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HomeMy WebLinkAboutCALLOW AVE. N., 306 ,I .~I ,. ..... e e . ~- , ~~~~ ~~~~~~~~~~ " "'" CERTIFICATE: OF OCCUPANCY, _....'. ~ ',- '~1U4. ~ifkate ~ Ie Sfu~ S FURNITURE , '.' " ,:", ~ . ~ at 306 N. Callow,' ~'donJ 'CJ}f~ :' ~ ',' ".~tkz!t~'~~nzoy-~~ufUduUtht~~.c/~~::' . ,';'.' . " " "' ,'" - ~ ;', , rkde of t~ ~y:,;o/' f!JJ~ilon ~ ~n ~d. " , ' : ,.:' , ..' '..' ~ " TYPE' ',' .... TYPE' '.' ". OCCUPANCY" , . . '. CONSTRUCTION , '. OCCUPANCY LOAD COMMON USE, , . .. .. .' VN . B2". 67 Retail ' i .~ I' 1), "~~~~ . ,';' ',,1-. . ~ ;" ,':'. .' , 9lJate: January 16. 1992 ~~~~... f!JJuild~ @lficial David A. Nelson This certificate must be posted and permanently maintained in a conspicuous place.. ' , , Permit No. Bus. Lie. \ \ \ .: '( B REM E R TON f3 U I I D I t,l G I..., " P IN" r" Iv} I 'r !'.. '. D E PAR 1 MEN T . e ___..M.."_...M._m___.__.__.........._._._._.......w....________._.___..__......___...__...__...______.............._......______......._........___......._____.._____...__..___..........--.--__..._ .......... ..... ..... ..... ..,,, ..... "m ..,,_ ..... "'" ..,.. "... ..... ..... ..... ..... ..... ._.. 'n.. ......... ..... ............_ _,M. ,._.. ........ ...... m """_. ..... ..... .,,_ ..... .... ....... .......... ,._. ............_ ..,_ ..... ....__...._ .'__.... ......... ..._ .__ ..... '"'' ...,. ..... ..... ..... ,._. .u.. ..... ..... ,.... 'm' (OJppl .i. cat ion Da.tc I~::)",ue Dat(~ f\s:o:;csso'c (lcct :It: ~:;; :i. t e L.ocat i Of'! Owner - Last Name ..... :::;tn:;:et .... f" '1'1;' v ~ - i':r'" LU\1- C9-p~ .... "C' . "l.~rl~r'lt'q I,j~finl~ \.... ,,;. .. ,...<.1 ..' (~qent 's Natm::: (rcch:i.tect:"s Name: I"v"l r.. .j'l"j.' "'." . ..1\..1 c,d ,I. . t. .I. r I'::) I'" 'J '..<... .", t.. ....n .'1 "",,.. j . .. .. ! It:;'..., Id ! ..1.....':1 . I.. "I O'IIJm!"l'I'l-"" .. .. I..". .... 1 :c1 () .4 ~/ ~? :'::~ // 1. <;~i ,:) 1 Application Number 91AP032S7 Permit Number 11798 P'(Ojf:~ct G'roup 01.1./22/1991 3733-007-023-0006 306 N C::(1LLJ)~J THOC['1f<F :306 N C()LLJ)I,\1 H rZE r"'IEF~r UN . F:i. Y;~.:;t; D[L,OHE~; ~1 I State WA Zip 98310 ( ~? r:ic;) ) Phone( ;~?06 ) j.::'hone( ;?O{" ) [ ] Gra.dinq [ J Move Building r '] Mob i 1 e I'+)mf::~ [ "I [. :.1 r "I .. ~.....' -, . :.::0 19r. BU'fnJnq L.and Clear r ..\ Pd\) :i. nq r .., Undc':rqrol,J.r',:::! L ..I Demo 1 .i. t: ion ._., .".. ..... ..... ..." _,., _... ..... ..... ...... ,.m ..... ..... _"_ ...., __ ..... n." ..... ,.m ._" ..,_ ..... ....._..... ..... ..... .w.. ..... ..... ..... ,.... ..... __. ..... ..... .".. "........ ..... ..... ..... ..... ..... ......n .,,_ _.... _.., ..... ..... .'._ "q. ..,'...... ..... ..... .... ..... ...... ..... ..._. ..... ..._ ..... ..... ,_... ._.. .._ . . Building Corrtractor: Cont Y' act; (J'[ ~::;r y'eet C:i.ty Phone r~ep'(f:::~3entfJt i\lf;i~ St at e L. t (:;.~:;nse ~j c: i t y L. :1. cenBe :fj: ROMACK CONSTRUCTION 2822 GREENDALE DR SE POP'! i)F~CH(lFD ( ~:::(6) H76.....?23:,? St (1t e W(:I Z:I. p '?U:J{)6 f-<Uf'1(\CCX 12:::l[:r'i" ~~xr.)iratioT1 Date 03/30/1992 E:xpi 'rat ion Da.te Nature of lAJc)'(k:: r~eroo'r 44. 