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HomeMy WebLinkAboutCAMBRIAN AVE. N., 1330 .' BREMERTON PERMIT CENTER 286 4th Street;, Bremerton" l4A 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 BUILDING PERMIT " Applicant: DANA'S HTG INC. 876-7670 2161 SPRING CRK RD SE PORT ORCHARD 98366 Permit No: 00-0624 Status: ISSUED Applied: 11/28/2000 Issued: 11/28/2000 Expires: OS/27/2001 Job Addr: 1330 N CAMBRIAN AVE Location: 1330 N CAMBRIAN AVE Parcel No: Owner: PIGATO NINO 3232 RIDGEVIEW OR 479-8696 Contractor: DANA'S HEATING INC 876-7670 Lic #: DANASHIOOOOZ Exp: 08/23/2001 2161 SPRING CREEK RO SE PORT ORCHARD, WA 98367 Subcontr: Dase: INSTALL GAS FURNACE (75,000 BTU) AND PIPING **_*.1.**_.***......*._.***....**..***.******.**.*....1*.*....*****.*.****..***...*.*****.... valuation )I( Permit Fees: 44.55 Total Calcufated Fee: 44.55 .00 * Plan Check Fees: .00 Additional Fees: .00 * Other Fees: .00 Total Permit Fee: 44.55 * *iJO!(:l< *** * * *)\( *)1()1: *)1()1( * lKlI<* **)1( * ** *)l( ***)/()I()I( )I(-*)l( * * *)1: lI<)/( *)I()/( ** * * *)I()/( ** Jl( >I<)l( )/()l(*)j()I( >)()j()j( *:<< *:<< * * * *:<<* *:<< * >/( >'ilk)l: *)\()I(* * **)j( MECH~ICAL/PUJMBING FIXTlJRES-'- MECH-Gas FUtT1Sce to lOOk btu.: 1 MECH-Gas Pipil'l9 (outlets)....: 1 .****************************************..*******************:<<*******:<<********************** This permit shall beCome null and void if the buildil'l9 or work authorized by this permit is not commenced within 180 c!aYSfrOlJi the date of such permit. oy if this building 01' woyk authorized by $Uch peYfllit is suspended or abandoned at any time aftey t.he work is commenced for a peYiod of 180 days. .. NOTICE- It is the yesponsibility of the permit holder, not the City of Byemeyton oy Building Official to see to it that yaqui yed inspections aye made. The permit holdey must notify the Bui ldi ng Official when yeady 1'01" inspections. Failun? of the pel'mit holden to notify the Buildil19 Official of yequiYed inspections may yesult in the stOPpase of ~he woyk un~il such ~ime that the peYmi~ holdey can substantiate to the building official that the concealed woyk meets 01" exceeds code n~quiYement$. Any demolition. testil19. or financial buyden shall be borne diyectly by tt~ peymit holder. Failuye to substantiate code yequirements will indemnify the City asairtSt any and all yesponsibility 01' liability connected with the constyuction. r henmy certify that I have read and examined this peymit and know the same to 00 tyue and conect. All pyovisions of laws and ordinances goveynil19 this type of woyk will 00 complied with whethey specified hendn 01' not. The 9yanting of a peymit does not pyesume to give authoYity to violate or car;t,el the pyovisions of any other state or local law yegulating constyuction or the perfoymance of construction. Si9natun?~ Oate: ,.. 