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CALLAHAN DR., 2702
BREMERTdN PERMXT CENTER 286 4th Streetg Bremertong WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT Permit No: 97-0746 Status: ISSUED Applied: 11/14/1997 Issued: 11/14/1997 Expires: 05/18/1998 Job Addr: 2702 CALLAHAN DR location: 2702 CALLAHAN DR Parcel No: APplicant: RAY'S HVAC 1215 IVY RD BREMERTON>> WA 98310 Owner: FOLMER, KAREN 479-8426. 2702 CALLAHAN DR BREMERTON, WA 98310 Contractor: RAY>>S HVAC 1215 IVY RD BREMERTON, WA 98310 lic I: RAYSHI*13007 Exp: 2/1/1998 Subcontr: Oascl INSTALLATION OF GAS FURNACE AND PIPING ********************************************************************************************* Valu~tion * ' Permit Fees: 29.70 Total Calculated Fee: 34~70 .00 * Plan Check Fees: .00 Additional Fees: .00 * Other Fees: 5.00 Total Permit Fee: 34.70 ************************************************************************************.******** MECHANICAL/PLUMBING FIXTURES-- MECH-Gas Furnace to lOOk btu.: 1 MECH-Gas Piping (outlets)....: 1 ***********************************.********************************************************* This permit shall become null and void if the building or work authorized by this permit is not commenced within 180 days from the date of such per'mit, or if this building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. NOTICE - It is the responsibility of the permit holder, not the City of Bremerton or Building official to see to it that required inspections are made. The permit holder must notify the Building Official when ready for inspections. Failure of the permit holder to notify the Building Official of required inspections may result in the stoppage of the work until such time that the permit holder can substantiate to the building official that the concealed work meets or exceeds code requirements. Any demolition, testing, or financial burden shall bo borne d1r~ctly by the 'permit holder. Failure to substantiate code requirements will indemnify the City against any and all responsibility or liability connected with the construction; 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 orcaneel the provisions of a other state or local law regulating construction or the performance of construction. Ignatur.:_____~~~------------------ oat.:_____L:~j;l(~-~-------- 1 certify that-~1~m exempt from the re~rements of the state contractor's registration law, under Sect ion 3, Chapter 126, laws of 1967. Signature:_____________________________~jr---__-------_____ Date:__~-_-------------------------- ~:;:~:.~:~~:;~~:::~~~:~.:~~ _.... ~~at e: ""...""..t/L'I-?'i-i u BREMERTON PERMIT CENTER 286 4th Streetu Bremertonu WA 98337 Phone:: (360) 478-5275 FAX.:: (360) 478-5278 ", B~ilding Permit No~ 97-0746 St at l.lB ~ I SSI..H::.D I ~(H~H.H~ld ~ 11/14/1 f:;(;f'7 ExpireB~ 05/13/1998 Job AddreBB~ 2702 CALLAHAN DR Location~ 2702 CAllAHAN DR AliHH' (.~Gc:t NOI: REG1UIF<ED INS P E C T ION S Item~ 01400 MECHANICAL Dl:'~pt ~ BL.D(~J D:I. v:1. ~~:I. on :: **.M.M.*******...**.**.*.*****.*****************.************M.