3qUaY~7/) to'tch CI()I}.J.n Cla<::i~'3 "0" y'oofin[J.. q/17jCJd-- -r~~~J ,,~.E~;~. .' . ~ r '] !"v": ,.,'\'..t i.: ::I ['1 r/J r.: :1 f.: :] f;::,,~~::~::~-:K;:(~~~~~~~_-:::::~::~~~:~:~~l:~:~~~~~~~~3 ( Buildinq Valuation Council District Con~:~t Y'Uf.;;l; :i. un rype RC:f>:i. dence BU~3:i. neSF> Ut r:e'( NClN F~epa i '( RE::rf1odc,; J r'1dd:i. t :i. on ~ ~~{,OOO ,,00 ~::;,;:nFUs 'TY' act ::;;q r::' eet I nnpf~ct :i. onE> Rc:qu. i Y' c~d ?:or~:i. flq 'T'Yr::Je Founclat ion F"(i,3,minn I n~-:.~u 1 at :i. un P 1 u.mb ::. nq f1(~chan:i.c(:il l"la.Il boa.,y' d F :i. na.l r "I I., _. I: '] r "I L. .. [ J r '1 r '" 1- ..: 1",,"1 ,,^.J ~;:; t: i1 t u. F; (~ () ~:j f: 1. :1. e' ~ /.(~91 , , . , ~ ~ it ?~^,~L .A r- L -:I::t ~ r eCAN\.rAC( . -t-J:Z3 or- . ~~~J~ , - .1 Delores Thoemke 300 N. Callow Avenue Bremenon. WA 98312 I'l DEPARTMENT OF COMMUNIlY DEVELOPMENT II.. Gtllew"y to the Olympics ""d. Home of the PugetSound NQVQ/ ShipYQrd BUILDING~DEPARTMENT September 9, 1992 RE: Building Permit #11798 Dear Ms. Thoemke: Ie has come to our anention that your building permiUl.11798. located at 306 N. Callow Avenue, expired on 10/22/91 wimout an approved final inspcction. Pursuant to Section 303(d) of me Uniform Building Code. a permit shall become null and void if work is nor commenced within 180 days from the dare of issue. or if work authorized by the permir is abandoned for 180 days after issuance. . Please conca.ct our office ac478-5275 within i weeks to discuss your intentions for chis project. or to schedule a final inspection. Failure co do so will result in lcgal action for violation of the Uniform Building Code. . Sincerely. J~~~. Janer Lunceford "0 """ "... Permit Technician cc: file 286 4TH STREET IZI BREMERTON, WA 98310 III (206) 478-5275 An UjUMJ Oppurlwnily Employ<r '",," .+-<., _~, ~..,'-~~--, ....,............_""._~.-.~.._. ~. ... ..~,_~.~:,._-;_,._......... _~ .~~..~"_.1_......._.~_,~.,...;..:_....., ,_. ~.\ .. '. . .~.,,'.c.....,...;......;:-..;.~_~-.~;.,..~"-,.;.::~'..,~....,_~,,_,:-.;._,............~i.s.......::_...~ ~..,;_, e INSPECTION RECORD CARD ClTY OF BRElJERTON BUILDING DEP ARTIJENT tit 1 1 7QQ PERMIT NUMBER f. ADDRESS OWNER CONTRACTOR 306 N. CAILOW DELORES THOEMKE ROMACK COSNTRUCTION PHONE PHONE - 1 FOUNDATION 1. PERMIT ON SITE 2. CHECK PLANS TO PERMIT 3. CHECK SETBACKS. 4. PROPERTY STAKES 5. FOOTING WIDTH & DEPTH 6. SOIL BEARING O.K. 7. CHECK FOR FILL B. REQUIRED STEEL IN PLACE 9. CHECK FIREPLACE FOOTING 10. ANCOR BOLTS , 1. FOUNDATION VENTS , 2. CRAWL ACCESS . COMMENTS: FOUNDATION INSPECTION APPROVED BY: ~ . ,..,., 2A FRAMING' 20. FIREBLOCKING STAIRS DROP CEILINGS TUBS OR SHOWERS ROOF & CEILING LINES FURRED OUT AREAS RREPLACE AT CEILINGS HOLES PLUGGED TOP & BOTTOM LID IN VOIDS 21. WINDOWS MEETS ENERGY CODE CLASS SAFETY GLAZING REQUIRED RRE EXITS WINDOW SILL HEIGHT 22. CEILING HEIGHTS 23. SWAY BRACING 24. TRUSSES PROPERLY INSTALLED STAMPED PROPERLY BRACED 25. A TIIC ACCESS 26. RAFTER & JOIST SPAN 27. ROOFING, FLASHING. SHEATHING 2B. SIDING / 1.WIRING APPROVED 