - - - - - - - -- - ~ - - ~ - - - -.. - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - -- .._----------------------~--------------------------_..----------------------------------------------..--..----------------------------------------~-------------~------------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - -.. ~ - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - -.... - - - -.. -- - - - - - - - - - - - - - - -- - -- -----------------------------------------------------------------------------------_.._--.._---~-----..---~---..--------~------_..-----.._-------------------------------~------------ -------------------------------------------------------------------------------------------------------------------------------------~-~-----~----~----------------------------- __ _ ____ __ _ _ __ ___ __ ____ ___ _w __ __ __. _ w __ _ w__ ____ ___ __ _ _ _ ___ _ _ _ _ __ __ __ ___ ___ _. _ ~_ _ __ w ~ ___ _. _ _. ~ _ _____ ___ _ _ __ __ __ _ _ __ _ ____ ____ w__ _ _._ ~ _ ___ _._ ~_ _ _ _ _____ _ __ _ ___ _ __ -_ __ - - -__ _____ _____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _... _ _ _ _ _ ~ _ _ ~ _ _ w _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ w _ _ _. _ _ _ _ _ _ _ _ _ _ w __ _ _ _ _ _ _ _ _ _ _ _ _.. _ ~ _ _ w _ - - -- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ w _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ w_ _ _ _ _. _ _ - - - - _ _ _ _ _ _ _ __ - -- - - ____ - ___ ___ - - - - - ____ - __ __ __ __ ___ ____ - __ - - __ __ __ - - - - - - - __ - - __.. ___ - __ - - __ - - __ __ ___ - __ - - - - __ __ - - _w __ ___ ___ _. __ _ _ __ _ _ ___ _ ___ ___ _ _ .___ _ __ ___ __ __ _ ___ __ ___ ____ ____ w__ _ _ ___ ___ _ ______ ~_ __ __ - ___ ___ _____ ___ - - - - - - __ __ ___ - __ - - __ ~ - _w __ __. _ __ _ _ _ _ _ _ _ _ _ _ ___ ___ __ _~ _ _ __ _ _ ___ _ __ _ _ _ _ __ __ __ __ _ _ _w _ _ ~ __ _ __ _ _ _ ~ _ ____ _ __ _ ___ __ _ __ _ __ _ _ _w _. __ _ ___ _. __ _ ____ _______ - - __ __ ____ __ _w_ _________________________._____~__~_________________________~______________________________________________________w____~__________________________~______________----__________ .. __ __ _ ___ _ _ __ __ _ _ _ _ __ _ _ _ __ __ __ ___ __ _ w _ _ __ _. __ _ ___ _ _ __ _ _ ___ _ _ __ ___ _ ____ _ _ __ ___ __ _ __ ___ __ _ __ __ ~_ ____ ..__ _ _ _ _ _ _ __ _ _ __ __ __ __ ~_ _. ___ ___ __ ..__ .__ w_ _ __ _ _~_ _ _ __ ~ __ -- --- _ -- _ _ -- ~- ~ ----- - -- _ -- ------ --- -- _ --- _ -- _ -- _ _ _ _ _ _ --- --- _ -- -~ _ _ _ -. --- _ _ _ _ _ -- _ _ _ -- - - -- ----- ---- - --- - -- - - --- -- - - - -- - - -- -- - - ~ -- - - - - -- -- -- ---- --- - - ~- - - -- - --- -- - -- - -- - - --- --- - - -- - - -- -. - -- - -Oo- - __ - - _____ __ _ __ __ ___ _ ___ ___ _ _ ___ _ _ _ __ __ _ _ ___ _ __ _ _ __ _ w__ _ _ _ __ .__ _ _ ___ _ _ _ _ ____ ___ __ __ _ _ __ __ _ __ ___ ___ _ _ _ __ __ __ __ ~ __ ____ _ ___ __ __ ~ ___ _ __ _ _ __ _ ~ __ ~ _'Ow __. _ _ ___ __ ___ __ - - --- - -- - - - - ----- - ---- --- - -- __ ____ - _w w ~ _._ __ __ ___ _ _ ___ _ __ __ ___ _ ___ ___ _ _ _w _ _ _ __ __ _ _ _ __ _ _ _ _ _ _ __ _ ___ __ __ _ _ _ _ _ _ ____ __ - - _ _ _ _ __ __ __ __ _ __ ___ _ _ ___ ___ _ _ __ _ _ a_ __ ___ ____. __ _ ~ _ __ _..; __ ___ _ _ _ __. _- - - - -- - -- - -.'O - - __ - - --- -- _ _ _ __ _ _ __ _ ~ ___ w__ _ _ ___ _ _ __ _ ___ _ __ __ ___ ___ ___ _ __ _ __ _ _ _ _ _ __ ___ _ _ ___ _ ___ _ _ __ _ _ __ _ _. _ _ _ __ __ - _ _ __ __ _ __w _ __ __ ___ _ __ _ _ _ _ __ ~ _ _ _ ___ ____ ___ __ __ _. __ __ ___ __ - - - __ - - -- - - --- - -- - - --- - --- - --- -. _ _ _ _ _ _ _ ~_ _ _ _ __ _ __ __ __ _. __ _ _____ ___ _ __ _ _ ___ _ ___ ___ _ _ _ _ _ _ _ __ __ __ ____ w__ __ _ __ _ __ _ _ ___ ___ _ __ _ __ _ _ _ _ __ __ _ __ _ _ _ _ _ _ __ __ _ _ _ __ _ _ __ _ _ __ _ _ ___ _ ___ ___ __ __ __ ___ _ __ __ __ _ _ -- -- --.. _ -- ~ _ -- -- -- - -- Owner's Signa ture_........................................................................................................... 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