HomeMy WebLinkAboutCALLOW AVE. N., 1508
BUIL:'DING ~ERMIT
+N!
1953
AI
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
GO
$ /5"60
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
/ S()
RECEIPT NO.
DATE
ADDRESS
D RESIDENCE
--
9;;207
6-,{-71
"
OWNER'S NAME
PHONE
CONTRACTOR
STATE CONTRACTOR'S L1C. #
D NEW
D REPAIR
PHONE
D REMODEL
"'ADDITION
PLANNING I ZONING
FIRE ZONE STORIES OCCUPANCY'
p~ ~ ~jkF -e&.;/
THIS PERMIT ISSUED FOR:
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
INSPECTION:
Framing D
Plumbing D
Electrical D
Wallboard D
FINAL)'{
f:,~.
~Ai~
,
FOR INSPECTORS USE ONLY:
REINSPECTION:
!APPROVED NOT
TYPE OF INSPECTION DATE TIME APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
OWNER'S SIGNATURE
BY .
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE
BUILDING DEPT.
. J-\r r LILJ-\ I I V l~ .s;-.
.' '<':z . ~"CITV OF BREM5 TON B'UILDING ~ARTMENT
G... ./~q~ . ~~ .....) PERHIT FEE $. I! ~ CLAN ~HECK s... .C...... .... n.) C... ~~~~~~~..
AO:lREss/LOCATI OU OF .JOB... L S'D.d?:.,..... .0.:.... ..,.... -;p. 0-:l'.;j~;; a'" ~ . ...... .,. . . ....... ..... . .'. .....
APPLICATION JssUEO FOR: . ~.... .S/tfM. ;...~ ..f~~~.~~...:~ I.''.r';r~'" '.:'" ......~ . '.' ..... .. ..
"'PlANNINC 10"'~............ .F1RE 20NE............ OCCUPANCy............ TYPE
OWNEP... . :.. . .. t?~.tjUJ!. .. .(:! WJ?~ " . . ~ .. . . . '" . .. ... ~, . ... . . CONTRACTOR.. ......:. ~. .. "/J ... . ... .... ~ ~'. .... . ..
ADDREss....~.........i2...... ...............;............. ADDREss5,StJ2 ~. r~ i"f.f1~.'"
< . 7' . . /';J()O~Si2.~'~'~;'-- .... "22i:02.-'?ii'-r-y".r':'"
PHONE................... .... -..t. 7-,7-................... PHONE' . ,O,J.) STATE LIC. -::;,,,t;.
. -.. ~ . . . . . . . . . . . . . . '. ..... ~ ~ T PH . . . . . .
Sl~NA1URE A~Pl1CANT. Ita" ........ ~v./'::'~. DA.TE.~-::.1C!:::.7.J... RECEIVED By...... ... .....
ACCEPTANCE
OF BLDG. PERMIT.
'~LANNIN; CO~~ENTS/REVIEWED BT.. .
ENCINEERINC
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a~'~r%.I}M!
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SEPARATE PERMIT REQUIRED FOR WORK IN RIGHT-OF-WAY, EXCAVATION, PAVIt~G, .SIDEWALKS,SANITARY t STORM SEWER.
~IRf DEPT. CO~~ENTS/REVIEWED BY.~........
~KAFFIC DEPT. COMMEN1S/KEVIEwED By..........
PLUMBINC REVIEWED By..........
SEPARATE PERMITS REQUIRED FOR PLUMSING AND ~ECHANICAL WORK.
ELECTRICAL REVIEWED By..........
SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK.
~ i!4
6UILDINC REVIEWEO BY.......~~
./
~-1-79
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Ii n Lolatlion . 13 1479
Two drawings required.
Each must have two perpendicular dimensions
Job nal1)eR~ Q~~\" '\ Job number
Plot Plan, Bldg.
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Front Bevation
Side Elevation
Bldg.
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Bmlm~G DEP'l.
BY~ DATE 1-/,;7/
C I T Y 5 I G N COM PAN Y, INC.
REV. 7/78
FORM 5532-7'
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