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CAMBRIAN AVE. N., 133
BUILDING ~ERM1t ~~ AI 632 City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE $ f5'()O OWNER'S NAME Le-e- ~ RESIDENCE PLANNING I ZONING o BUSINESS o NEW FIRE ZONE '5 l(:...JS I CH ~ RECEIPT NO. PERMIT FEE RECEIPT NO. DATE S" Ip--/'3-77 PHONE STATE CONTRACTOR'S L1C. # o REPAIR PHONE o REMODEL o ADDITION STORIES OCCUPANCY' THIS PERMIT ISSUED FOR: e A ~ f?e--r- '" w.-/ "'5'TZ114'~.",e r e--fZ- 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 orthe performance of construction. Electrical 0 Plumbing 0 Wallboard 0 FINAL 0 FOR INSPECTORS USE ONLY: REINSPECTION: APPROVED NOT TYPE OF INSPECTION DATE TIME APPROVED FINAL INSPECTION APPROVED BY COMMENT DATE TIME APPROVED , Building Inspector OWNER'S SIGNATURE ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPY. BY BUILDING DEPT. rP;-' ...... ,. .,.// .. -- e !' APPLICATION FOR ADMINISTRATIVE VARIANCE A fee of $10.00 must accompany this application and in the event that a hearing is required, an additional fee 6f $25.00 must be submitted prior to'the scheduling of a hea ring. , .~. -, ':" '?'".;;.~... .:: , - f. .,'-...:~; "',: 1. Date: /0 _/(;.1) . "77 /) r cQ ..,/. / ~~: c ;r ~S<1I c<,Y( -1 - '0 - " <i/.,-t :l/?, ~ N ;:::5 3-?~?S- Work 2. Name of Applicant: 3. 4. Street Address:' 5. Location of the Property. Street Address: (5 3- i~,. (?~ujHr",'I'I.' . Er; - ";/-70/// k~~'?~(o 1/ Telephone: Home 6. Who holds legal title to this property (Name & Address): ;71/7 {- )}//h 14/~, ,,1/ 132/'.:."1 au l5 1-- ./ , 7. Zone of the Property: ,. 8. A short statement setting forth the type of variance you want and your reasons for applying for a variance, including any special circumstances justifying { - (CJ' J.. _ 1/ /u ! - ' ".de ,I Tt..hi/.l )jf!h (o.,vc-/.!.q~, ..t-/"c).I'l. :1 ~n 13/ l~)!- k~'d~)t:.I1, <,;4/-10 Pfl--(j~fx_ l?J /J/4,v' ~IVC/ AA-,--{ ;','n.d~lc/ J.5/fo/;",? / .,.... ,.- ./" i : ~ .. ,-.. _ ' '/,L'r . . ~ 'r I , u / "'~n .j' , . I /I / / I . .- / . ""'~ cL,. h;c. .-:vV' ':[1 .b Y (/1,\ t ~ /,.. ^-.2,.:; Il;.-vi"p ".~- f 0 Ie.:. ~A' 1/ 1:_",,/ (/ ck ( this application for a variance: "P.,-.!./-. ,,' /. r. If,--. / ':"jf f.i'f,..__' /.1\.1 /il.~....C1CJ(...' I~ ...,/ ,1;~,J,.1!6l L.')~';"';":' '(.C'J"r:/otJI"S <{/;..~:));/.;./ "I::~,..j-, I '-- // j 9. A SKETCH TO SCALE MUST BE ATTACHED TO THIS APPLICATION. Include a sketch to scale with the following information: The dimensions of your property and the adjoining property showing existing structures and the relation of the'proposed variation. 10. Present this appl ication, the sketch to scale, and the following statement to the adjoi~}n~ property owners and sol icit their iigned approval of the proposed \ vari at i on. / i '# ., ~' Administrative Variance Application e, e' -2- THE RIGHT TO A HEARING BEFORE THE 'PLANNING COMMISSION IS HEREBY EXTENDED TO ANY AGGRIEVED PARTY WHO WISHES TO OBJECT TO THIS APPLICATION FOR A VARIANCE. PLEASE OBJECT IN \-JRITING. IF YOU OBJECT, A HEARING WILL BE SCHEDULED AND NOTICE WILL BE PUT IN THE BREMERTON SUN OF THE TIME AND DATE. I hereby certify that I have read this appl ication, have reviewed the proposed variance, and approve of its granting. 