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HomeMy WebLinkAboutCALLOW AVE. N., 1915 INSPECTION RECORD CARD CITY OF BREMERTON BUILDING DEPARTMENT ADDRESS & DIRECTIONS N. Callow, 1915 8213 PERMIT NUMBER OWNER Wjlliam K. Schultz CONTRACTOR Self PHONE PHONE 503-7389547 COMMENTS: 1 FOUNDATION CORR O.K. 1. PERMIT ON SITE -- 2. CHECK PLANS TO PERMIT -- 3. CHECK SETBACKS -- 4. PROPERTY STAKES -- 5. FOOTING SIZE CORRECT -- 6. WALL SIZE CORRECT -- 7. CHECK FOR FILL -- 8. REQUIRED STEEL IN PLACE -- 9. CHECK FIREPLACE FOOTING -- 10. ANCHOR BOLTS -- 11. FOUNDATION PLATE -- 12. FOUNDATION VENTS -- 13. CRAWL SPACE ACCESS -- FOUNDATION INSPECTION APPROVED BY: 2 FRAMING COMMENTS: CORR O.K. 1. WIRING APPROVED -- 2. FOUNDATION VENTS -- 3. SHIELD UNDER POSTS -- 4. POSITIVE CONNECTIONS -- 5. SOIL TO WOOD CLEARANCE -- 6. POST CLEARANCE - 2" -- 7. BEAM SUPPORT -- 8. TR. MAT. NEXT TO CONC. -- 9. WASHERS ON ANCHOR BOLTS -- 10. BEAMS PROPER SIZE -- 11. FLOOR JOISTS ~PAN -- 12. NOTCHING & DRILLING -- A-FLOOR JOISTS -- B-STUDS -- 13. STAIRS -- A-WIDTH -- B-RISE & RUN -- C-WINDERS -- D-LANDINGS -- E-HEADROOM -- 14. ATTIC VENTILATION -- 15. CHIMNEY STRAPS SECURED -- 16. FIREPLACE COMBUSTION AIR -- 17. FANS VENTED OUTSIDE --- 18. A-BATHROOMS -- B-LAUNDRY ROOMS -- C-KITCHEN -- 18. WATER CLOSET CLEARANCE -- 19. SMOKE DETECTOR -- FRAMING INSPECTION APPROVED BY: - CORR O.K. 20. FIREBLOCKING _ _ A-STAIRS _ _ B-DROP CEILINGS _ _ C-TUBS OR SHOWERS _ _ D-ROOF & CEILING LINES _ _ E-FURRED OUT AREAS _ _ F-FIREPLACE AT CEILING _ _ G-ELECTRICAL HOLES PLUGGED_ _ H-PLUMBING HOLES PLUGGED_ _ I-LID IN VOIDS 21. WINDOWS A-SAFETY GLAZING B-VENTILATION C-REQUIRED FIRE EXITS D-WINDOW SILL HEIGHT 22. CEILING HEIGHTS A-BASEMENT B-MAIN FLOOR C-UPPER FLOOR 23. SWAY BRACING 24. TRUSSES A-PROPERLY INSTALLED B-STAMPED 25. ATTIC ACCESS 26. CEILING JOIST SPANS 27. RAFTER SPANS 28. ROOF SHEATHING 29. ROOFING APPLICATION 30. SIDING 31. CLOTHES CHUTE 32. SHEETROCK BACKING A-UNDER STAIRS B-ABOVE GARAGE- DOOR HANGERS M MECHANICAL CORR O.K. 1. FURNACE SIZING -- 2. FURNACE LOCATION -- 3. FURNACE CLEARANCE -- 4. 'B' VENT SIZING -- 5. 'B' VENT CLEARANCE -- 6. 'B' VENT SUPPORT -- 7. COMBUSTION AIR -- 8. DUCT SIZING -- 9. DUCT CLEARANCE -- 10. DUCT SUPPORT -- 11. DUCT JOINTS -- 12. GAS PIPING TEST -- 13. GAS PIPING SIZING -- 14. GAS PIPING SUPPORT -- 15. OTHER -- CORR O.K. 1. WOOD STOVE CLEARANCE 2. CHIMNEY CLEARANCE 3. HEARTH EXTENSION 4. CHIMNEY HEIGHT FURNACE APPROVED BY: HEAT PUMP APPROVED BY: GAS PIPING APPROVED BY: WOOD STOVE APPROVED BY: OTHER: - P PLUMBING CORR O.K. 1. UNDER TEST -- 2. GATE VALVE -- 3. WATER PIPE SIZING -- 4. DRAIN PIPE SIZING -- 5. VENT PIPE SIZING -- 6. PROPER SUPPORT -- 7. PROPER FITTINGS -- UNDERGROUND APPROVED BY: 8. VENTING -- 9. CLEANOUTS -- ROUGH-IN APPROVED BY: 10. PROPER GRADE -- 11. HOT WATER TANK P R. VALVE -- 12. OTHER -- 3 WALLBOARD CORR O.K. COMMENTS: 1. LID OVER SIDES _ _ 2. NAILING _ _ 3. W/R AT TUB OR SHOWER _ _ 4. 