HomeMy WebLinkAboutCALLOW AVE. N., 619
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BREMERTON PERMIT CENTER
286 4th Street~ Bremertong WA 98337
Phone: (360) 478-5275 FAX: (360) 478-5278
BUIL.DING PERMIT
Applicant: GAS WORKS SALES AND SERVICE
2760 MARINE DRIVE BREMERTON, WA 98812
Permit No~ 96-0401
Status: ISSUED
Applled~ 07/01/1996
Issued: 07/01/1996
Expires: 12/28/1996
Job Addr: 61.9 N CPll..LOW AVE
Location: MCGAVINS 8AKFR~
Parcel No:-
Owner: HSHELDON MEL
~d 9 N CALL.OW AVE f:lr~EMr:RroN WA 98a 1. ~~
Contractor: GAS WORKS SALES AND SERVICE
2760 MARINE DRIVE RREMERTON, WA 98312
Lie #: GASWOSSOB1K7 Exp: 5/18/1997
5ubcontr=
Dese: GAS CONVERSION BURNER W/GAS PIPING
*M**********X***********.*....**************.**.********************************************.
Valuation * Permit Fees: 29.70 Total Calculated FeB~ 34.70
.00 * Plan Check Feee: .00 Additional Fees: .00
* Other Fees: 5.00 Total Permit Fee: 34.70
*********~~***********************************************************************************
MECHANICAL/PLUMBING FIXTURES-- MECH-Conversion Burner.......: 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 permit, 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
be borne directly 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 her~in
or not. The granting of a per-llli does not presume to give authority to violate or cancel the provisions of
/'
any at r stat..!?l ~cal Law Y.: n9 onstructton or the performance of construction.
I "'
Si~natuf D ~ . v Date:____~~_~=~~______________
I certi IY that I am exempt from the requirements of the state contractor's registration law, under
Section 3, Chapter 126, laws of 1967.
Signature:_______.__________________~__~__~_______________ Date:_______________________________
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Perm 1. t Cent er-"'ApprovEll::J ~......)._....._... ._._._ Dat (1 i ..~_...... .. _..::. .......:::... /6
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BREMERTON PERMIT CENTER
286 4th Street~ Bremertong WA 98337
Phone:: (360) 478-5275 FAX:: (360) 478-5278
Job Address: 619 N CALLOW AVE
I....oca.t rein:: Mc(.;lAV:i: N:::{ E:~AI<[r<Y
A~':H~Y' Acct No::
Building Permit No: 96-0401
St at us:: I S~::;UEO
Issued: 07/01/1996
Expires: 12/28/1996
l:~ E: (;;) U I I:~ E: D
INS P E C T ION S
Item: 01400 MECHANICAL
Item: 01550 PLUMBING
Item: 02700 FINAL
Oapt: BI....DG
Dept:: HI....DG
Dept: BI....DG
01. v:i. s :1. Cln :
D:l.v:l s:i. on::
D:1. v:l. t.:. :1. on::
*****************************************************~***************************
TESTING: Must be recognized by the Washington Association of Building Officials
SPECINSP: Must be registered with the State of WA
SLOG: City of Bremarton Building Department 478-5275
PLANNING: City of Bremerton Planning Department 478-5275
PUBWORKS: Ci.ty of Bremerton Utilities Department 478-5818
~IRE: City of Bremerton Fire Marshal Us Office 478-5880
ENG: C:i.ty of Bremerton Engineering Department 478-5270
HEALTH: Bremerton/Kttsap Health Department 478-5285
ST OF WA: State of WA Dept. of Labor & Industries 478-4921 ,
***************************~~~**************************************************
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APPLICANT: D OWNER ~ CONTRACTOR D OTHER:
COMMENTS:
~
s~eQ ~DRESS: G'/?, ?J4~
ADDRESS:;;l7t1J ~ ~,.
Jl:_E ADDRESS:
I1IY! .""