1. Sign below and print your name and ./ ! /'1. J '/..../1., "r (':) /; /..-;,c::.leo,,^ signatur 'J '/"' I .--f- i;k ,I (') lr:v)/l?v/f, p'rint name /31 ft./ Cr,,-6rtO~I/' ~ (print address) - . ~na~:;U~~ (ll ~'fi' 'JJ{/ c f~ (print name) address. K C, r . /1'~ ',:, j 2. 7d-c-z;f~ c - / /t-c~(?b-,~ , (signature) ~_()I"lH d #t'LL /~) (print name) I +3 /l~. (!/f/7l0-R/~/J (print address) , 3. q. (signature) , !.. ~/of,:Ie.>/~8p.et1/ (pr/i nt name) CZ; .J1---.:-? 'C}:? d'-z "V I / c.- / v ./ ~~ '....' / -r Clc'I5M /'53;}C (print (a~ddress) , /7 tiJ/9(1 / ,,(J 9 M L: /1 M/8,tJ./ 111'1, ,,{7 Af' C;; /vf (print address) I hereby certify that the statement contained herein are correct and agree to abide by this application if it is approved. Further, I have contacted all adjoinJng property owners, sought their approval and informed them of their right to a hearing if they objected. If any part of this appl ication is not trufthfu1, or approvals have not been sought as required, the City reserves the right to revoke this variance. By his signature the applicant agrees to these condition. sr~ ~rI'~ 'iJ , ,/ L /) ( L/ /./ "'/ / fJ ,f; ij f;;j r ' ! r, </:';<f?r,,\ ~ .~ ,-~--t?~~ L-(s r gna tu re)'-- / /' l /' ./r I" I.~. / Date of Administrative Action: 4~;0 19 17 Sections Varied: J{ 7 ,- ilEb r v /.j M App roved ( ) Disapproved ] /} 3 . (, II{J-t . /n (;<, ''j)d.r,.~.:Jl:'J!.l';vq -- --:.... ...---.......~ ~-------~..--- r /tcd 1/'r,ac,c/t-6!/ 4 lfiiIliext PLANNING DIRECTi7 Lu-Al. {t~ ~.(. L ~ ~ 'f-t"-Q. ~ I ~~+- ~ 5~ il-~ ~,pV'-i~ ~ f--o ~ 90~ lJlS~&t L~ ~ i-kt~ ' -/) I f" C" ,'".,.,,; I - '- /". I. I .-'-.' 1'1" ,",'''' I v . I '\ v ........ ~ .: ~~ . _I' - . State Environmental Policy Act Declaration: ..... ,or '_"',';' __ ~ . ..____.____,__._,.________._.--o_~~"_~_______________-__o--------------.--.---0.---...-- .". CITY OF BREMERTON Date ~ (.J " 19 II 239 FOURTH STREET ReceiyecJ From A-; 'kl-"..:> . RC<-'-/t .;., BREMERTON, WASHINGTON 9831 Qd.;-"'-'-;' ~~ 0-'\ -- / Acct. No. I Account 316-10-00 B & 0 Taxes 321-60-05 Business Lie. 322-30-00 Animal Licenses ~ ' .. 322-90-00 Misc. Permits 351-02-00 Parking Tickets 341-86-00 Accident Reports/Fingerprints ~(~~~ 343-73-11-01 City/CountyWater 344-30-00 Passenger Revenue 344-50-01 Garage Parking Fees 344-50-02 4th & Park : i 344-50-04 On Street Me(ers:~ 389-00-00 Cons. Dep. Rcpt.~# n, .,> __ " {Allt '_ ~A/ "". ~ \ { ____ r1'f :....~Q:i~~ ~ d. . City Treasurer C -. . L:i 7431 v' CjP1>L >.~:< V ,/t-l,>v-o-' N? Dollars $ J 0 ~ . r:o~! Gener~und II II II \1 III, Ik-a-~ /l1-~i:..:"1 2!~_:.. (J 1\ , ~A / (). ,) () i\ \11 1\ II /1 II II II II II By Q d...{!~r--R-. 7 /-~ . Deputy 102 401 106 105 -\1, Street II Water II Transit III Parking Sys. Rev. 11\ II II III II II II II II II II II Consumer Dep. III Admin. Trust II II II II 408 803 \ !