HomeMy WebLinkAboutCALLOW AVE. S., 115
:.
BREMERTON PERMIT CENTER
286 4th Street$ 8remerton~ WA 98337
Phone:: (360) 478-5275 FAX:: (360) 478-5278
BUILDING PERMIT
Applicant: CITY OF BREMER TON
239 - 4TH STREET BREMERTON WA 98337
Permit No: 98-0585
Status: ISSUED
Applied: 10/16/1998
Issued: 10/16/1998
Expires: 04/14/1999
Job Addr: 115 S CALLOW AVE
LOGatl.on:
Parcel No: 3732004-039-0006
Owner: STATE OF WASHINGTON DOT
Contractor: SELF
LIe :It: SELF Exp::
Oese: DEMOLITION OF HOUSES IN GORST CONNECTOR AREA
*********************************************************************************************
Valuation * Permit Fees: 23.85 Total Calculated Fee: 28.35
.00 * Plan Cheek Fees: . Additional. Fees: .00
* Other Fees: 4.50 Total Permit Fee: 28.35
*********************************************************************************************
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 responsibi,l ity of the permit holder, not the 'City qf 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-game to be true and correct. All
provisions of laws and ordinances governin~t is type of work will be complied with whether specified herein
or not. T~f~ting of a permit does noYpre ume to give authority to violate or cancel the provisfons of
any other s~ ~ law r~lating tonstr tion or the performance of construction.
Signature:______________~~~--- ____ ~_~_________ Date:______}r>~~~-!-~-----_
I certify.that I am exempt\rom the r".;iuirementJ:f the state contractor 's re~istra~io~"..l~~.' ~n~:r
Section 3, Chapter ~~~~s of 1967. ~.
S1gnature:__________________________________~___~__________ Oate:_______________________________
*************************** A;\ ~
Perml t Center--Approved By: __::::"-4-_"='_.__.._ Date: --!.().fJ-4.+9..u-
BREMERTON PERMXTt CENTER
286 4t.h Street (] BremertiDn~ ],JA '\9E/33.7
Phone:: (36'01 478-5275 FAX ~ '( 3(0) 478-5278
Job Address: 115 S CALLOW AVE
L..ClCi:lt: ion:
Assr Acct No: 3732004-039-0006
Building Permit No: 98-0585
St a t Uf~:: ISSUED
Issued: 10/16/1998
Expires: 04/14/1999
REGlUIF~ED
INS P E C T ION S
Item: 02700 FINAL--BlDG
Oept: BL,D(~
Di vis:l.on:
*********************************************************************************
'rEST' I NG: Mw~~t bt':l n;lcO~;m:1. z~:)(::J by t he~ Wash J nrrt em Assoc i at :1, on of' Bu:l.:I. d i T'l9 Of f:1. c:1. a Is
SPECINSP: Must be registered with the State of WA
· BLDG: City of Bremerton Building Department 478-5275
PLANNING: City of Bremerton Planning Department 478-5275
PUBWORKS= Cit~ of Bremerton Utilities Department 478-5318
FIRE: City of Bremerton Fire Marshal's Office 478-5380
ENG: City of Bremerton Engineering Department 478-5270
HEAL.TH: I]n:lmf:ly.t (m/l\ i t *ZH:1P 1.,lefi:l. t h Df.:~pa,rt ment 478....,5;i.~35
ST OF'WA: St at f.~~ of WA Dep'!';.. o'f L.,aboy' & I ndust Y' i (;:;~;~ 47B,,,',l.j.fJ21
*********************************************************************************
Perm i t 1,..10 I cle~)'" 's
Signature:______________~__________________________
Date:_____________________
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CITY OF BREMERTON
CITY DEPARTMENTS ONLY
INTERFUND TRANSFER
DATE
TRANSFER # 2 1 9 2
COMPLETE THIS FORM IN DUPLICATE AND RETURN TO ACCOUNTS PAYABLE
TO Department of Community Development
(REVENUE DEPARTMENT)
QTY.