"ltA ""l9'" .
aJ~:mER:
~JONTRACTOR:
CONTRACTOR LICENSE # ~SWe>.s:s' 0;>/ K7
OWNER PHONE # 373-;;lW~
EXPIRATION DATE: S- -/.p~ 97
CONTRACTOR PHONE # 377- -t'33 J
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RANGE
WOOD/PELLET STOVE
GAS FURNACE btu s:
J CONVERSION BURNER btus: '356>./000 Gc:..v<:.
UNIT HEATER btu s:
BOILER btus:
I GAS PIPING
EVAPORATION COOLERS btus:
AC UNIT bttts:
HEAT PUMP btus: tons:
REHEAT BOX btu s:
AIR HANDLING UNIT btus:
EXHAUST FANS
RANGE HOOD (residential)
RANGE HOOD (commercial)
CLOTHES DRYER
INCINERATOR
DUCT ALTERATION
TANKS tyt>e:
REFRIGERATION UNIT
OTHER:
MECHANICAL PERMIT FEE $15.00
MECHANICAL FEES:
~S,
TOT --- S:
APPLICANT'S SIGNATURE .. :.z::p-
WATER CLOSET
BATHTUB
LAVATORY
SHOw~ ~ ~ f2 -n-M rt?
KITCH lS U. V ~
DISn w ER
LAUNDRY TRA\1 ^ 11qq5
CLOTHES W A~ R
WATER HEATER!.. iUl\!
URINAL MIIII IlUllij ",:..
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
WATER PIPIING & ALTERATION
GREASE TRAP/INTERCEPTOR
HOSE BIBBS
LAWN SPRINKLER SYSTEM
SWIMMING POOL
BLDG. SEWER (mobile / moved house)
ROOF DRAINS
OTHER:
PLUMBING PERMIT FEE (15.00 or 4.50)
DATE: 7.~-/~U
L T I I I SE'ZE ADDRESS rf::. APT. NO. f6 I
I I 1 , , , Ore In 358031
.. SUB I ! 1 . Ce, 011"//' /-l//e: It/
CYCLEt ROUTE I ACCOUNT
READ ORDER SERVICE REQUESTED BY TELEPHONE NO. TIME REC'D. DATE CALL REC'D TO BE PERFORMED
1 1 .1 f ' I I I q -~ BY BY'I
1 I I I I , , ,'15 PM ~7 /1 ~~ /} IJ 7 I 19'7(
SERVICE REQUESTED ./ PERFORMED APPLIANCES CUSTOMER REFERRAL H.G.H. EQUIPMENT ()
/~ . TYPE NO. SIZE MAKE Ja I . , <,-{.o/tlV",'''5I<..M &'0< MAKE )>
APPLIANCE CHECK ~ HEATING MODEL H f, /"f(:;O t< P-~ SIZE (J)
COMBUSTION 0 HEATING - H.G.H. SERIAL # /'j S A q 0dll SERIAL # ()
0 )>
CUSTOMER'S EQUIP. 0 0 LJ.J PROBLEM
f- RANGE INSPECTION REPORT 0
FAN 0 0 ~
0- WATER HEATER IMMEDIATE ACTION REQUIRED D CHIMNEY CLEAN m
0 0 ::;:
GAS ODOR 0
0 0 <.:> DRYER ......r rr 100 - ur;(") STACK DRAWING Z
HIGH BILL ~ lh1U
0 0 LJ.J BOILER DRAFT HOOD )>
H.G.H. EQUIP <.:> l/Y; -I
0 0 :;: FIREPLACE LOG I LIGHTER SAFETY PILOT
INSPECT a:: "'" I~ c
0 0 LJ.J MISC. r~. ~ @ ~ nw/;; LIMIT CONTROL :0
REMOVE (f)
0 0 z AIR CONDITIONING ~ AN OILED )>
REPLACE LJ.J
I r
METER 0 0 :;; AMBIANT TEMP. OolL ......, AN CLEANED
~ GENERATOR PRESS. G)
NO HEAT 0 0 # OMBUSTION AIR
0 0 '> '~- ,,,, III 1 10Qc )>
PilOT OUT ~ ABSORBER PRESS. # INPUT (J)
0 0 '" 0
RANGE <.:> COLD WATER IN v'-, , .' STACK TEMP
0 0 LJ.J 0 ...-- ()
PILOT OFF (SUMMER) I COLD WATER OUT - cd co
<.:> 0
PILOT ON (FAll) 0 0 <.:> AIR TEMP DIFF 0 !:till! .....""~ EFFICIENCY
Z ":0
WATER HEATER 0 0 <C IS ODORANT READI~ . YES 0 NO 0 N/A~
I APPLIANCE CODE ;e
0 0 <.:>
AIR CONDITIONING LJ.J PIPE CONDITION: GOOD 0 FAIR 0 POOR 0 N/AQ/ 0
0 ::;:
REFERRED TO DlR. LJ.J REMARKS={J K --1/) /' L::J nIl r"r--r lnl pl/L/ :0
<.:> OWNER 0
COLLECTION NOTICE 0 :;: )>
a::
