HomeMy WebLinkAboutCAMBRIAN AVE. N., 1527
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B REM E R TON
B U I L DIN G
D E PAR T MEN T
PER M I T
-----~--------------------------~------------------------------------
--_.._------~---------------------------------------------------------
Application Date
Issue Date
Assessor Acct #
Si te I~ocation
Owner - Last Name
- street
- City
- Phone
Tenant's Name
Agent's Name
Architect's Name
[ ] Building
[X] Mechanical
[X] Plumbing
11/02/1994
11/02/1994
Application Number 94AP08203
Permit Number 15945
Project Group
1527 N CAMBRIAN
PERKINS
1527 N CAMBRIAN
BREMER'l'ON
(206)
First SANDRA
MI
,
\
State WA Zip 98310
Phone(206)
Phone(206)
[ ] Grading
[ ] Move Building
[ ] Mobile Home
[ ]
[ ]
[ ]
Sign
Burning
Land Clear
( ] Paving
[ J Underground
( ] Demolition
--------------------------------~-~---------------------------~~-----
Building Contractor:
.""",,-
Work will be com~leted by owner.
Nature of Work:
Gas furnace, piping, and water heater.
"
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----------------------------------~----------------------------------
Council District Census Tract
Construction Sq Feet Inspections
Type Required
Residence (X] Zoning Foundation [ ]
Business [ ] Type Framing [ ]
Other [ ] Insulation [ j
New [ ] Plumbing [X]
Repair. ( ] status Mechanical [X]
Remodel [ ] Code Wallboard [ ]
Addition [ ] Final [X]
--------~'-------~----------------------------------------------------
Rece~vedZB : Approved ~.-
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--~-~-------------------------------------------------------------
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B REM E R TON
B U I L DIN G
D E PAR T MEN T
M E C H A N I C A L
PER M I T
A P P LIe A T ION
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Application Number 94AP08203
Contractor
street
City
Phone
Representative
state License #:
City License #
BERGMANN HEATING & AIR COND
12028 S E 263RD ST
KENT
(206) 631-2660 state WA Zip 98031
BERGMHA086L2
Expiration Date 06/19/1995
Expiration Date
stoves
Fire Place Inserts
1 Furnaces
Conversion Burners
Unit Heater
Boilers
2 Gas System: Max 5 Outlets
Evaporation Coolers
Air Conditioning Units
Heat Pumps
Mixing or Re-Heat Box
Air Handling Units
Fans
Range Hoods
Clothes Dryers
Incinerators
Duct Alterations
Tanks
Refrigeration Units
Other Items
---------------------------------------------------------------~-----
----~---------------------------------~--------------------~---------
B REM E R TON
B U I L DIN G D E PAR T MEN T
P L U 11 BIN G
PER M I TAP P LIe A T ION
-----------------~-------------~--------------------------------------
----~----------------------------------------------------~-----------
Application Number 94AP08203
Contractor
street
City
Phone
Representative
state License :If
City License #:
BERGMANN HEATING & AIR COND
12028 S E 263RD ST
KENT
(206) 631-2660 state WA Zip 98031
BERGMHA086L2
Expiration Date 06/19/1995
Expiration Dat.e
Toilets
Bathtubs
Basins
Showers
Kitchen Sinks
Dishwashers
Laundry Trays
Clothes Washers
1 Water Heaters
Urinals
Drinking Fountains
Drains
Slop Sinks
Water Piping and Alterations
Interceptors
Hose Bibb
Lawn Sprinkler
Private Pools
Public Pools
Building Sewer
Gas Pipe
Roof Drain
Private Hot Tubs
Public Hot Tubs
Other Options
---------------------------------------~-----------_..-~----~---------
-------------------------------------------------------'-~------------
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B REM E R TON
RECEIPT # 087976
B U I L DIN G
* This Is Not A Permit *
D E PAR T MEN T
Nov 02, 1994
Mechanical
62-322.1005
Plumbing
62-322.1003
Permit Fees
$ 27.00
$ 12.00
other Fees
Zoning Fees
1" ,.
. t ."
Amount Paid
$ 27.00
$ 12.00
f >;' i
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$
39.00
----------~-----_._-----
-----~-----------------
39.00
$
Received From:
Bergmann Heating #6293
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Plan Check Fees Amount Paid
========::;:::=========
$ .00
62-345.8300
Gen Payment
other Fees
Ener.gy Charge
state siC
643-237.13
Total Fees $
Amount Paid $
Prior Payment $
Balan.ce Due
On 11/02/1994
F'or#94AP08203
$
.00
$
.00
---.--....----
---.----.--
39.00
39.00
.00
----.....----
.-....-------
$
.00
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"SIFEEC'1rNE"jBA1tS'r, ~S22?Z~ ~'J,'
i'~~;Mli1~i;~i~I[4i~~1i~~~i~~~1
. ,12028 S..E..263RDST"..... .......... ", .
'KENT" .... ". . .'. '. '. "I.IA98031
NOTICE OF PERMIT REGUlATIONS
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.
.:.:;::;.;::::::::::::;:::;:;:::::;:;:;::
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....................................................................................
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..................................,.......................................
..... ........ .............................
.. ......... ...............
NonCE - It is the responsibility of the permit holder, not the City of Bremerton or Building Official to see
to it that the required inspections are made. The permit holder must notify the Building Official when ready
for the 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 same to be true and correct. 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.
