HomeMy WebLinkAboutCAMBRIAN AVE. N., 328
· BUILDING~ERMIT
.N!
1375
AI
City of Bremerton, Washington
Phone: (206) 478-5281
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OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
DATE
$ 5:000
.3c:28
,.-
$
~
9 -.;2.:l-7Y
-(JOg-ode 2-
OWNER'S NAME
ADDRESS
PHONE
CONTRACTOR
~
STATE CONTRACTOR'S L1C. #
ADDRESS
~RESIDENCE
o BUSINESS
o NEW
o REPAIR
PHONE
o REMODEL
)(. ADDITION
PLANNING I ZONING FIRE ZONE STORIES OCCUPANCY'
THIS PERMIT ISSUED FOR: M~ ~ ~ ~~~~
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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.
INSPECTIONS REQUIRED: Foundation Framing Plumbing 0 Electrical ~ wallboard%- FINAL~
INSPECTION:
FOR INSPECTORS USE ONLY:
REINSPECTION:
~PPROVED' NOT
TYPE OF INSPECTION DATE TIME APPROVED
I
COMMENT
DATE
TIME
APPROVED
FI NAL I NSPECTION APPROVED BY
OWNER'S SIGNATUR
Building Inspector
REQ IR,D BEFORE OCCUPYING BUILDING
BY
BUILDING DEPT.
APPLICATION FOR
.. BUILDING PERt'lIT a
C I TY-= BREMER TON :: BU I LD I NG D~R TMENT
PHONE: 478-5281
VAL.UE $.~.C!.~P... PERMIT FEE $.~~~.. PLAN CHECK $......... RECEIPT.......
C''';NERt?.st.-1.~. .;f~L.4-(/Y~. . . .. ADDRESS......................... PHONE .(3?7.7.-:~9.' .9.C? .
CONTRACTOR.....~~~/f............................~... STATE LIC. #...............
..
.'
AD DR E S S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -; . . . . . . . . . . . . . . . .. PHON E . . . . . . . . . . . . . .
3:28 ;.J Cf,4A--18d-1iN' . .
ADDRESS/LOCATION OF JOB.........................................................
P LA N N I N G Z 0 N I N G. . . . . . . . . . .. FRO NT. . . . . . . . . . .. REA R . . . . . . . . . . .. SID E. . . . . ~ .'. . . . . .
OCCUPANCY... .... ..... FIRE ZONE.. ...... .... TYPE OF CONSTRUCTION.... ........
APPLICA:rION ISSUED FOR: . .1I{JF:?~q(~. .(<?. .C;(~~c:r... :E{~~~~::C;~.................
.. ........... ............ ........ ....... ............ ...... .......... ..... .......
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SIGNATURE APPLICANT.... ....... ... ...... ..... DATE.......... RECEIVED BY
.if/, . .
PLANNING COI'"~ENTS/REVIEWED By..#.... fj//J>/7?
;P~vt--o ~~u:.d~~.
ENGINEERING COMMENTS/REVIEWED By..........
PERMITS REQUIRED FROI1' CITY E~;GJ:;EERS OFFICE FOR ALL WORK 11, RIGHT-OF ',lAY
FOR EXC;"VATI01" PAVJ:,G, SIDE..:';LK, STORI~ AI;:> SAI;IT"r;y S::.,.;"R cor.,STRUCTION.
FIRE DEPT. COl"....ENTS/REVIEIoiED Br..........
BUILDING DEPT. COMMENTS:
PLUMBING REVIEWED By..........
ELECTRICAL REVIEWED By..........
BUILDING REVIEWED By..........
.7;;:.l..FF I C DE?T. CO,u,:--'.!:"f'JT"S/?.=-VI EwED By..........
4pproved by CG~pliance Officer
...................................... -.
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