OTHER LJ.J " TENANT .~ -I
(f) r:;J/PI/I -1-1"1 Alo"'T' ~-o,
AGENT 0
WORK EMP. CUST. Z
TOWN CODE CODE CODE CODE
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I XSTOMER SIGNATURE
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SERVIC?:~O~MED B:--__::- '
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VICINITY MAP
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City of Bremerton
Department of Community Development
Permit
oo~ @ m U \YI mID)
'"JUlO1. 1996
BREMERTON
BUILDING DEPARTMENT
..
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H.i .. :::l~,";) , 1 O()!! (;"? 1 '/ ) IT I<r"l:l ') :'.;{Jf~U It''d<GI' !;,\ .. no
BREMERTON BIDLDING DEPARTMENT
Plumbing/Mechanical Inspection Ueport
Gas Conversion Burner
Scope of work:with Gas Piping
Address: 619 N. Callow Ave
Contractor:;as Works Sales and Service
Pennlt Nwnber:96-0401
Owner: Hsheldon, Mel
Phone:
GAS PIPING
U n~.c:~~I.Q~L~?~}2_r~_~I_':lt~) PrOller ,i:tir~~'pport
12" min~mul~~~ gr~_~~J.I~n un~crground CoatcdJwral'pc:t1 when un~owld or witlu~ 6" of earth
Ground-joint union~ prollibited in reruin 1000tiom Busrungs not allowed in conceakd areas
COMMENTS:_____
cfb/ ~
1A;1&
, ,
GAS PIPING APPROVED:
FURNACE
M3!_~':l_~_c.:t-urer's_~E_f_i~E_oll' on site ~tion, ~ccess, support
Clearance to combustibles Vencir~: dearance to combustibles
--------
Vel~t s~~~~ & s':!l'llOrtlconnectiom Vent termination
Combustion air Chirnr~ H!ler andior separate flues as required
.~---_._-
Gas shut-ofT within 3' Pi.~t elevated ofT floor i..!.t garage
-----------_._-
Ducts: she & ,uPl'ortlinsulatcd wIlen required Return air
COMMENTS:
FURNACE APPROVED:
~_a!!!.:'-~~c.:t-~_r..c:.r's Sj'.t:9fi~ions_on si'.:.e ~~~.':!-~~s, s~l'l'ort
Clearance 10 combustibles VeminG: dearance 10 combustibles
------------
V~'!_~:i2:~i..IL& s~l'l'~':.tl connections Vent lermination
Combustion air Cllimney: ~r:...a~oc se.E~.te flues as required
Gas shut-ofT wit/lin 3' Woocl slove & firepla~ hearth
Wood Slaves: EPA al'l'..~c:l Gas I~: sa!:~l1t-ofT
Wood Slaves & ~_~~~: ~A~tjitti_~ doors Gas slll1t-ofT within 3'
MISC. APPLIANCES
COMMENTS:
MISC.APPUANCFS APPROVED: C!5'vt \/, 6uy~ ~"k-
7 /i?f?-
~aIlufaClUre~~<:i..ft~tions on site Location, access, support
Clearance to combustibles Vell~!.rg: clearance to combustibles
Veut ,i:ti~~ supportlconneaiom Vent termination
~_..._-----
Combustion air Crumney: liner andJoc ~te flues as reqwred
Gas ,IlI1[-ofT witbin 3' Pilot devared off floor i~~e
-----.-
Gate valve on co_I~ walei' s':l.Pl'.1r Relief valve drained to outside
Copper to galva~i:r.ed connectiol1ll UniOl1ll on water pipes
Seismic snap
WATER HEATER
COMMENTS:
WATER HEATER APPROVED:
ALL WORK UNDEll THIS PERMIT APPROVED:
d
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BUILDING 'ERMIT
5735 AI
~N~
City of Bremerton, Washington
Phone: (206) 478-5281