5/8 UNDER STAIRS _ _ 5. FURNACE ENCLOSURE _ _ 6. FIRE SEPARATION GARAGE _ _ 7. ATTIC ACCESS _ _ 8. DROP CEILING & LIGHTING _ _ 9. BACKING AS NOTED ON FRAMING_ _ WALLBOARD INSPECTION APPROVED BY: 4 FINAL CORR O.K. CORR O.K. 1. HANDRAILS -- 9. OUTSIDE GARAGE -- 2. GUARDRAILS -- 10. CLOTHES CHUTE -- A-HEIGHT -- 11. SEWER/HEALTH DEPT. -- B-INTERMEDIATE -- 12. COMMERCIAL BUILDING -- 3. EXHAUST FANS -- A-MECHANICAL APPROVED -- A-KITCHEN VENTING -- B-PLUMBING APPROVED -- B-BATHROOMS -- 13. SMOKE DETECTORS -- C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH -- D-DRYER -- 15. SAFETY GLAZING/ 4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED -- 5. DISHWASHER 16. INSULATION CERTIFICATE -- PROPERLY INSTALLED -- 17. FREE-STANDING 6. FIRE DOORS -- FIREPLACE APPROVED -- A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED -- B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED -- 7. ATTIC ACCESS -- 8. HOT WATER TANK -- FINA~NSPECTION APPROVED BY: C'o-~ 0 Ie::. 5€ NOTES: 8"'1('-8 7 PLANNING: l' .. ''t a e BUILDIN PERMIT , : N2 - 8213 r City,of Bremerton, Washington 98310 Phone: (206) 478-5281 Assessor's Ta\~ccount No,: l0240l-4-92f-2009 . Date of App li cati on : 7/6/87 IS ~\ (503)738-9547 Site Address: ~ N. Callow Phone No.: Owner's Name: William K. Schultz Address: 830 17th Ave. , Seaside, Ore. 97138 Applicant: ~ Owner D Architect DContractor D Tenant Architect Firm: Representative: Address: Phone: Contractor: ~ <:,.., \~. Representative: Address: Phone: Contractor's License No.: Exp. Date: GJ Residence D Business D Other: D New ~ Repair D RemodeliAddn D Demolish D Duplex D Multi-Family (No. units ) D Sign D Parking Lot D Grading (cu. yds ) D Bldg. Move Nature of Work Proposed: Reroof - composition 7 squares Sq. Ft.: Utilities: D Water D Waste D Sewer D Septic D New Ii] Existing D Storm Valuation of Materials/Labor: Plan Review Fee:, Permit Fee: Surcharges: [UBC Sec. 304(b)] $ 0 $ 25.00 $3.50 I I I I 0 State $1.50 $945.00 Receipt No.: Receipt No.: 77159 Energy $10/$15 D Date: Date: 7/6/87 Total 28.50 . Zone Designation: Rl Occupancy Classification (UBC): R3 No. Stories: Minimum Req. Setbacks: Front: Side: Rear: Height: Heat Source: Comments/Conditions of Approval: 'r---~. \~~" ~.--.... --~ p ~-t; j" 7/6/'Y:7 i J , INSPECTIONS REQUIRED: Foundation D Framing D Plumbing D Mechanical D Wallboard D FINAL 0 OWNER OR BUILDER SHALL CALL 478-5281 FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL 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 at construction. SEE AND READ NOTICE ON REVERSE. -....Signature ~h_~kOC- .