2.FOUNDATION VENTS 3. SHIELD UNDER POSTS 4. POSITNE CONNECTIONS 5. SOIL TO WOOD CLEARANCE 6. BEAM SUPPORT 7. TA. MAT. NEXT TO CONC. B. WASHERS ON ANCHOR BOLTS 9. BEAMS PROPER SIZE 10. FLOOR JOIST SPAN , 1. NOTCHING & DRILLING 12. STAIRS . WIDTH RISE & RUN WINDERS LANDINGS . HEADROOM 13. ATTIC VENTILATION (upper & lower) 14. CHIMNEY STRAPS SECURED . , 5. FIREPLACE COMBUSTION AIR 16. FANS VENTED TO OUTSIDE 17. WATER CLOSET CLEARANCE 1B. SMOKE DETECTOR , 9. SHEETROCK BACKING UNDER STAIRS ABOVE GARAGE DOOR HANGERS COMMENTS: FRAMING INSPECTION APPROVED BY: .. 2B INSULA liON COMMENTS: 1. PROPER A-VALUE 2. VAPOR BARRIER 3. PROPER FASTENING INSULATION INSPECTION APPROVED BY: MECHANI~ 1. PERMIT ISSUED 2. FURNACE LOCATION 3. FURNACE CLEARANCE 4. '8' VENT SIZING 5. '8' VENT CLEARANCE 6. 'B' VENT SUPPORT 7. COMBUSTION AIR B. DUCT SIZING 9. DUCT SUPPORT & JOINTS 10.GAS PIPING TEST 11. GAS PIPE SIZING 12. GAS PIPE SUPPORT COMMENTS: M - p PLUMBING 1. PERMIT ISSUED 2. UNDER TEST 3. WATER PIPE SIZING 4. D'NV SIZING 5. PROPER SUPPORT COMMENTS: UNDERGROUND APPROVED BY: HVAC APPRO. BY: GAS PIPING APPROVED BY: WDST 1. WOOD STOVE CLEARANCE 2. CHIMNEY CLEARANCE 3. HEARTH EXTENSION 4. CHIMNEY HEIGHT. ~ WDST APPROVED BY: &- 6. PROPER FlITINGS 7. REQUIRED CLEANOUTS 8. PROPER GRADE 9. HWT PRES. RELIEF VALVE & LINE 10. SEISMIC STRAP ROUGH-IN APPROVED BY: 3 WALLBOARD 1. LID OVER SIDES 2. NAILING 3. W/R AT TUB OR SHOWER 4.5/8 UNDER STAIRS 5. FURNACE ENCLOSURE COMMENTS: WALLBOARD APPROVED BY: 6. ARE SEPARATION IN GARAGE 7. ATIIC ACCESS 8. DRAFT STOP IN A TIIC 9. PROPER CONST. OF FIRE WALLS 10. DROP CEILING & LIGHTING --'" FINAL 1. HANDRAILS 2. GUARDRAILS HEIGHT INTERMEDIATE 3. EXHAUST FANS 4. WATERPROOFING IN SHOWERS 5. DISHWASHER AIRGAP 6. FIRE DOORS LABLED AS REQUIRED SELF CLOSING 7. FIRE DAMPERS INSTALLED 8. PENETRATIONS IN FIRE WALLS FINAL PLMB. APPA. (comm.) FINAL MECH. APPR. (comm.) FINAL BUILDING APPR. 4 9. HOTWATEA TANK PRL 10. OUTSIDE GRADE 11. SOIL TO SIDING CLEARANCE 12. SMOKE DETECTORS 13. FIREPLACE HEARTH 14. SAFETY GLAZING 15. INSULATION WINDOWS MEET ENERGY CODE UNDERFLOOA & ATrICE INSUL. WATER PIPE & HEAT DUCTS 16. WOODSTOVE APPROVED 17. WINDOWS & DOORS CAULKED COMMENTS: "'-- .. - .A e / N9 38624 () :I... Fee $....L.:;~.~.mn:~.:........nm..mm_.nn_h.mmm.mnm Receipt No. .../?:n..~:~.::::~.~_.;?. nmmnnnnn. BUILDING PERMIT CITY OF BREMERTON BUILDING DEPARTMENT F. E. IRISH, Bui/ding Inspector . ESsex 3-1411, Ext. 36 Owner's Va!,u~, I Bldg. Dept. Value I DESCRIPTION: $ ..1.'~',:- - I , Lot Block Additions Address on Job .c::.::;/;..../l;::~~/:L~!":-:~~~(:~~':::'J/m__.. n__..._____..._m._.n_..___n__.._ Date __/~:.n.n...'~..__._........196n? . Building ..m__.__mm x ....__.m.m.. and ..m__.__m... stories ..m........__m....._ basement. Lot _____......m.. x .m.m.mnn Front Yard .__m.____..mmm.. Rear Yard ...m..m..__.m..m Side Yard .___m__.mmm..m Garage .......m.__.m__mmm.... ~:c:~a,~~~~:~~~ ;.~::::~: ~~: :L:':~~~::; :~;~ ~ ~:~::::~:::~~: :~~~~~~~:~:: ::::::::::. Ad d ;~~~..:::::::: :::::::::::::. ~~:~ .-__....__............__..