t-,
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OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. \ DATE
$ 3750.00 $ 28.93 73104 $ 44. 50 73104 9/4/84
'SITE ADDRESS! LOCATION 619 N. Callow
OWNER'S NAME jR.H. Kleinback
ADDRESS 3815 Tracy-ton Bch. Rd/
PHONE373-2630
CONTRACTORROOF DOCTOR
STATE CONTRACTOR'S L1C. #
ADDRESS
PHONE
D RESIDENCE KJ BUSINESS
D OTHER D NEW
D REPAIR
D REMODEL
D ADDITION D DEMOLISH
D FENCE D SIGNS
OCCUPANCY
PLANNING! ZONING
STORIES
THIS PERMIT ISSUED FOR:
RE ROOF
TAX # 3734-011-011-0001
TYPE M BUILDINGS NOT TO BE USED FOR HUMAN 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 D
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
Y,CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE
BY
Authorized Agent
~\
BUILDING DEPT.
BUILDING ~ERMIT
[t N!
5735 AI
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ 3750.00 $ 28.93 73104 $ 44. 50 73104 9/4/84
SITE ADDRESS I LOCATION
619 N. Callow
OWNER'S NAME jR. H. Kleinback
CONTRACTORROOF DOCTOR
ADDRESS 3815 Tracy ton Bch. Rdl
PHONE373-2630
STATE CONTRACTOR'S L1C. #
ADDRESS
PHONE
o RESIDENCE KJ BUSINESS
o OTHER 0 NEW
o REPAIR
o REMODEL
o ADDITION 0 DEMOLISH
o FENCE 0 SIGNS
OCCUPANCY
PLANNING I ZONING
STORIES
THIS PERMIT ISSUED FOR:
RE ROOF
TAX # 3734-011-011-0001
TYPE M BUILDINGS NOT TO BE USED FOR HUMAN 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 0
Framing 0
Plumbing 0
Electrical 0
Wallboard 0
FINAL 0
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCU,NCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
/' );. ',// '1 ,;/' /
OWNER'S SIGNATURE /~~0"//(' {/ ',;/?d:';;.(~(tt?l1..j BY
. I
Authorized Agent
BUILDING DEPT.
,
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G.:lE
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BVII ~:' tr: ~"J_~
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7 ..J, y,;3
City of Bren-lerton, VVashington
Phone: (206) 4'78-5281
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-~S)!.".TF.~~~.~Qt1..-..ljt2LlF-Adc:ta..--L.._._..__._.___..__~':>:!:~I_E...9..QJ'~If'1i~c:.T..9J~~'?Jc.l..QJ~..___....__._..__._..____._..__.______..._____:__.__._.___
~[.2.~~f3.!:s?.____.____...___.._.__.._..____.._._.._____._.__..____._____._.__..._.____..__._.__.____......___._ PH.QN E____.._..__...__......___...._.._..___...___.
[J nESIOENGE
[J OTHEH [J NEW
[] DEMOLISH
[J SIGNS
r'Vi' BUSI ~,' CC~C~
'AI......, Ii.."-.J.....
PLANNING I ZONING
[] REPAIR
[.I REMODEL
[] ADDrnor,J
STOf-lIES
OCCUPANCY
nw; PEF1MIT iSSUED FOR
------_._-_.__._--~-"-----._---_. ..,.~--_._--'----------'---_.__._---------,-----_..._.---.-.--------- -_._._------_.__..._..-..._--~---._------,-~----_._._-
_._-----'-'"_.----'-_._~~-,._._--,-_.._--~-_._-------~------_._._----~._-'--_._-----_.._-,._--------------,---.-----...---.------.---.--.-----.-..---.---.--.----.