*********.******* TE::STINGII, Ml.H~~t b(:.~ reco~;;miZ€Hi by the WI:lsh:l.rH;rt;on Af.(H(H:)c:l.l:it1on o'f Bu:l.ld:l.n~;;1 Off:i.c:l.al SPECINspn Must be registered with the State of WA S'T' cn::' WA:: St at el of WA Dt":lpt" of !....abor i:H'ld I nduE~t r :1. t:7lf.(l 4'78.....49=;:~ 1 HEAlTH~ . Bremerton/KitsBP Health District 478-5235 All INSPECTIONS PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED THROUGH THE 1~r:~nM]'-I" (~I=N"I"E~I~ (~L()) 4'7"o_r'2"7~ ....f'. .~... .." .... ~ ..:)1;;) . c.} .,)... ;;;J. .M..........*..**._.....*..*.*.......**..*****..**.**.*..*.....**..M*.***.****** Pey'mi.t I"'lold((':~r Pf.il ~- (b , SicnBture~ . ~ . . J ___.._._. ") .... ...... .... .. ...........~.-._........-.-.- lJat f!J :_cj;'I/'iZ.-..--...... \ , .,.........-'-'-.-,.....-'---.----.--'..............-- .......-....-..,.-.----......-,.,......----.......,....--.-............-.-.'...--.-...--.---.-"...,.,....-.-,.-.".-.--.-,....."-.-.-........................----...........-.-..'..- .'-" ..--.-.'...-.-.-'..... ......-....... ::.,....:..':::..'-.....:.........'-'-..-.,--..'.....'......::.:.::................-........:-:::.::.-..........'..:-:....:.-:..:::::......................._,.......'....'.....,.,...-.-....---...-..........-...-,.--..-....:.....--.--'-:............'.. . ............ ....... ....................................)P:E~'1DHBPf,mtB.L~mfJ71@)[IN{n.............. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.-. ::_:_;::-:::-:::-::-::::-::.::-::-:-:-::::::,:::-:::::':::,:::::::::::-:-:::-::::::::-::::,:,:::..:-::: ::::::::;:::::::::::::::::::::::::::::::::::::::::: ::::::::::::::,::::::.. .........(jjty9fl}1"~mett<:>p~~a.shil1~c:>I1 ..98337... .nli(}tie~(p~()}~78s?27?..f~(p(jQ).~'78..5f7$............ SITE ADDRESS: () 70 {1 (! A If a.. hah OWNER: .Kti r e h (1) f h1 fiY' CONTRACTOR:i~1(~ ffv /tL CONTMCTOR LICENSE # Rftl(6JfI J?Yo Dr; OWNER PHONE # 1f'71- Y'IJ L. D~ ADDRESS: t270~ ADDRESS: /:L/6 ea/I ahCift ~r. I()1 /24 EXPIRATION DATE: J::f>-h 9<l' CONTRACTOR PHONE # 3 J7 - SOO s NO; ..mEOWE()t.1IPM"E:N1"n . ........f'ltE..JS'()/.. nmE()EPlXfttJREnY>jEEE RANGE WOOD/PELLET STOVE/GAS FIREPLACE X GAS FURNACE btu 'so' ~O()()O CONVERSION BURNER b6t's: UNIT HEATER btu's: BOILER btu's: X GAS PIPING EVAPORATION COOLERS bm's: AC UNIT btu's: HEAT PUMP btu's: tons: REHEAT BOX btu's: AIR HANDLING UNIT btu's: EXHAUST FANS RANGE HOOD (residential) RANGE HOOD (commercial) CLOTHES DRYER INCINERATOR DUCT ALTERATION TANKS type: REFRIGERATION UNIT OTHER: MECHANICAL PERMIT FEE $15.00 WATER CLOSET BATHTUB LAVATORY SHOWER KITCHEN SINK ~ASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR SINK OR DRAIN SLOP SINK WATER PIPlING & ALTERATION GREASE TRAPIINTERCEPTOR HOSE BIBBS LAWN SPRINKLER SYSTEM SWIMMING POOL BLDG. SEWER (mobile / moved house) ROOF DRAINS OTHER: PLUMBING PERMIT FEE (15.00 or 4.50) MECHANICAL FEES: PLUMBING FEES: CITY SURCHARGE: TOTAL FEES: APPLICANT'S SIGNATURE'-f'A' c1tJJ /"~ pmapp.dot revised 4123/97 DATE: ;/ /Jlf/~l7 / I . ***************MM*********************************************** C J lY OF mu, t1~::rnON r~r.:cr. J IYT ************************************x*************************** HF~CE J p'l" Numb(o)''(' ~ 9700 :1111 Amount:: ~M.. '/0 1 J /1.4/9/ J ~:) t: ?