__ --Ph~ ~~~ ~~ ~~ ~~~~ ~::~::: Contractor .,!~'."";;.:.-::'..~.'l".:~~l.~~!.... ...:.:L,.:.-~;:.:~:':-,~j................... Add ress ............. '_""""'''''''''' ..__....... Phone...... .......... This permit is issued for: .."...- _... I <. ~. _._'~ ~.. ~ _~ ;.:.:,~i::.. _: :t.;'.. ~ ~_.... ~~ _: ~ ;;.~:'.:-:' ~.::~~.... _.;;.~~: .i-_,,: __ ~.~~:. ~....:...... __...... __.. _ u"" __...... __...... ,_.... .................... __ n...... __.................... _............ __ __ h __.......... __.. __.... __.... _.. __.... __ __........ u..............__ ................................ -;~...... ~ - - - - - - ~ ~ - - - - - ~.. _.. - - - ~ - - - - - - - ~'~ __ - - - - - - - - - - - - - _.. - __.. - - - - - - - - _.. - _.. _0- _ _ _ _ _.. _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _.... _ _ ~ _ _ _.. _ _ _ _ _ _ ~.. _ _.. _ _ _.. _ _.. _ _ __ _ _ _.. _ _ _ _ _ _ _ _ _ _.. _ _ _ ~.... _ _ _ _.._ .. ~ -- -- - --- --- -....- - - --- - ~-- ..--- --.... ..-.. ~ ---- - ~..-......- -- -........ -....-- - - ....-.... -- --.... -- -.. -..- --.. -- ..'- - - -- - - -- - - -- - - - - - - ~ __ - _.. - - _.. __ ___ - __ __........ ~_ - _.._ ~.. - ___ - - __.._ __ _.. ....__ __ ____ __ ___ - - ..__ ___0 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. - - - -- - - -- - - - - - - -- -- - - - - -- - -..- -.. - - - - - -- ....-.. - ---- -- - - ~ --..- ~ ..--.. - - -- -- --.. -- - - ~ -.. - - --- - -.. - -_.- - - - - - - -- - - --- - - - - - - - - - - - - - -- -.. - -- - -- - -.. - - - --- - -- --..- -_..-.... -.. -- -- - - ---.. -- - - - - - - - -- - ----- - - -.... - - -- - ~..~ - --- - - - - - - - - - - - - - - - - - - --- -....- - --- --- -- ..-- ..--- -..-- -- -- -..- - - ~-- - -- - - -- -- --- -_.- - - -- - - --.. - -- - - - - - - - - - - - - -.. -- - - - -- - -- - - - - - - - -- - --.. ~ _............-..- -_..- --.._- - -..- - ..-.... ..------.... ------------..-----......-------....-------..------------....----..----------..--------------------,--------..-------------------------..-..------------------------....-....--------------..---....-.. ~- - -- - - - -- - -- - - - -- - - - - - - - - - - - - -- - - - - - -- -- - - ~ - - - -- - - - - - - -- - - ---....-..- -- - --- - 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Own e r' s Signa tu re ......L /~ ,;;.',:~2 .(~~,-'.?f/~(:'~ ,: ~~ : ~~~:;; ./,~t<1i :" :.:~. . By '.~ ~ ~;;!: .~~:~:~~~:;{~.. ../,.: ;'_::~.. :~2':::;c: ,~. _. ,... n..._...... n. __.. n ... " 'Hi; Authorized Agent '~~DF Building Inspector .........;:.,.-...............n.....nnn....--.-..m....-....m... .......... '...m.. By -----"'=:-.-::---.--______________.__n__.hn_______n..nnn____.___.h.. _.. _ _ _. _. __... A -':'> . --- .' ~------.----. ,,A' .~ < ._-~..-=:~"..._. lof~ 3' -=-- / ~~~~~ -='"~,~ <~).~ \~=~. '::' ~o~~~ , )., I-=- b \ -~I . ,. ~ I IOJ-11 . " \Y-~ -e: l ~l(S w ~-l.14 ~~~-~=r1Z~>-t- HANSON SIGN COMPANY P. o. 96X C ;. Wycoff Sta. Bremerton, Wasbington 98310 j- ~ e e N9 36226 Fee $.uu___';,:.2:_/:~~~:_::d .h__nun_.