8ignatuye: )l::)j(ll()j(lI( **)j( :<<::f)j(){(lk*****JI(******)t;; Permit Center--Approved By: yegistyation law. uncleI' oate:-LL2J1:._00 w__ fl-;;>-fl-oo BREMERTON PERMIT CENTER 286 4th Street~ Bremerton~ WA 98337 Phone: (360) 478-5275 FAX: (360) 478-5278 Job Address: 1330 N CAMBRIAN AVE Location: 1330 N CAMBRIAN AVE Ass. Acct No: Building Permit No: 00-0624 Status: ISSUED Issued: 11/28/2000 Expires: OS/27/2001 R E QUI RED INS P E C T ION S~ Item: 01400 MECHANICAL Item: 01550 PLUMBING Dept: BLDG Dept: BLDG Division: Division: ********************************************************************************* TESTING: Must be recognized by the Washington Association of Building Officials SPECINSP: Must be registered with the State of WA ST OF WA= State of WA Dept. of Labor and Industries 478-4921 HEALTH: Bremerton/Kitsap Health District 478-5235 ALL INSPECTIONS PERFORMED BY THE CITY OF BREMERTON MUST BE SCHEDULED THROUGH THE PERMIT CENTER, (360 8-5275. **************** *** ******* Permit Holder' Signature: /1- ") ()-CO Da te : _.-.!::-_l! IC.r 'Ll, ,I' i f *~, ~*: *' t ;t 'f' r.;\(;1' ~Lf ,jq; :{Clc .,.. :t: . t. "1'; * 'Ii ;t :to ;~ .*:* ;It ll: .t ;~"i; ;f ;!( * ,p}., -*, :.~' 'j. ;+: ,,' ,.f. ;;;:K 'j(,{t :.;: ;j:".v, * ;1' * * * :+ :I, ~;:EC[ I p'] < 'I' f ;(:, .f. i, -* ~ iI, ;t: '.!-. '''' :'I~:.I 'I: '* * i. ... .1'. *' *' *' :{; '*' ~; :* '* 'f:'~ 'f: '1< :I: ;t: ,), :t' 'l.~ ;!'; ::"';1; '1. :!. )tf ,I\;i llc'?i':t 'l.:J ..}, ,y, Y~,1' +- 0;:: k r :; <}. 'i' r:CI f~I.f'T l'hlfnbFr: {)(;()OlO.il Amount" :'j./;..!.',ts .1.1/;:~e/!)(\ 13~':"j F',:.lV\flt)nL rl,,'t!H,)C!t Cl-jf':'TK Not.:d.i<-n:" [;I(\!,-I(I'S lire. tni.t: P::::,f-j j-"<2 \' m it !'-lo;' <:',j I,.:. .'\dd,-:;s",: O()'O~J;:;~/!. r/p(;,~t1/P fk:l:tvr.lLBG PERf-HT l. Jy:) :"~ l N~F:{I'< r r.d\j (Nt:: 13')<> fl ~: ~'li'-18Rl AI.! tNE T Cd'... .:J 1 F E. 0 ~_.: ~ .:j. l: .. ~5 ~'., 4.:+.','-.. Totdl :~LL Pmt.e;: l~4"I,,;:, HsIHn(~: .00 ;:. .(.~." ,.*. i .} .~, t { t,' t, ,t .~' + l..r. 'f; ~ *-:4, -I.. * :r :t' }:of. 'j: ;~ ':-;:r. r. k-l'.>l~ '1::* :1'. 'j- '1 'i' '." .f; t; il. .~:t::'< ;.t. '1' :.in/:: ~ ~ ~o~: :}. ;t:1;/<: ~ L <)(, d \ .J. 0 n ~ '1 11,L "': F'...-;:'!iIf,;' i I t ti(". <, ~ >~ j n t f~~ (';:.( L,:~ 1 (..:1 .' ~~;.. '~.' . "t () t) ::) (;~;? 11~. ) f). <':';r 'l,:>tj on f1f (He:\NIct,l. PL[.;:t'1T 'f Fl....CS ()fII/)( 1. 'fIt:. 4.if "t;!) ~. :/,: ' ..,~- ~::::::;::::::::::::::~~~i:::n::n:?:::i:::::::::IO::::i:n::::t:m::}:Wl::m::~LtTMDJ.r\tG:::;l:?:mI{::::::?::::;::i~ Type of Fuel: c=J Electric Occupancy: ~ Residential Site Address: \ 5>30 Owner: N\Nb \ Cr TO Address: 32..32...- 'R\tk\..V It. W Phone: '-ll ~ 9 to K1 Gp Oil D C:mmercial _ (\j · CA Nl \3 f<.. \ ~ ;...) D Propane Contractor: DAN C . PI<. Address: 2...