Demolition permits
115 S. Callow
119 S. Callow
117 S. Callow
121 S. Callow
118 S. Wycoff
110 S. Wycoff
129 S. Wycoff
135 S. Wycoff
139 S. Wycoff
147 S. Wycoff
209 S. Wycoff
.uS 8. W.VI._off V () 10
217 S. Wycoff
219 S. Wycoff
221 S. Wyco ff
231 S. Wycoff
.. 235 S. Wycoff
237 S. Wycoff
FUND/DEPT BASUB EL OB IT PROJ.II
001/1 329 00 00
643 237 00
DESCRIPTION
327 S. Wycoff
327-1/2 S. Wycoff
306 S. Cambrian
308 S. Cambrian
310 S. Cambrian
316 S. Cambrian
318 S. Cambrian
311 S. Cambrian
315 S. Cambrian
317 S. Cambrian
319S. Cambrian
329 S. Cambrian
Public Works
FROM
(EXPENDITURE DEPARTMENT)
SUB-
TOTAL TOTAL
PC/I ~ '""~
-$929.76
AMOUNT
FUND!DEPl BASUB EL OB IT PROJ .11 AMOUNT
,,-~ ~
~.&.u(. t~
160 .50
$-135.00.-
Il /J
A/i~J,~ ' 4~ A--7
REVENUe.-~PA ~EN ~ SUPERVIStTff
(Sign Here)
}
ri'--~ I"
(Sign H~ ':::,A. s:.'- -~"
EX~RE DEPARlrMEN\ SUPERVISOR
B U I LD I N G~ E R M IT
. N~
5629
AI
City of Bremerton, Washington
Phone: (206) 478-5281
/
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
$
SITE ADDRESS/LOCATION / /r
OWNER'S N~~ /'?p A-
CONTRACTOR
r~~.k~ ~~
DATE
$ f? /~ ~
J!I:2 11"0/ - ;z. -119 .-;;. Oo~-
$HD~
ADDRESS
PHONE
STATE CONTRACTOR'S L1C. #
ADDRESS
PHONE
~ RESIDENCE 0 BUSINESS
PLANNING / ZONING
o OTHER
o NEW ~ REPAIR
o REMODEL
o ADDITION 0 DEMOLISH
o SIGNS
OCCUPANCY
STORIES
THIS PERMIT ISSUED FOR: f) AIL
// t) 8,..
?v~6Pt!:JW 5 7~~
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 Ii! Plumbing 0 Electrical 0 Wallboard 0
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FINAL ~
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 OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE 11fYJ1Il ~ BY
~ ~'~"
BUILDING DEPT. ~ _ - ___
BUILDING~ERM
/
/'
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e )N~
5629
AI
,~
IT
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ ./do ~ .......::. c->~ ?' c?
$ $ /v_ . /6oP
SITE ADDRESS I LOCATION / / r c=~ -d'/,d <;.{' .J
OWNER'S NA~'/~~ /I} '9'-'-= A... ADDRESS
//
PHONE
CONTRACTOR
STATE CONTRACTOR'S L1C. #
ADDRESS
PHONE
Jf RESIDENCE 0 BUSINESS
PLANNING I ZONING
o OTHER
o NEW ~ REPAIR
o REMODEL
o ADDITION 0 DEMOLISH
o SIGNS
OCCUPANCY
STORIES
THIS PERM!'!" ISSUED FOR: !~''lc At.
/ ./ r
j,U/";'1 "I-:.?C:) L.()
e:::- /.:? if' <:""
~ /' ~ --',-
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 provisi6f1S of any other state or local law regulating construction or the performance of construction.
INSPECTIONS REQUIRED: Foundation 0 Framing)€' Plumbing 0 Electrical 0 Wallboard 0
SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL.
FINAL ~
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 OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE I'JI1IY}1Il ~ BY'" ,
~ ~.~"'
BUILDING DEPT. V<-' " -=- -----
ERM"
2754
'N~
AJ
City of Bremerton, Wash i ngton
Phone: (206) 478-5281
OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE
$ .Jl?t'l ~ /t:7 ~ y/rr/ f ~:J c::?o
$ $ c:r
SITE ADDRESSI LOCATION
OWNER'S NAMEiff'&-
CONTRACTOR
STATE CONTRACTOR'S lIC. #
ADDRESS
.Jff RESIDENCE 0 BUSINESS
PLANNING I ZONING
o OTHER 0 NEW
FIRE ZONE
o REPAIR 0 REMODEL ~- ADDITION 0 DEMOLISH
STORIES OCCUPANCY
THIS PERMIT ISSUED FOR: ~~ ~.,....c <=-
PHONE
PHONE
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
Wallboard 0
Plumbing 0
Electrical 0
FINAL 0
FOR INSPECTORS USE ONLY:
~PPROVED' NOT
TYPE OF INSPECTION DATE TIME APPROVED
NAL INSPECTION APPROVED BY
REINSPECTlON:
COMMENT
DATE
TIME
APPROVED
Building Inspector
INER'S SIGNATURE
FICATE REQUIRED BEFORE OCCUPYING BUILDING
BY
Authorized Agent
BUILDING D? ~~ ~
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45519
2~' . $#o3b
Fee $..........................................:............................ ReceIpt No. ...................................___.....................