____________uu___h___u___ Receipt No. u~~.::\_:~l_:.:~u____________UUhU.UU___ CITY OF BREMERTON BUILDING PERMIT BUILD'ING DEPARTMENT / / F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 Owner's Value I Bldg. Dept. Value I DESCRIPTION: $ &'00 I I Lot Block Additions Address on Job u.;f;.P._G_n?~-:fL..m(ik(:f/jL,_:!Jn__m__mu_mm.mnm.n.nm_m_m__ Date ._____n.6.:~:_:~m.n.196_n:S~' Building __m_.mmu. x m.mUUmn and _m._n.m.m stories _:n....h_m_m_mU basement. L~t ~.nun7/-- x .mm._m.n_ Front Yard nmm____h_mn.m Rear Yard m_h__m_____hm___ SIde Yard hm_m_nmnnm_. Gara~nm.nnnmmmnmn- g::~~~~~. ~I:~~~~~.~ ~ ~ ~~b~~~~;i~~~~~~~~~~~~~~; ~~~ ~ ~~ ~~ ~~~ ~ ~~~ ~~~ 'Ad d ;~~~-. ~ ~ ~ ~~ ~~ ~ ~ ~ ~ ~~ ~ ~ ~~~ ~ ~~ _ =~~~ _-_-_-_-_-.-_-_._-_-_-____.-. -Ph~~~______ ____ ____ ____ ____ __ __ ______ Con tracto r _ _ _. _. _ _. _ _ 00 _ _ __11. _v. _-_1::'!_ _ 00 _.._. _. _ _ _ _ _ _ _ _ 00 00 n _ _ _. _ _ _ _ _. Add ress _ _ _ n _ _ _ _ _. _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ __ _ _._.. __ _.... u Phone.. _ __.... _... _ _. This permit is issued for: .- ....... -..... -.- ... - -..- -... - -.. --. --'7;- -..- - - - -..; -."tl" - -. .-- - - - -.- -. --....- -.. ..'- - - -- -.... - -- -. .-- - - - - - -. - - -. - - - -. - - -... -...- - -..- --. -.... - -..... "- -- --.- -. -.. - - -. -. - -. .f'~", --P 6. ../.l..-y ~ ~ ~ ~:::: ~ ~ ~ ~ ~ ~ ~:::: ~ ~ ~::::::::::::::::::: ~::::::::::: ~{::::::::::::::::::::::: ~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ~:::::::::::::. 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. ~ ~ - -. - - - - -.. -. - -- - -- --. - - - - -- -- - - -- - - - - - - - --- - - -- - - - - - --- - - -- - - - -- - -- - - -- - ___A - ___ - __ __ _,_ - - - - - - - - - - - - - - - - - - - __ - - - - - - - - __ - - - - - - - - - - ___ - _. _. ... _. ___ ___ - __ _._ ___ - ___ - ___ ____ - __..__ -. -.- - - -- -.... - - -- - - -- -..- -..... -- - -- - - - - - -... - --- -. -- -- - -- --- -.- -- -.. - - --.- -- - - - -- - __a - - - - - - - _. _. - - - - _..... - - - - - - _... - - __. - - - - - - - - _. __. - _._ __ _. _._ - ._.... ___ .__ ____. ._.. .__. .____ .---.-..--.-----.-.....----.---....---------.--......-.-..---.------..---..-..-----...-.-.----------------------..-.--.------..---.---.------.---.---..--.------..--_._--..------- ..-----------------.-.--.---.--.----...-------...-----.-.-.--.---.-..-...---.-.--..----...--.-....------.-.------...-..--------..-..--..-----.----------------.-..--.--------.--. .- -.-. - -.- - -- -... -. - - - - --- -.- -.... - -.. --. - -.-.. ..-. -.- .--- -.. -- -- - -.--- -- - - __a - ___ - __ __ _._ - - - - - - __ - - - - - - _._ - - - - - __. - - - _. - - - - - __ _. - - _._. - _._ - __ - - __ - ___ - __ - - - ___ .___ - ___ - ___ - _____ . - - - - - - - - -. --. - - - - -- -- -.... -- - - - - - - -. - -.. - - - -. --- - - -- -- --. - - - - -- - - - -. - - -- - - -- -- --. -. -- -_.. - - -- - -. - - - - - - - - - - -. - - - -. - - - - - - - - -. - -- - - - - - -- - - -- - - - -- -_.- - -- - - - - - - --- - --- - --- - ---- ----- . - - - - - - - - - - -- - -- -- - - -. - - -- ---. - -- -. --- -- - - -.- - - -- -- --- - - -- -.-- -. - - -.