\ 6 t S P R \ t-J~ <:R ~ \, D S 1. I \,.0. WA Phone llo- Co I Contractor's License Number/Expiration Date: \)Al\J~S\-\ \ ooOD~ 8 3/0 l No. TYPE OF EQUIPMENT No. TYPE OF FIXTURE RANGE WA1ER aOSET WOOD/PEllET STOVE/GAS FIREPLACE BATIfIUB ,>< GAS FURNACE btu: 7 S- I (,)0 0 LAVATORY (bath sink) CONVERSION BURNER btu: SHOWER. UNIT HEATER btu: KITGffiN SINK BOll.ER btu: DISHWASHER '><. GASPIPlNG -- LAUNDRY TRAY - EVAPORATION COOLERS btu: CLOlHES WASHER AC UNIT btu: WA1ER HEATER HEAT PUMP btu: URINAL REHEAT BOX btu; DRINKING FOUNTAIN AIR HANDLING UNIT btu: FLOOR SINK OR DRAIN EXHAUST FANS SLOP SINK RANGE HOOD (residential) WA1ER PIPING & AL1ERATION RANGE HOOD (commen:iaI) GREASE TRAP/INTERCEPTOR CLOTHES DRYER .. HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL TANKS type: BLDG. SEWE.!t (mobile/moved house) REFRIGERATION UNIT ROOF DRAINS OTHER: OTHER: MECHANICAL FEES: PLUMBING FEES: !J~~ b2 APPI1CANT'SSIGNATURE: OMo. . .~ Am II- '2 e~OO Scope of work: G U5 .rut Y11:l..G (.. /1)/ () DO "fJ-ru. Address: t330 J. c.tl.wt.b>','p....... Contnu.:1or: J)C44- I I J-l~ nlll~MI~ll'rON IIUILDING DEI)All'l'MEN'l' ~ lllulubing/MecluUllcallllspection Ueport V Penult Nunlber: 00 - 0 ~ z Y- r: N '^ 0 ftt:;;~+U 'f 7'!,6'(..7. <g I ~- 7<e { 0 . GA..~ PilliNG U nd':.r (Cj[ (l o'p_~~?~IJ2.I!i.1..!.'~~c.'J) Prol~r_~i_1.i,~ suP'pon 12" 1II..i"il~I-,-,~~_~~~~I.~ Wile,! undccli'"_~'-.IJul C_~~_~~~I!wul'l'~_I_~I~c~ lIIulcrgrowul or wiahih 6" of carlh Grollllll-joinl IIl1ium prohibilc,l ill ccruinlocuiom nll~hillg~ lIot allo\W:,1 ill collccak,1 ;;are.., COMMENTS:____________________________ GAS PIPING AI>PROVED~~j 1..;3rQ ~~ 11URNACE ~!-~!.-'.1fa~1I rer' ~ .!l~ f1~~~'~..5'_'_'...:l..i Ie ~_liOl_I!...Ol.~!.0_llrp.~':.t Ckaranu: to roIllLu~libk~ -f-'y~,-,-iJ!.$= ckuallcc 10 colnbll~libb ---------- VelH shi_,..'Ji.... & s~l..Ppon/collneclions Velll tcrlllin;.alioll Combllslioll air Ch_~~~""':1: line~lItllor scp:ualc:J:1u~ .u rcquired ---------- Gas ~hut_off widaill 3' Pi_~.t ckvalCtI off Door ~"'Ji.auge -------- Ducts: Si1-C & support/insulated when fC(luirCtl Return air COMMENTS: FURNACE APPROVED: 11-- 3~" ~(t) MISC. AI)IIlIJANCES M~.._~..r!_'.:.l_~~':.r~_~eci Il,::-,..!..io"s ~~~~ Ie -- _I!!~_l..i~.~-'~ CCc.'J~'-ll'ror I Cbrallce lO COlllhUSliLks __~':.,-,-I..i_~lg: ~~_r~!Ic.c 10 colll~_usI_ihb -- V~~~izi"'.lg & s~.rr..<.'!.!!.~_-'.!~(;{i~!~______ Ven! ICrlllill::llioll -- --------..---- CoIIILu~lioll air C_hilllncy: li-'lCr amUoc scparalC nUt::i a, required G;u shul-on' widlill 3' Woo,,1 '_love & fire~laccs: prop" Lcarlh Wood :IIOVCll: EPA a"p~rovc:d G;\5 logs: "'.~cty ,11I1l-{)ff Wood SlOVCll & firc:pLaCC-ll: li~t filling Joon G;u shul-off wilhin 3' COMMENTS: MISC. APPLIANCES APPROVED:______________ WATER DEA1'ER tvf!llllf a~urc':.~:!...sl'.cci_fi C<l~~1lS ol_~!..e - LOulio....!....~~!~'_'.rr..orl Ckarallcc to colllhusliLks V(:I~....i~II:i: OOUIICC (0 CO/llhllSlibb VCllt sizi-'.!&.....~...!-'.'fl~tl col~JoeCti~~lS VCIIt lerlllin"tion -------- Combustion air C '..Ii mney: Ii lice audior ~_rate nllCll U l'C<(uireJ Gas ~hut-off withill 3' . })illlt c~atc...'.l~ff n~.:~or ill ga~gc Gale valve on co.