~l P;:iYn110nt I"h;;~thod:: CHF::CI< Not;i:'it 'l.on:: r.(AY~':; ~~::::llSn Intt ~ rn1 ,. ,,_... ".. 11. ,.,....",..,. ,,,..,, t- ,.., ~..,'" .-,t<, "",,,.'"'''''''''''''''' P.,.........,.". .........". .......~,'". "",..... ....,' ."....""...."... ,~."',," .'''..........,... -,,",.,..,-. .'..,...~.t.,....ll...'>.;.... ..... ...~.......~ Per m:l, t No ~ 9 /,,(} 146 lypf'~:: MIl') S:I t; ~!.~ Addr (~m~~ ~ ?'10? CALI AI.fAN DH I,CICi~t 'I. on ~ ~:?O~:,~ CALI.AHAN r:m ~1FCI'VPl ,130 Pk::HI'1'l: I "lot {:3.! "e~:)~'~:; '2l4.'70 rh:l.*i~ P;:lym~,:)nt 34.70 .I'ntal. (:,1.1. Pmt~::~~ 34.,70 Hi:;. 1 ance ~ .,00 ********.~M*M*~****K**********M***K*****M*********************MK I~C(;Ount: Cock.') IH:H0Gy:1 pt:! on r,ffiOtmt .\1. ""t::~")") 1. (}()L' (t~,\,) 11:: ) ~11::'f'1.14Id" ("'I}l <::'I::l,,;M I' 1" f.'I':'I.::\':~ '.:H" .1" t) ,e,;,! ..,,:)if,;r,..-u.. ..:>, ,~...-t.,,, ,'I.) I ..-f "'1 "It I. .,,,j"'i,,, J ,'.' ~f-', "....,,/ ,.. .r 11 " n" "~'''\''''\ 1 ()(")I:'I (' '"""'1 n ) !.w.uMl'l. ('''Ill) "'II "O(""f r 'Cr\ <,} J ". ..~);:;' ,~: ~ ,t " . 'F ~~' :I:~ ,1 'f . f. ' f'\. ~:) ". ',C,.. (11 ~ ::1 " '" .1 () "'" , _', "j ., ", ~ ," .. H. .'" '>\'. "." ..~, ...,., '" ...." .. _ ., -" ..... ...", .'" ., "., ..,., .;. . ....... ,,,. _,oJ. "," ,. "'._ .. .--.. ~ , ", ',... ,..,. ,., .. "" "1 ~,.., .-,,, u.>o.'.. ... BIIEMElrrON BUILDING DEI>>AlrrMEN'f PIUJnbillgJMcchanica~lnspcction Ueport Scope of work: Address: Contractor: Install qas furnace/piping Penult Number: 2702 Calahan Dr. Owner: .Karen Folmer Ray's HVAC PhOtic: 479-8426 97-0746 GA..~ PIPING Under LC:9( (1 OI'~~.!:-12.J::~~~~~) Prop:~.r_~i!.i.~ support 12" m}II~~1I hd~~~l.c whc,., undcrli.rouf\(l -- _Co~_~~I!wrarE.~~~!! t1I1,lcrt;rOluI<1 or withih 6" of cud. G r()\III,I.j"illt ulliom I'rol,ihiIC(! in c.crl2in lootiom Bushinp not :lllo~d in collccak,( :uc;u COMMENTS: GASPII'INGAPPROVED,_ ~~~,f'i;f1 FURNACE Mallnfacturer's sl'ecif1.?ti~lS 0.'.' site ~ ti o,!!..-~ax:s~ .!!~'l'p..ort Ckuam.JC to co"'(lIutihk, VC~,til$3 dcu2.ncc to coll1bu~rihb Vellt si1.i-,~ & S~)ort/COllncctjom Vellt termin:Ation Combustion air ~J!} 1I1'-"::l: Ii ner and/or scju.ute (lucs as require.I Gas shut-off within 3' Pi.lot ckvale<1 off ~oor i_I! ga ragc --,---- Ducts: siu: & !I1Pl'ortlinsulatetl whcn require<l Return air COMMENTS: FURNACE APPROVED: ~. II if (,,7 . I 1 MISC. APPLIANCES Ma.'~~~urer's spccir.c.a_~iol19 011 site Loc.a ~j~!.,~ Cc.es~~ll'l'ort CIe::tUIIOC to combustibles _~~.I.!"}_~'j;: ~.raJloe to comhll8tihles Vellt shi_l.l~'ppOrt/ connect iollS Vcnt tcrmination .--....--.- Combustion air Cbill1~: lincr all(Uoc scpUale flUC3 aJ re<JujreJ Gas .hut-off within 3' Wo<)(( Jtove & fircphCC9: proper hearth Wood J toves: EP A a1' J.:fovcd GaJ 10l)lt: n_~ety Jhut-i>ff . Wood stoves & fi~boes: Light fiu~ ,loon GaJ .hut-oIT witl,in 3' . COMMENTS: MISC. AI)PUANCFS APPROVED: WATER DEATER Manu[acturer'5 5pccifieatiol1J on site Location, ;llax:s,. support Cbr:lII<X: to combustibles Venti!.'j;: ck.aran<x: to comlHutiLles Vellt sizillg & 81'fl'ortl connectiorlS Vent termination --~----- Combustion air C~mner- Iiller and/or ~rate flues u required Gas sllUt-offwilhin 3' Pilot devatw off floor i~:,n.