- - - -- - - -- - - - - - - - -- - - - - - -. - - - - - - -. - - - -. - - - -. -- -. ---. - - -- - -- -. -. - - - - - -- - - - -- --- -- - - -- --. --- - - --- ---- - --- ---- -. .----.---.------------------------------..--------------------..-.----------.-.--------- -- --.. .----.----.----....---.---------.--------------------.-------------.------------.- - - - - - - - - - -- -- - -. -- -- - - - - -- - -- - - - - - - - - -.. - - - - -- - - -- - - - - - - - - - -.- - - -- - - -- - - -- - - - - - - -- - -.- - - - . - - - - - -. - - - -- - - - -. - -- - - -. - .-- -. -.. - -- -- -- - - ---.. -. - -- - - -- --.- - - - - -- --. ---- --- - ---- ------ ---.-------.-.---.--------------.----------.--.-.--------------------------------------------------------.----..--------------------------.----.-.--.---.----------------------- ---------.---------.-.---.--.------.-.------.----------.----..--.---------------.----------------.-----..----.------------.----...--.--.--.---.-------.-----------.--------------- ----------.-.-.--.----.--.---..-----..------.-------------------.-------------------.----.-------------------.-.--..---.-----------.----...------.--.------.--..----.--------------. ---..-.---.------.--.-------------.-----.--.-------------------.._------------------------ ----------------------------------.--.--.-----..--..-------.-----.--.-----------------.--- .--------..-.-.---.-.--------------.------.--.-----..-.--..-----...-------.---------.-----. ----------------.-----------------.------------..---------------------------------------- -------------------.-----------.------------------------------------------.--------------------..--------------------------.--------------------.------.--.--.---------------.-.. -------------..------.--------.-----------.---.-------------------------------------.---- ---------------.----------.---------------------.------.--------_._-._------------------ .----------------------------------------------..--------------------------.-----------.------------------.----------------.-----------------.------.----.------.--------------- .-----.------..---.--.--------.---------------------------.-----------.------------------------------..---------------------------------------------------------.------..----------..- ------..------------------.---------------------.--------------------------.-.----..------....-------------.-----------------------------------------------------------------.-------- ----------------------------..-------------------.-----.-.------------------------------------------------------------------------------------------------------------------------ O\vner's Signa tu re ..____n.__n_ ._____n_n_.__.._ .nn__.___.____.___________ By 00_ ___._.._n_..__ _..___._ ____.._..____n__n._.__ ___ __ n__n___ __ _ __ _. ._.._ His Authorized Agent 'ld' I '::-.l-. /.e (--:;'./1' BUl mg nspector ___________.__..;~__.(C__..2..._.::::.n':_ _....!..~.,_'.;<.--.---.-----..--...--n--n- _ n_____ _ n.._ ~ OF By .._ __ u.. n. _. _ _.' 00 .00. u u u. u.. _ _. _ _ c1{Zq.. _. u u...... u _ _... u.. u. _ _. _ _ _. _ __