~uer ,ur.r..l1.. Relief valve ,luitlCtllO ollt~i"e . --_._---~._._---- CoI'I~c to g:llvalliu4_co~u""-Cti()1II UI-,iOl~YII water },ipu Seismic atu.p COMMENTS: WATER HEATER APPROVED: ALL WOltK UNltEll 'nllS IIEIIItII'll AI-.-llOVEI) BUILDING 'ERMIT ~~ 315 AI V City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE .-':)Q s&J~ '1~ ?;2f 6 -,;{. -77 $ / ().> .- $ - - $ SITE ADDRESS I LOCATION /3 -ao No OWNER'S NAME 1<. G. SA-, R..D ADDRESS (]A M 13,'2/,q A.J PHONE CONTRACTOR SAMe STATE CONTRACTOR'S L1C. # ADDRESS D RESIDENCE D BUSINESS D NEW PLANNING I ZONING FIRE ZONE OA./ c; A/2AG 15 )2(.REPAIR PHONE D REMODEL D ADDITION STORIES OCCUPANCY THIS PERMIT ISSUED FOR: R6PLjJC6 R"",CFING ~tCJA..f A"J S'I 'rn:)tV ) ~ All provisions of laws and ordin~nces 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 D INSPECTION: Framing D Plumbing D Electrical D FINAL~ Wallboard D FOR INSPECTORS USE ONLY: REINSPECTION: ~PPROVED NOT TYPE OF INSPECTION DATE TIME APPROVED FINAL INSPECTION APPROVED BY COMMENT DATE TIME APPROVED ! Building Inspector OWNER'S SIGNATURE ISSUANCE OF OCCUPANCY CERTIFICATE ~EQUIRED BEFORE OCCUPYING BUILDING BY BUILDiNG DEPT. [) e .'( N? 38394 /:.P--- a . '--.'-'. . "'/0 <7 J) Fee $mmmmnmnmmnn.....nnnmmnnm..n..m.....nm ReceIpt No. ..m...n'.....m..,n.!:!.mnnmmnnmnnm.. BUILDING PERMIT CITY OF BREMERTON BUILDHI(G DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext.36 Owner's Value I Bldg. Dept. Value I DESCRIPTION: $ ,/ ()(.;) I I Lot Block "'1 Address on Job /~?c~.f?..>-J..,j~cI.1.1:-l.f.:'.<.-L~!..n_...__n...mm..._.___mn.m_n.._mnn Date m._.nn.!::-:-:.;2.__.mn_m 1~ Building hnnmnnm X mmhmmn and mnnmnnn stories hm.nm._mmmn basement. LOy.mmm.mn x 'mm"mm. Front Yard .mmnmnnnmm Rear Yard mmmn.m__n__'__ Side Yard _mm_nmn.mm_. Garage .m.nm_.._L.____mn g:~:,at1c~Sy:E:;:~~~=j~:::-:::-::::::::::::::--::-::::::-Add~~~;--:::::::::::::::::::::-~~~~b~~::::::::::::::: Contractor _ 00 00 _.00. _ __.. _.. _ _ _.._._ _.. _ _.. _. 00.. _ 00 __'."00 00__. 00_' __._ __. .. Address . _ _ _h 00'_ nh 00 h 00 h 00__' _h __ h n' 00 n. 00 Phone_ __ __00.0000._.. This permit is issued for: Additions ......... -......... - -.. '~t:?'; .~; ~-'-'~:7' ~:;;;~;. - ~.. ~~ -,~;..~............- - -......... -.. - -.......... - -......... - - -" - -.. - -...... - -" -. - -....... -................. --... ~ ~ ~ ~ ~: ~: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~~ ~ ~ l ~~ ~ ~ Z ~~ ~ ~~ ~ ~ ~ ~~ ?~ ~~:~ ~~ ~ ~ ~ ~ ~~ ~~ ~ ~ ~ ~ ~~ ~ ~ ~:~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~~. 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, wiring and heating. See City Engineer before working on streets or sidewalks. /"" ..................................................................... -.............. -.........."................................................... --.................... -....... --........................................................................... -........................................................................ --..............