/
/
BUILDING PERMIT
CITY OF BREMERTON BUILDING DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36
Owner's Value I Bldg. Dept.
Value' DESCRIPTION:
$ Lot Block Additions
Address on Job .llJ5:~La/i~~2m..u...h-.m--u.m.m.mhm-mu. Date h.___x.-:._I/~_2~.u.~..
Building __.mm_...... x hu.m..mm and __h..h..m.._ stories m.._..u._..._._h.__. basement. Lot _m'm'm'm x m_mmu__..
Front Yard m.m__...h..um.__ Rear Yard .m.__.m_..._h..h__ Side Yard .m.ummu.uuu__ Garage umu.m_.u.m..._....m
OCCUPANCY lERMIT/REQUIR~BEFORE OCCUPYING BUILDING ..,zone _6~.&~mm_._m...hu.m.__.
Owner _nt!:{__cd.....d(',.~.d1:'2......u....._._u..u_._....__.h.. Address .L!...C~.~7...~~Phone ..mm...__._._
....... (J' - ,-- ~ - - . - - --. .
Contractor __.... _. un... __.. __........ h _. _. _ h. n _. _. n.. _. _ n _ _ _ _... _ _.. _... Ad dress __.. __ .._.... __.. n _ h. _. _. _ n n _. _ _.. _.n n Phone ....__. _.........
v . ~
~~~~n~~~:~~_.~~,.~~_~~~~.~~.~~.~~.._d~~4.aat.LL?~.q:.r,(~::~.'3_mm=..J/e:A);.u.__um.
.. _. n........... _ _ _. _. _. _... _.;.. .... _..:... _. __... __ ___..... _... .'~__ h.. _~..~ n~.. .~. .. _. h. _.. _... _~. _ .~..... _.. _.:: _. _ _.. _.... _". n _. _. _.~ n. _. _.' _. _.~.... _g... n.. _....
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, wiri'ng and heating. See City Engineer before working on streets or sidewalks.
)
- - - - - - - - - - - - __ - - - - - - _. - - - - - - - - - __ - - - - - - - - - - - - - - __ - - - - - - - - - - - - - _._ - _._ - _._ - - - __ - ___ _._ - - - - - - - - - - - - - - - - - - __ - - - - - - - - - - - - - _. - - - _~ - - - ~_ - _. - - - - - - __ - - __ - - - __ - _e _ _ __ _. __ _ _ ____ __e___ ___
~"i .........
- - - - - - - - - - - - - - - - - - - - - - - - - -- - -- - - - - - --. - - - - - -- - -: - - - - - - - -- - - --; - ::-- - -- - -, -- - - - - - - --- - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- - - ~-. - - - - - - - -. - - - -.- - - - -- -- -- ---- ---- --- ---
~OF
Owner's Signa ture./..~&JI.;(/.;.,J4..~;/&:t;.~,d(;!e.. _...._. By. ...h..___..._.._ _.._......_ _.._ ___....__. .........._. _' _._.. _ _. ......n..._
: - His Authorized Agent
BUil~.i.~f.:.I:nspeC;yr ~?k~~5?~~~~~~~~~;::~~~~~~~:~~~~~:~~::~~:~
. 'c'." ,".. " __~..,,:...-V"' F 0" 'I --\..-"'r"", ./' -
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N<.? 44263
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Fee $....................................................................... ReceIpt No. ...........................................................
BUiLDING PERMIT
CITY OF BREMERTON BUILDING DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36
1////
Owner's Value ! Bldg. Dept.
$ I/~ 0 I
Address on Job -. .//...-#..--::.~.. __. .~.-:?~. __ __ __ __................__ ...... __. __.. __.. __ __. Date . __.. ..L. -:-: A'..../!. ~:.2.f:.__.. ___. _____
Building _______________. x ____.___________ and __.___._________ stories ._______m.________.__. basement. Lot ....._____....__ x ____._______.___
Front Yard ____________.__.________ Rear Y ard~.____________..______.. Side Yard .__.__..____________.__. Garage _.._____.___._______.________.
OCCUPANCY~ERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone _____.________________.__________m__._..