~(-;II .ll Q~ ' Date 7/6/87 '-" - ~ II ~ Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building J. Stat. Code I }, :~ BUILDING ARMIT APPLlCIrION , ""'\ "'~.~.' City of Bremerton, Washington ge310 Phone: (206) 478-5281 Assessor's Tax Account No.: I 0 (J. '-I () J .- t../.- 0 <() ] - (;).00 q '" Phone NO.:l50~)/3~.q5l.j.7 Site Address: ,q 15 Ai. C A JJew} erzerne.tt:-toVl, J,1/?~ Owner's Name: ..:.R- .~ ~"- t?; II ;G.vYl k, Sc..h",JAwress: ~lD 17~ cA Je, jea."S'i'J t-.t)~, c;7J:. ~ I:=~ , Applicant: ~ Owner o Architect o Contractor o Tenant - -- AI/II Architect Firm: Representative: Address: IV Iff Phone: Contractor: 7S/ I f+- Representative: Address: Phone: Contractor's License No.: I I Exp. Date: ~ Res;de"ce o Business o Other: o New ~ Repair o Remodel/Addn Demolish D Duplex o Multi-Family (No. units ) o Sign o Parking Lot o Grading '(cu. yds ) 0 Bldg. Move leI-. p/a.ce. DId roo./' " -7 ~s ~O. Nature of Work Proposed: I ~ - \ .... Sq. Ft.: Utilities: o Water o v\'aste o Sewer o Septic o New o Existing o Storm - Valuation of Materials/Labor: Plan Review Fee: Permit Fee: Surcharges: [UBC Sec. 304(b)] of::? -'35 $ $ d:5:---- ...::> -. , 191':5: ~ State <$~~50---'[Z] Receipt No.07 / ~-fj - . Receipt No.: Energy $10/$15 0 Date: ____._ Date: '7L/97 '-'~A..I ~:S9-- Zone Designation: f<../ Occupancy Classification (UBC): \<..'~ No. Stories: Setbacks: Front:____ Side:_. Rear: Height: Heat Source: - , .. Comments/Conditions of Approval: .. .. .. I understand that applications for which no permit is issued within 180 days following date of application shall expire by limitation, plans and/or other data submitted may be returned to applicant or destroyed by the Building Official, (See, 304(d)UBC) , I certify that the information on this application furnished by me is true and correct and that the applicable requirements oE the City of Bremerton will be met, . l Signature Date ~ Copies to: White-owner: Yellow-file; Pink-Assessor: Goldenrod-Building Stat. Code I ~N~ SUI LDI NG "ERM IT 1644 AI I / (' City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE $~~)i~ $ SITE ADDRESS I LOCATION / f /5" OWNER'S NAME C~4L La ~ ADDRESS PHONE RECEIPT NO. PERMIT FEE ).. 7' .!2.E RECEIPT NO. DATE / ~.? ?y $ CONTRACTOR .::7,;k/y /1 LrCJCJ di. /cA: STATE CONTRACTOR'S L1C. # ADDRESS :7 6/1. /hv/~L_t./e_~ PHONE % RESIDENCE 0 BUSINESS 0 NEW ~ REPAIR 0 REMODEL PLANNING I ZONING FIRE ZONE o ADDITION STORIES OCCUPANCY THIS PERMIT ISSUED FOR: at ;707 ~4k/~_5" INSPECTIONS REQUIRED: Foundation 0 INSPECTION: Framing 0 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. Wallboard 0 Plumbing 0 Electrical 0 FINAL ~ FOR INSPECTORS USE ONLY: REINSPECTION: [APPROVEd NOT TYPE OF INSPECTION DATE TIME APPROVED FINAL INSPECTION APPROVED BY COMMENT DATE TIME APPROVED , OWNER'S SIGNATURE . ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCU BY BUILDING DEPT. I~ · CITY OFBRE!)~eUC1J~~t\P^RTMENT ='d ;l..2$'b. HH) C""",,, ,2 y~JGUN """ 'dd"'~.) C. :~~',"'.J AD:>RE ss / LOCA T I O:~ OF JOB. ..1.1. .1. .5-:-. . . .. : ~.4. ~.t:(J. 0J. f)" . . .. ,H. . . . . . . . '. . . . . .. . ... . . .. ".: . . . . . . . . . . . . ~ . . . . . . . . . . . . .'. . . . . . APPLI CAT I ON I SSUED FOR: ..........0. ('. Y. . ~(LC . H . . . . . . f:f (!./f.'.!:... : . . ',' . : .. . . :.. . . . . . . . . . . . . . ~ . . . . . . . . . . . . .. . . . . . . . . . '.f ji PU,NNING ZONING.........:.. FIRE ZOI-lE......:..... OCCUPANCy............ TYPE OF CO/JSTRUCTIO"................ OWNER. . . . .. . . . . .. . . . . . .. .. .. . . . . . . . . . : . . . . . . .. . . . . . . '. . . .. . . CONTRACTO~. J ~~}.ly. . ./}..'.. .tf:J?t!. if.'. .1 .<:.k.. ." . . . . . .. . . . . . ADDR E S S. . . . . . . . . . .. . . . . . . . . . . . . . - . . . . . . . . . . . ... . . . . . . . . . .. . . ::J {;;, J 2 (S u r t-..,. t::. L ADDR f,:S S.. .0. . .. . . '. . . . . . . . . . . . . .-. . !-:...~ . .". . . . : . . . . . . '" . . . . . PHONE.Lf.7.:~ $:?rlf.. STATE LIe. L................ H.. .... . . . . . . . . . .. DA T E. . . . . . . . . ,. _ . . . . . . . RECEIVED By.......... ..... ... ACCEPTANCE OF DOES NOT INSURE ISSUANCE OF BLDG. PERMIT. PLANNING COP.MENTS/REVIEWED Br.......... ENGINEERING COP.MENTS/REYIEWED Br.......... ;.- :... fIRE DEPT. CO~~ENTS/REVIEwED Br.......... SEPARATE PERMIT REQUIRED FOR IIORK IN RIGHT-OF-WAY, EXCAYATIOII,' PAYltlG, SIDEI/ALKS,SMJlTARY & STORM SEWER. :"^''' , PLUMBING REYIEWED Br.......... DEPT. COMMENTS/REVIEWED BY.~........ :: J SEPARATE PERMITS REQUIRED FOR PLUMBING AND MECHANICAL WORK. ELECTRICAL REVIE....ED By.......... SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK. BUILDING REVIEWED By.......... Compliance Officer .. ....J ( CATf. . . . . . . . . . . . . . . . J I~ , " .' . . . . ;./ PER M ITS Indicate below what" requirements, permits are required for this project. PLANNING DEPARTMENT o SHORELINE 0 RE ZONE o VARIANCE 0 SHORT PLAT o ENVIRONMENTAL IMPACT ASSESSMENT []ENVIRONMENTAL IMPACT STATEMENT [] SPECIAL USE PERMIT. o CHANGE OF SITE PLAN BUILDING DEPARTMENT ~BUILDING DMECHANICAL' O'HOUSE MOVING o DEMOLITION '0 SIGN ENGINEERING DEPARTMENT O'SIDEWALK CONSTRUCTION 0 STORM SEWERS 0 DRIVEWAY []CURB & GUTTER CONST. 0 SANITARY SEWER CONSTRUCTION []STORM'DETENTION REQUIRED []INSURANCE AGREEMENT FOR RIGHT-OF-WAY WORK HEALTH DEPARTMENT o SEPTIC TANK o FOOD SERVICE /- ..~ -- . N9 45952 55!5Z-. . 35"99 2- Fee $nn.....__..u.........'...nmu...u.u__..mmuu.uuu uun. Receipt No. n.