- f,'-, ..... - --- -- -- - -- - - -... --.. ~-- ...._.. ......-........ ..;.. - - -..; --.. -- _....-.... -.. -/.. -......- - :".... --..:;..- -:.;_.. ....7j...... -........ .............. - - ....- -.... -. ............ - - -.......... -......- --...... -- --.... -- -- -- --. ...-.. - ...............--.. --......-. Own er' s Signa tu'(;1I)n().!;!):-:{-!'" n~~ti1:; __. _I 00) ~v.v..tl!_. _ By 00 ___ noon __ n __. _._ _ _.n.m n' __ _h n' 00 _h_ ___ _ 00 _ m n._ __._ mn.m.. ! I J V J r v"' ... ,. ,,1'/> / His Authorized Agent . Building Inspector _. _. _. _ -:; ~-G. _ ~A_ ,-:~-:r.:-:-:<. m_ _. 00 00 n _. _ nh _ _. 00 _h nh_ ___ _... _ ___ _m ___ m ~ OF By ..nnn._n.nn..n.nn..15 f):./:lnn:n n nn n. .n. __... _. n.__ _ .._ _ __.. .._. __ __. v {j e -- N9 36433 (j@ ~ -~- . ,.s-1 cf d- Fee $mm__..___.nnn....n... __hooommoooooomooo...__ooo____ooo.. ReceIpt No, oooh.h.n.....h..___.__oooooomm__oooooo.______.__.. BUILDING PERMIT CITY OF BREMERTON BUILD'ING DEPARTMENT F. E. IRISH, Builcling Inspector . ESsex 3-1411, Ext. 36 ----- Owner's Value I Bldg. Dept.!) v Value I DESCRIPTION: I 7 ' 0 1.--- $. .,:"/1 1:" I Lot Block Additions Address on Job n_L~3n3.tl.niZ':l:~_-:1P:~~!~.._n._n_______..n...n___.___..... Date ___cf..~.O.._________n196:_"s.: -- . r' / Building n..hn.n___.. x _n______h..n. and ___m...___.___ stories ___..___._..._____.___.. basement. Lot ...,n___n.___. x .n.nn.___nn Front Yard n______n...____.______ Rear Yard ._____________.________. Side Yard .______.__m___________ GaF'e nn__.m__.___.______.__nn__ o /l. Z / O:~~a.1.t~~,~~~ ~;~/?:;;~;;;!.~~~~ ~~ ~~ ~~~~ ~~~~~~~ ~~~~ ~~~~~ ~~~~ ~~ 'Add ;~~~. .~~ ~ ~ ~~ ~~~~ ~~ ~~ ~~ ~~ ~~ ~.. ./~ ............................. 'Ph~~~~ ~~ ~~ ~~ ~~ ~~~~~~~ .. - / Con tractor .......n.. __..................... n... __ n........ .h. _. n n....... Add ress n....... .~_. __ n............ _.. _.. Phon e... n _..... n... This permit is issued for: /..-., . n0f~:v .....n 0000..00 .00..0000. n n. 00 .0000. 00.00.00 __...00_...". 00 00 h.......n...... _.......................00 n........... 00..00 00.00.00....... ..... ~ ~ ~ ~:::: ~ ~ ~ ~ ~ ~ ~ ~ ~: ~ ~ ~ ~ ~ ~ ~ ~ f ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~:: ~ ~::: ~::: ~:~ ~ ~:::~ ~: ~ ~: ~ ~ ~::: ~ ~::::~ ~::::~:: ~:~::::::::::::::: ~::: ~::::::::::::::: ~::::::: ~::: ~: ~:::~::: ~ ~ ~::: ~ ~ ~::: ~: ~::: ~: ~ ~:::: ~ ~ ~:, / 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 foun'dation 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_____________________________________~___________________~_____________________________________________________________________________________________________w____ ~ 71--- ~ ..~{/ Owner's Signature u~Jmm,m-!l,,,,,,,,,!C.u uuuuum'm'u~ ~ u~::om mQ'uu '~'H;;uA~;h;;i;;j'A~;;;u mmum, u u"...,. Building Inspector ..~~:;;zt.C.n.~*'?-:?......_._____.............__.............n._ ~ OF B ?!5'- Y .. h.. n._..n nn.u... u.. ...... n.__. __ h.U..... n n n.......... __...h. n..... n.. _.