-Amount I /J~ I I I I \ I I I I I I I I .' I I I I I I I , I I I I I , I 01 (l () ,"-' .e e ;.. .' N? 37777 ~~b . / '-/ ---- . c;AJ,f/ Fee $___.,._........___..____.___. ______.......___.....................___.. Receipt No. ....______,___.!_______________.......--___----___--___... BUILDING PERMIT CITY OF BREMERTON BUILDH...G DEPARTMENT F. E. IRISH, Bui/ding Inspector . ESsex 3-1411, Ext. 36 Owner's Value I ~ $ /t: 00 I Bldg. Dept. I Value I DESCRIPTION: Lot Block Additions ...",,~ -'0 /. ) /.... ""> 6 Address on Job m(.,::L~:n'!_~f!n._n~._-q,.'?.:L~~_q,:i.m.,n-m-m-m---.nmmm.nn--m-m_m. Date m_____m~.:_~ ~mm_m_196m_ Building mnnmnnn x nmn_nm__. and mnnmm___ stories n__mmmmn._nn baseme Lot .m_n._ 00_._. X _mmm._.m Front Yard ___.___.00._____00____.. Rear Yard nnmuunm_uum Side Yard ___.m.m.nmu____ Occupancy 00_ __ _ _ 00 00 00 00 00 _ 00__ _ _ 00 _ __ _ _ _'_ 0000 n' _ _ __ n_. n .___ .__ no.. ___ ___.n _._. n... _00 nn .nn_n_n n n.n 20 '7(!/ . f.. j ...;'.,.. j Owner ._ 00.. _ ,!0:?':1:1:i.<(-:-:1_ _ ,;".::t.c :~.<= t:~ t}:,_<::: _. 00 _ _ __ _ _ ___ _._ _ _ n. _ 00 00 _ Add ress _ _ _ ___ _ 00 _ n' _ nn 00 00 00_ 00 __ __ _ 00 on __ m n Phone_n n_ n_mm_ Con tractor .(::-!.?'f{~_<:.~.:f:'!:,j_ _ _?f:!.::: ~.-{~:~fJ _.:. m. _ n _ _ _ _ _ _ _ __ 00 _ _ __ Add ress _ _ _ 00 _ _ 00 00 00 _ _ 00 00 00 00 _ 00 ___ _ _ __ 00 _00 m _ n Phone__ mm___mn This permit is issued for: II -~~.......... --...................... -~............ ~.... -,~; -~:... ~~-;...... --;.... -........ --........ --.... -.1-"""" -:.;. -.. -":;;-".- -;:i"" ~-;:""";."""""""" -;,:.......... -;":::f~~:;" ,:;.. -~.... --.... -- -- --................................ -.. -...... -.. -.. -.. -- -...... -........ :'I, C4t' G'y .d'.tJ_U"J-.u../ / / k r"..{ . ! --lEe..! t!./t?",--,' ..:. ~t..Z<!.J./?-&", I '\ - - - -. - - - - - - - - - - - -. - -. - - - - - - - - - - - - - __ - - - - - - n _ _ _ _ _ _ _ _ __ _ _ _' __ _ _ _ _ _ _ _. _" n _. _ __ _ _ _. __ _ _ _'" _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. _ _ _ _ _ n. _ _ _ _ _ __ _ _ _ _ _ _ __. _ _ _ _ _ n _ _ _ _ _ _ n _ _ _ _ _ _ _ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _. _ __ l! (7/ ii . - -. -. - - -. - - -. - - - - - -. - - - - - -. - - - - - - - - - - - - - - - - -- - - - - - - - - -... - - 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 coveri!"g. 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. .----.----.---.--li;;:;;~~iS--c~~~:~:=-;;.-.--.~~~~.::cL----.:.---.---~-->_;;~~,:~--;;;~0~~-]i--:-n--n---------------.----------. ...... -.. - - - - -................................................................ -;0;.............................. /..;........................ --......................,...................... --........................ ~.................. --.................... --............ --.... --............ --............ -OO"" --.... -- --.. ..1 ~. 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