~e Gate valve on coM w;trer sU'p.l'..1y Relief valve .Irajno<:\ to ouuide ~_.__._~-- Copper to Ralvallil.O<:\ collnoction. Union. Oil water l'ipc3 Seismic strap COMMENTS: WATER HEATER APPROVED: ,~ ..-.:\ ALL WORK UNDElt TIllS PEltMI'I' APPUOVIID: ~ Ijt~/f1 . . CITY OF BREMERTON .2-C/~ . q3~~7 Fee $----.--7--- --- u. ._____m__. u________...._.__... ..u...... ..._...... Rece! pt No. _n. .". ..___. __ ..__u... u____u.'" u........ ._____......_. / BUILDING PERMIT BUILDING DEPARTMENT N~ 45237 F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 Owner's Value Bldg. Dept. Value' DESCRIPTION: ~ ~---- Lot Block Additions Address on Job ---~.2._~__J.____.__{:'gd.44~{,____________._______________________.__..__ Date __:-!L.-':___s6.;i:=___ZJ_:::___ Building m___.____m_. x ______..h__m_ and m._.._h______ stories __mm__h_____...____ basement. Lot __h_mm.____ X _m__._m.m_ Front Yard _____m._m____h__m Rear Yard _________mm_________ Side Yard _m.___.________mm_ Garage hm.__h__mm__m.__m_ . ./ OCCUPANCY/ PERM'I-T REQUIRED BEFORE OCCUPYING BUILDING Z~m.e,-;.~f:hhLm_..______mmm_m__h__ Owner h!klf:1.~:__dL4~~~~.__m____ Address ~__1~~~~k:~~~..P~e m___._m__..._ Contra~t~r -~d'/:~'!~-d'.~.-/--/~/..4.- Address _h..______._______.h_._mh___.__m___~_ Phone _m__._m_.__._ This permit is issued for: "'/ ..7. /' ' /' // .~ ./ //'. r /:::;-::: / ,%LdA'AAfJ'~ P...-?~Z~ ~~_____/....?;;~~? :---:-:::::__:::::::_::::::::::::::::-:::::f~::::::::::::::::-:::-:::::::::::':::::_:-::::::::::::::-::::_::-:::-:_:-~::---::--:::::::::::::_-_::::::::::~:::::: All work to conform to all applicable building ordinances and amendments. Please note the following special instTUctions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION - Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa- rate permits requ'ired for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. , - - - - - - ~. - - - - - - - - -. - - - - - - - - - - - ~"".- - - -... -.... -...... -............ -.. -.. -.. - - - -.. - -.. - - - - - - -.. - - -.. - -.. - - - ~.. - - - - - - - - - - - ~ - - -.. - -. - - ~ - - - ~ - - - ~ - -.. - - -.... - - -. -.... -.......... ~... - - ~.. -.. -.. - - - -.. ~ -.... - -.... - -..... - - -... -- -..- - -.. - - - ~ -- - -- - - - - -- - -- -.. --.. -..... - -- - -... -- - -- - -- -- - - - -.. - - - - - - -.. - -...... - - --.. - -... - -- -- -.. - - -....... - - -.. - - - -.. - - - - -- - - - -~.. - - - - - -- - - - -- -_..- - - - --.. -- - -...... - -.... ...... -........ ..-... -.. - -..- - -...... -.... ..-.......... - - -..-. --.. - - -..- ----.. -..... .-.. ..-. - - -.. - -..- - - -.. - -...- -........ - - - -.. - - -.. --.. -.. -.. ---.. -- - -..... -....... ..-- - - -.. - - -.. - -...... -.. - - -.. -. ~ -.. - -.. -..- -.. - -... __a - - _.. - - - __.. _.._ _.... __ - __.._ __ _..