____... .,.......................m.n.u.OOh....n..OOh. BUILDING PERMIT CITY OF BREMERTON BU.ILDING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 ~/..../ own. er's Value Bldg. Dept. Value I DESCR. IPTION: --' tl?~ $ .7 Lot Block Additions Address on Job /qL5:__..Z2__&~.)_mm__m_____m.__.._.___m_m._m___m_ Date __..~::-_~~__ZJ;..__m_m__m ~. "1-' -. I " Building _________..__m X ____00______..__ and ____..____mm stories _.Oo...__m___._Oo.__n basement. Lot __..m.m_____ x .__._m____m_ Front Yard ..__Oo____mOo.______n Rear Yard ___m______m____.m_ Side Yard _____m_____.m__...__ Garage _______m.m_.___.m__m__ OCCUPAN~~Q.u;IRED BEfORE OCCU.PYING BUILDING Zon~-----),;-.-""..-..-m------.-m----.m----- Owner ---_____.f:_.__________..____~-:l.-r:~____nOo____. Address 19.!5.___2!2i_.6ti~Phone _.._________00___ Con tra~;;;_____~-___~__:_,6~f.~~.._._._____.__ ____ 00________ Address ____ _Oo.______...__~n._~_~__.~ _.n_..__.___ Phone .__________.nm This j)ermit is iss;;110;; P' /' /, ./ p3#~ /7 /a~:: /!?&I/j~e A'/'Y7 /;/A'~1Y01 ~/I4~/ L&~?7 :::::::::: :::: ::::: :::::: :::::::: ::::: ::~:~:: ::::: ::~: ::.~::~: ::::: :::: :::: ::: :::::::::~:~:: ::::::::: 2::: ::::(1 ::~:::~ ~7:: :::: :::: ::::.~Z: ::: :::: ::::::::::::: ::::: All work to conform to all applicable building ordinances and amcndnwnts. 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 befo.re 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. . -- -- - ---.. - - - - -- -.. -.- - -- --- --- - - - -- --- - -- --.... -- - - -.. - - - -..- - - -- -.. ---.. --- --- - - -- -...- -- ....- -- .. - - -.... - -.. - - -.. - - -- -- ..-- - - - - - -..- - - - - -- - - _..- -- -.. - ....- -.. ..-- - -----..----- -------- ----- -..---..-..- - - - - - - - -- - -- -- - - - - - -- - - -.. -.. - -.. - -.... -..- -.. -- - - -..- - - - - - - - - - -- - - - -.. - - - - -- - - -- - -..- - -.. -- -..-- -- - - - -- - - -.... - - -- -- - - - -- -.... - - - -- - - -.. - - - -- -- -- - --.. - --- -- - -- -- - ---- ----- ---.. ....-.. --- - -- - -..---- - -.. - - - --- -.. --.. - -- - - -- - -- - ----- --- -.. - -.... -.. -- --- -.. -.. -- - - - --.. - - - - - -- - - -- - - -- - - --- - - -.. --- - - - -- - -.. -- --- -- -- - - - - - -- - - - - -.. -- - - -.. - - - -- - - - - --- - - -- -- --.. ..--- - -..- -..--- ---.......- - --.. - -- - --......- ..- -- - - - -- - - - - - - - - - - --- -- -- ---.. - - - - - - - -- - - - --- ---- - - - - - -- - -.. -.. - - -- - - --- - --- --- -.. -- -- ---..- -- - - -.. - -- - ---- -- -- - --... - - - - -- - - - -- -.. -- -.. - -....- -.. -- -- -- - - - -- - -- - -------- --.. ------ -.. - - --....- - Owner's Si~natur~,,-44J!.;1!;;~!~~~~-=7~$..pIri:------------~-------,~--,;.--_-:,=-:_______._.___._______________.____.____________ '-+ /' ~H'. /~.'