Owner __d~.._... __. .&4..d... __.. __ __...... __ .__........ __....... __ __'. i\d dress . __ __. .___ _..... __.. __ __. __ __............... Phone __... .__. __....__
Con tractor -!.. __ -- __...__ __ __.... ~__....... _.. __.. _................... __.... Ad dress '__' __.__.. __.......... __.. __...... __.. __... Phone __. n. __.... __.n
This permit is issued for:
Value I DESCRIPTION:
Lot Block
Additions
A#A>- "'-'__.. .... ____
,.,..: .=--.. --.. "7:--' -- -- --.. -- --.--... --. -- ----..,.. --. --... -- -- -- -- --...-- ---- ..--.. . -- --........ --..... -- -- --.. --. --. --.... --... -- --...... -- -- --.. --... --. n.. n.. --.--
.. - - - - --- -- - - - - - - - - - - - -- -- - - -- - -- -- --. - -- -- - - - - --- - - - - - -- -- - - - - - - - - -- - -.- - - __a - .__ ____a. .. __ __ - - __ _.. _.. _.. - __ - _.. - _.. __.... _.... __.... __ - - _.. - - __ - - __ - - - - __ __ __ __....._.... ___ - ___ - - __ ____ ___ __..
.. - - -.. - - -- - ---.. - -.. - - -- - -.. - -.. -- -- - -- -- - -.. ---.. --.... - --... --.... -............ .-- - --.... ---.. -- - - ------- -- -- -.... -.. __.... __.. _.. __ ___.... _.. __~_ _. ~_.. _. _ _ _ _ __ _ _ _ _ _ __. _ __ ~. _ _. _W ~ ~.. _ _ __ _ _ __ _ _ _. ~..w M. M_.._
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 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 co,vering. 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.
_W -- -- -._ ~ - _. - - - - _. __ _ _ _ _ _ _~~.. _.. _ _._ _._ _. _.. ... _~ _... _ _. _. _ _ _ ~w _..... _W. _ _. ~.. _w_ _ ~_.. _ _ _ _ _ _ _ _ _. _ _ _ _ ~. _... _ _. __._ _. _~. _ _. _ _ _ _ _.. _. _ _ _w _ __ W _...... W. '"_ _ _. ..._ ~_...... W. ___~___.___....
. - -.- - -.- - - - - - - - -- -.- -. -. - _.- -. -- - -. -. - -.- - -- -- - - - - - - - --. - - - - - - -- - - - -- - -- - _a. - - _. __ ~__ __ . _.. _.. - - _. - - - - - - - - _. _ - _ _ _ _ _ _ _ _ _ _ __. _ _.. _ ___ _.. _ _ _... _._ _ _ _... _.. ___ _ _ W.. __. _ _. _. _. ..____.
- - - --- --- -.... - -- -- -.- -. -. -- ~-~. --- --- - - - -- - .--- --- - -. - - -- -. -. - - _M_ _ __ _ _ __ _ _ _. __ __ __.. _ __ _ _ _ _ _. _ _._ _ _ _. _ _ __ _ _ _ _ _ _.. _. _ _ _.._....w _ _ _ W _ _._... _... _.. _ _ w_... ~ ~ _ ._. w_... ~ WOo.. _ __ _ __.. __ _ _.
- - w... -- ~__ - _.. _ _ __ _ _ __.. _ _.. _ __ _ _ __.._ _ __ _.._ _.... _... __ _ _ _ _ _ _ _ _ ~._. _ _ __ _ _ __ _ _ ~__ _ _._ _ _____w _ _ _ _ __ _ _ _ _ __... __. _ _ _ _ _ _ _ _ _. _. _ __ _ _ __ _ _ __ _. _ _.. _ __ __ ____.. _ _ _ _ ~_ _ _. _ _ _.. _ _ .__ __. _ ___. W.. _ _ _ _.. __
- -. --- - -- --. - - - - -- - -- - - -. - - - - - - -- - - - - - - - - - - -- -. - - - - - - - - -- - _ _ _ _ _ _. - - --- - - - - - -.. _ _ _.. _ _ _w. _ _ _ __ _ _ _ ~._. _ __ _ _ _ _.. _ ..__ _.... _ _. _ _ __ _ _ __ _ _ _ _ _ _ _... _ __ _. ~_ _ _ _._... _ _ _ __ _ _.. _ _ .__ _.. ~ W ._..... _._
----.---- -~ ----------- ---------___ ____________________ ____ _________ _______ ______w___.___ _ __________ _....__________ ______..__..____________ __._________...___ .._.___..__~___________..___
--- ------- --.-- ---------------------------------.---.-----------..---..- --------------.--- -- -..-..._... ------------..... -_._-_.._-.-~...._.__.__._-..--_............._._--_.._-----.._....-.------
- - - - -- --- - - - - - - - - - - - -- - - - - - -- - - -- - - - - - - -- - - - - - - -- - - - ~ - --- - - - - - -..... - --.. - - - - -.. - - -- - - ..--~ - - -...-......- ~ - -. - - - - - - - - - -.-.. -.. - -. - -.- - -.... - - - -- - - - - _.- - -.- - - -.. - - -. - - -.. _. -- - - -.. -.. -.. -- -.. -...