___ __......_.. - - _.. __.. - __.... _.. ...-- - -.. -......-..- --..- - -.. - -.. - -.... -.. --- -.. ~.... --.. - - -.... - -.... - -.. - - -- - - -- - - --- - -.. -- -.. - - -..- - --- ..-.. - - - - - - - - - - - - - - --..- --.. - -- - - -. - - -..- - -.. - - -.. - - -.. - - - -- - ..-- --- - - - -- - - - - ..-- - - --- --- - ...-- --- - - --..... .. - - - - - -..- - -..-.. - - - - - -..- -- - - -.. - - - -- - - - - - - --.... -.......... - - --.. -... - - -...- -.. - - -.... - -.... - -.. - - -.. - - --.. -. - - - - - - - --- -- -. --..- - ....- - -.. - - --... - - - - - - - - -. - - -- -- -.. - - - -- - -- - - - - - --.. - - --- - --... -.... .--------- ------------------ ----- --------------- -------------------------------- -------..----- ----.. -------------------~------ --- ------------- --------------..-------..-- ---- ---------..- ------ ------------..-------------..----..------------..-------..---..---------------------------..-..- ----------------------------.-----------------------.---..-------..---..-------.---....------ ----------..---------.--..---..--..---....-..-..--.-..-------......-..---...--..----- _.------ - 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- - - - - - - - - - - - - - - - - - -.. - - - - - - -- -- --.- -- - - -.. - - - - - - -..- --.. - - -.. -- - - - - -..- - --.. - -.. - - -...... --- - -- - - - - - - - - - - - - - - - - - - - - - --- - - - - - - -.. - - - - - - - - - - -- - - -.. - - -- - - --..- -.. - - - - - - -- - - -- -- -- - - --- - --- _..- --- - - - - - - - -- -- -- - - - - - - - - - - - - - --- - - - - - --- - - -- - - - - - - -- -- - -- - - - - - - - - --- - - - -- - -- - - -- - ~ - -.... -~ - - - - - - -.. - - - - - - - - -. - - - - -- - ~ - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - -- - - - -- -- - - - -- - - -- -- -- - - --.. -~- -- -..- -- - ------------ ---- -- -- - -- --------------------.----..------------------------ ----..--..------ -- -- -- ------- -.._---~-- ----- ---- --- ----------..- -------- --..-----..---- -----..--------------.. .. - - -.. - - - ~ - - - - - - - - - - -- - - - - - - - - - - -- -- - - - - -- - - -- -- -..- - - - - - -- -- -- - - -~ - - -- -- -- - - --- "'---.. -- -- - . - - -.. - - -- - - -- ~ - - - - - -- - - - - -.. - - - - - - - --- - - -- - - - - - - - - - - - -.. - -- - - -...... -.. - - ---- --- - --- -..- ~- ---.- - - - ~ - -.. -- - - - - - -.. - - --- - - - - -- ..-- - -- - - - - - - ~ -- - -- - - - -.. ..-- - -..- -.. - - - - -- - - -- - - -- - - -..- ..-..- -~- -..- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- --..- - - - - - - -- - - - -- - -- - - - -.. - - -... -- - _..- - - -.. - - -- - - -.. -. -.... -- - - - - - - -..- - -..- - - -- - -..- - -. - - - - - - - -- - - -- - - - - - -..- --. ~ - _..- - - - ~- - - - - - .._- _..- -.. -.. - - -.... ~ --.. - -.. -- - - - - - - - - -.. - - -.. - ~ -.. -.. - - - -. - - - - - - - --.. - -- - - -... - -... - -... - --.... ..-- -..-.. -- -- - --.... -.. - - --.. - -- -- ....