~: > HisOfijihprizedAg$1u"';7 .. ./ / A~' //z >~~ Building Inspector -.-?----:~:.7~7;(~-<R(~f"~~7n---:::::---..---uu-.------- (.".A:__.....e;.-v -_...-0 ~/ By n_ _ _ _ _ _ _.:-:: _. _ _. _ _ ___ __ u ..__.__..___.___.u__u_______u__u_u__'._n__ ___ ____n__ nO. _. ~;'& OF \- \ . "'f' ..........._ Ng 43880 aD '\ /~ '\ . .;:?9[SY . Fee $.......................:\............................................__ ReceIpt No. ..........................__............................... BUlL DIN G PER M I T CITY OF BREMERTON BUILDING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 ~// Owner's Value I Bldg. Dept. $.-?~~ I Value I DESCRIPTION: Lot Block Additions Address on Job j.€.L..;r::..Lq....~_:c.~..e~!_-t"d.._.__u...__.___....._..._.. u.._.......__......... ..... Da te _._z~~.~:::_z....f:.......m_. ..___m. Building _______m..__.. x __.m____mm and _m_m_..m__ stories ___._m__um___u.m basement. Lot _m___.u..u_. x u_.mm______ Front Yard _mU___.m__m_____. Rear Yard m___u.___m_.m.m Side Yard _______________.___.____ Garage m.____._..__..___.m.__.U. OCCUPANCY PERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone m____________.______m__________m_m Owner "7:"f(-:(';._/~ _:c !?.m-:d~~?r ,%.~:'!:./.. __.... _.u _ _.... ___ _.. __.. Address _... _ __ on.m u __ _m..... _u _. _..... _.. _ __ Phone _ __ ..__... __..... Con tractor _4E':..,~--~;'~;._/._. __c:.~--:'?.k~~;;:.~__:'!!::.>!~. ___... _ Address m m um. __ 00 __.. .h_U.... ___. _ __ m. ___ Phone .m______. _._m This permit is' issU';d for: . _di.? -",,~A'_____/--A". . ...dJ>--/_~ ?,:/~.~j .___ 7.... -.. -7 - -. - -...... -. - -..... -... - -.... - -..... -.' -.. -...... -' - -... -..... - -.. -...-.. - .... . - -... -. -. -. -.. - -... -.......... -. - -.. - -.. - - -. - - -....... -.. -.... --... -... -... -..- 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 requ'ired for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. - - - - - - - -- - - - - - - - - - - -- - - - -- - -- - - -- - - - -;- - - - - - -. -~ --- -. ---1/ ~ _.- - - -- -- -- - - - -- - ~-- --- - - - - - - - - - ~.- - -.- - ~ ~ - - - - - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~~ ~~~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~ ~ ~~ ~ ~~~~~~~ ~ ~ ~~~~ ~~ ~~~ ::::::::::::::::::::::::::::::::: :,Z~tVi-!f-?Jr ::::::::: ~~::: ::: ~:.: ~~i:: :::::::::::::::::::::. _....00 - _. _. _..... - -. - _.. _.. _.. _.00.. -- -..' - - ---. --- -. --. --- -.--.. Owner' S Signature~: ,&l~l.K,J:h:_:~.:tJ~.~L~~ __ u.. By m.h____m..m on .mmm____.m.__ u___m_____ m____ .m_m. 00__00 i/ { "\^-l'v His Authorized Agent , Building Inspector u~~:I.---r;; ..Jf_~;',,[ _u ..___0000 on .mn__ 000000__... __.m___ .mh.h.m. R ~ OF By ...___;!:"?~~_._. ...__... ..._..__..._.00_.._._._._._.. ___u_u.___.n. .___.__u_._._...