.~----.-_.-------..--~.- __.___"'_.___,~__._._,~___._._M_.__.,,______"..___.___._-.--.--~--.._-.-~---~-----~--_.,_.__.___..__________.____.__._____.__.._______~_..__ ..-__..~..._.__..._____.N________._.__..._
_._..__.._._-_.._--_._---~---_.._--_.._-_._._._.--_.__.-_.__..._+.~..._---------_.._-------".._---_.-.-"---+----~-_.._--_.._._---------~-----_._----_....._-----_._-----..-.------..----..-..-..-.-----.- .-. ---.------.----..-
II\IGPECTIONS HEOUII-jED: Foundation [J
Fral11i~g []
All pfovis:ons of la'ws aflo ordinances governinq this lypo of vvork will be complie(1 with \'v!""l8!her ~;)pecified herein or not. The granting of a permit clOf.:S not presume
Ie nive aulh0!ity to vio!ate (H cane.;,l the provisions of any other state or ioea/lenv feQuiatino conslrucliot'l or tlle performance of construction.
Piumbino []
Electrical [J
vVallboard [J
FINAL []
SEP;\RA TE PEI'1MITS ARE HEOLilr-lED (WHETiE 'p,PPLlCABLE) FOR PLUMElING, 1.t,ECH;\NICAL AND ELECTRiC,A,L.
FOR INSPECTOHS USE ONt Y:
REfNSPECTiON:
.-.-....--...-..-..-.-..-1.-.-'---- ---I--~---" --j
NOT
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F: iN l\ L INS P E CT ION ,A P P Fi 0 V E D f3 Y _____.......___._________._..__.._________..___._____....____'_'_""'''_'
Bu}fding Inspector
OWNER'5
ISSUANCE OF OCCUPANCY CEHT1FlCATE REQUIRED BEFOHE OCCUPYiNG BUILDiNG
BY
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BUILDiNG DEPT.
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Fee $..n........~.~:~.....:...n...nnnnnnnnmnnnn...mn...... Receipt No. ..-'--:.~:.~::::...:.n;;::...mnm.mmm.mmn.
BUILDING PERMIT
CITY OF BREMERTON BUILDIING DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36
own:er'~.~~ue I Bldg. Dept. Value I DESCRIPTION: . .
$ .,,', - .. I lot Block AddItIOns /
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Address on Job _[::;~~~:1~~U:__:~(,1.,,_q_'!.m._mu il-IY_l:a1!.~t.J_ n.n.__.__um.___. Date ._nm..__..__~2_:.D.:2___n19 .'_7.'
Building mm__m_n__ x mn___nm___ and ___.u_mu_m stories mmnm_un_.___m basement. Lot mm_._m__u x _m___ ._0.___.
Front Yard muummmmum Rear Yard u.__.m____u__m.__. Side Yard ._u_________._.m_m. Garage uu\umu_u_u_ um__m__
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Con tractor '_ _ _ 0. _ _ 0. _ _ __ 0. _;"_~t. _'~~!~ :'u':~ _:_ ~'_ _/~ ~ ~'_ _ 0. _ __ _ _ __ _ _ n _ _ _..._ Ad dress _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _. _ _ _ _ __ _ _ _ _ _ __ __ __ _ _ _ Ph one_ _ _ __ _ _ n - _ - - ---
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This permit is issued for: ,
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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.
Own er' s Signa tu re _ _ _ __ _. _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ n _ _ _ _ _ _ _ _ _ _ _ _ _ _ _... _ _ _. n.. n....... By. _ _ n _ _ _ __ _ _ _ _ _ _. _ _ _. _ _ _. _ _ n __ _ _ _ __ __ _. _ _ ___ _ _ _. n n _ n_ __ __ __ __ _. n. n.. n
HiJ Authorized Agent
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