- -- ::::::::::::::::::::::::::::::::::::::::::::::::::: ::~:::: ::::: ~~:::::: ~~?: ::) ::72::: :~~::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::: ::: :::: ::::: ::::: ,-'"" ~~ ' ..L, y~ Owner's Signature---.-----~~-~./~!'-.--..;:~(:---{>.1,1-1r-----. By n_.________.___._.__.____________..___._______n__._____.____.._______n____ /" - His Authorized Agent Building Inspector _ __ _._ m __ _ __~!.. h__ _.. /_d___ ._~_./ b...... _ ___ ___m_n.___ ____ _.._. ~~~~. ~ OF By ____._ __. __ _____. _____ ..__- ___ ________ __.__n__h______________ ___________h..__h_.____ (.#'(/V- {,/1-.....~ e .' '<' N? 37661 ~ d' 0 Fee $---n..:_~~.=_~__:._nn.n...nmnmnnnnmnnnmhm_ Receipt No. _n9n~:i.:_.:Zmn__mm___._m.._____mnn .' / // Address on Job ..,;;~_~!f?_c3____((~:((~J~,/..::-c:::_::'u.____..u__u ___.u.u..__.um.m.munnuu Dat _..m...-::L:._:/;~~uu.196u:? Building .h_.__..mm. x nm.__.m.m and U._______h.m stories mmh.mUmm.__. basement. L t .m__n mom X m.____.__um Front Yard mmm_m__._mm. Rear Yard ._______mm__mnm Side Yard .m._mmm__m_m Ga ____h.m__u______.__.__.m_. g:c: ~a_~~1 );0: :~~::::: ~t;f~~~::~:~~~:~t~;:~~~1~::: :::: :::::::::::::::'A d d-;~~~-. :::: :::: ::::::: :::::: _~~~~ ~~~_-~~~_-~ ~~~~~--Ph~~~~~: ~~ ~~ ~~~:~~~:: " Contractor ___ _._ __' n m m__ m_:m__. ___ __ ___ ____. __ _ ____ ____ _m _ .__00.. __ Add ress ._ _m m_m_m __m _.mm_ ____.mm__ Phonemm______m. This permit is issued for: CITY OF BREMERTON BUILDING PERMIT BUILD;ING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 Owner's Value I Bldg. Dept. I "::f:;Y':; Value I DESCRIPTION: I Lot Block ,\dditions $ '7( _I 0 ') -',. I ' ..................................................!... __..:.:: 1_ ~.. '!-.."!'..........:.:."_.;;":.... ::..!.:[ :.:i.. '{'-~~ j" _...... _.................................. ..'-.................................................................................................................... __............................................ __...... 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 - Reinforcing steel must be inspected after placing and before covering. FORMS shall be inspected and approved before pouring. All plumbing, wiring and the frame of all buildings must be inspected and approved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. . /1 - -.- -_...... --.. -- --........ --.... --.... -- -.......... -;:-~; ':-j_.......... --.......... -,--- ---.... --.... --;; -," =.. --.... -_.... -Oo-" __.... __.. __ __ ___ __........ __............ __............ ___.................... __.. ___ ___ __.._...... __ __............ _____ ____ ___ ___ , f /' ) / f " Own e r' s Signa tme !.././ /, !:1: ,~-::'1. jJ.. .M!.:!. 'S':::":'/.]_-E:&:'1::5:!.~L ___ By. _.. u _ _. _ __. _ _ __ _ _ _ _ _ _ ___... __ _ __... U u..u 00 _U 00.. _ _ _ _ n' _ _ _ __ _n ____ _ 00 I'; f ,." . . II -=_.' ,r-:. HiJ'1uJhori~;d Agent B 'ld' I ,,--.(' (~, /"'~, .~{ Ul Ing nspector _ __ __ _ _ _______ ____ _.______ _________.__ ::____ :::_":'_:'~"'h.__uun__nn_____.u___.. \-~ By A jl J ...-....-.... --- --.. ..----- -- --..-.... --- ---- ----- -- --.. --.... -- -- -- -- -- -:-...... --.. --...... --.. -- - . ---.. -- -- ~ ~DF