--------.-------------------------------------------.------_________.._______________.___ ________________________________.____________....__.__...__..__..__..________.____________M___
..- -.. -.... -.... - -- --.. - ~ - -.. - - - - - -..-.. --- - -.- - -.. - - - -.. - - --- - -- - -..- -- -- - - --- - -- - - -- - - -- - - -_ - - ..__ -- - - _ _.. _ _ ___ _ _ _ _ _.. __ _ ~_ _ _.. _ _ _ _._ _ _ __ _ _ _ _ _ _ _ _ _..~.... _.._ __.. __ ___ _. __.. __ _ _ __ _ ~ _~ _ _ WM _ _ __ _ __.. _ __
- -- - - - - -- - - - - - - - - - - -- - - -. - -.._ _ _ _.. _ _ _ _ _ _ __ _.. _.... _ _.. _ _ __ _ _ _ _. _ _ _ _ _ __ _ _ __ _ _ _ _ _ W __ _ _ _ _ _ ~.._.._ _ _ _.. _ _. _ _. _ _ _ _ _ _ __ _ _ ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _ _ _ _.__ _ ~_ _ _ __ _ _ __ _ _... _ __.._ __. _ __
. -.. --.......... _.. __.., __ __'" __...... ':.:.::," ."'.... ;-,~........ __.. __.. n. _......... .: _ _.. _.... _...... _ __. _.......... _ _..... _.. __................ _..... _....... __.. __ __. __..
Oyvner's Signa ture.....z;'Z'!t;-lk:{d=Y=-., __. .n._.. ......__ By ....~..__. __.__.. _.. _.. ..___... _______.___._. ....._............___ .... ....__.
I His Authorized Agent
Building Inspector .m __ _ ~~.4-:,... G:. _.IJ~'____ __. _ h. __ __ __ ___ n__..___. __. _0..___ ______
By ................&................... __.... __.... __. __ __. __""" __.. __.. n. ____..
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42569
Fee $__.__..__......,/.:....~:...:~____...____h__....______.__...__..__.. Receipt No. ....:.?:.~:.__~ij.~r:f~......n...__....n..nnn...
BUILDING PERMIT
CITY OF BREMERTON BUILDING DEPARTMENT
2//
F. E. IRISH, Building Inspector . ESsex 3.1411, Ext. 36
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I Bldg. Dept.
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Value I" DESCRIPTION:
Lot Block
Additions
Owner's Value
Address on Job .../!.~!~u..m'~,;~~.u hJ.:.~:':~:::~."c:.:~:.~u..mm.... u..... m", um'u ... m. .m.. Date ..;,.:L :..,'. .,,-'..:~ :u':~~.. u. 00'00 .uu
Building m.__...___.m X mUh.m.h.. and .m...mmu. stories .m.mm__mumm basement. Lot .....h.__...... x u..m__u___u
Front Yard m..u.u...m...uu. Rear Yard ..u..u.m..hhuuu Side Yard Uhm.__u.mhh.u. Garage .mmm...m.m.m.__...
Occupancy ......:...Uh.:C~.... h........... .............. _......... __....... u............ 00.00............. ..... Zone ..........00..............00..............
Owner .,:'..,uh~;~~...u..~L::'.."'::'~:u'm...mm m.m __ m.m ....00 _m.. Address U..Uh. h..h .h... ..... h.... .mhuh 00 Phone h. ._. ..h on. ..'
Contractor 00..00..__... 'h__ 0000. ..mhm. u'um __ m ___ __.. ..h ..m .m.. Address .mu. .._..__. ...h... ... n' n mOo .m..u Phone __h._ _.m___ _..
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, wiriing and the fraime of all buildings must be inspected and approved
before covering. Wood preservative to be used on all wood against masonry. Ventilate fo,undation and attic. Sepa-
rate permits requ'ired for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks.
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Owner's Signature.. m ,. ___,. ,:.___ h' .:~.,.:~_.:. _::00 ___ h ___. _. _ h...... _.. By __.__ __ .m.m __... __.___.___ ________.m.. .m_...h..h. .._ ____. .....00 ...
. His Authorized Agent
Building Inspector . _ _.... ", _ :\. ___ h:~' _' h.__ _.':. _ .___..:___.___ ___. ....__._ __._.._.00... .00__.___.__.
By .........,~.:............... _......... _............................ _....... _........ u _.
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