~
~U0-
Si ture
// - ~ -57Y'
Date
I certify that I am exempt from the requirements of the state contractor's registration law, under Sec. 3,
Chap. 126, laws of 1967.
Signature
Date
Permit Number
pcnuiLdoc
~
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APPLICANT: DOWNER c2rCONTRACfOR D OTHER:
COMMENTS:
t ::? {:,'''::>
SITE ADDRESS: / 5" ~ 7
OWNER: 5/9 NIJRA
}J CA1'J1B:e/AIY
P~/oN'fS
ADDRESS:
5/ -1 /V'! ;
CONTRACTOR: Bars /1/1(1-,...} /:I $/3 r/)(rCS-
ADDRESS: /dc/d-B s; &63 if'O
CONTRACTOR LICENSE # 8~ RG'.n JIA 086t.{). EXPIRATION DATE: G -1'1 ~ ? ')
OWNER PHONE # "3? 3, S 7L/G CONTRACTOR PHONE # &' 3/' a? ~ ()
Noj~gQJ:'JJ.Qt.J'~J?M~x ... ..........FEE;NO;}:mp~lt~~W& .......................,.FEEY
RANGE
WOOD/PELLET STOVE
N GAS FURNACE btus: I{}ci/oou
CONVERSION BURNER btus:
UNIT HEATER btu s:
BO ILER btu s:
GAS PIPING
EVAPORATION COOLERS btus:
AC UNIT btu s:
HEAT PUMP btus: tons:
REHEAT BOX btu s:
AIR HANDLING UNIT btus:
EXHAUST FANS
RANGE HOOD (residential)
RANGE HOOD (commercial)
CLOTHES DRYER
INCINERATOR
DUCT ALTERATION
TANKS ty/Je:
REFRIGERATION UNIT
OTHER:
MECHANICAL PERMIT FEE
$15.00
MECHANICAL FEES:
PLUMBING FEES:
TOTAL FEES:
APPLICANT'S SIGNATURE: ~~-
WATER CLOSET
BATHTUB
LAVATORY
SHOWER
KITCHEN SINK
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR SINK OR DRAIN
SLOP SINK
WATER PIPIING & ALTERATION
GREASE TRAP/INTERCEPTOR
HOSE BIBBS
LAWN SPRINKLER SYSTEM
SWIMMING POOL
BLDG. SEWER (mobile / moved house)
ROOF DRAINS
OTHER:
PLUMBING PERMIT FEE (15.00 or 4.50)
.
-,
DATE: //- tl-9.y'
. BREMERTON BIDLDING DEPARTMENT
. .
Plumbing/Mechanical Inspection Report
Pennit Number:
Owner: Sandra Perkins
Phone: 631-2660
15945
Scope of work: furnace/piping/wtr htr
Address: 1527 N Cambrian
Contractor: Bergman
GAS PIPING
Un.der ~U!~Lt.:?r 15 ,'!!!......ut.es) P~'!E.!.iung & su~.POf"t
12" minimum below gra!..le ~hcn und~.~ Coatcd1wrappctl whcn und~owl(1 or witJ:\i,-a 6" of earth
Ground-joint unions vrohibired in certain locariorn 8ush.in~s not allowed in conc.eaJed. area!J
COMMENTS:__
GAS PIPING APPROVED:
FURNACE
Manufa~~~_fjcations on site Location, a_~s, su~t
Clearance to combu!Jribles Vcnting: c.karance to combustibles
---
VCO( siunr; & supporu co.nnea.ions Vcnt terminalion
Combustion air Ch.}_mncy: li.1lt."C and/or sepante ~IK:S as required
Gas shut-off within 3' Pilot eleva(ed off floor in garage
D~gi~-sliA:-& siipiior-tIifiiulated-Wheir-ieqtiiiei{ - .. - " . '. _.. I
I I <<cturn air
---'"
,COMMENTS:
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FURNACE APPROVED:
OM
1~
MISC. APPLIANCES
Ma.,~~!~_~urer's Sl~l~~_~.:as on site LootiO~I, access, sl!Hort
Ckarance to combustibb Venting: c.karana: 10 combustibles
Vent si7.i'.lJL & supporuconneaions Vent termination
Combustion air Chimney: liner and/or 5e-Eate flues as required
Gas shut-off within 3' W ()O(llllove&. fireplaces: proper hordl
Wood lI(oves: EPA approved Gas l~afety lIhut-off
Wood stoves & fireplaces: u.s.ht fitting doors Gas SllU(-off within 3'
COMMENTS:
MISC. APPUANCES APPROVED:
WATER BEATER
Manufaaure~_ticatiorn on site Location, ac.oess, su~t
Clearance (0 combustibles Venting: clearance (0 combustibles
Vc::nt siung & supporuconnections Vent termination
Combustion air Chimney: liner and/or sepante flues as required
Gas shut-off within 3' Pilot elevated off floor in garage
Gate valve on cold water sUHly ~Iief valve drained (0 outside
Copper to galvanized conneaiorn Unions on water pipes
Seismic strap
COMMENTS:
Cc.Jt ~.
w1(L l+11l.
WATER HEATER APPROVED:
ALL WORK UNDER THIS PERMIT APPROVED:
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B REM E R TON
PER M I T
B U I L D1 N G
D E PAR T MEN T
----------------------------------------------------~----------------
-------------------------------------------~-------------------------
Application Date
Issue Date
'Assessor Acct #
Site Location
Owner - Last Name
- Street
- City
- Phone
Tenant's Name
Agent's Name
Architect's Name
[X] Building
[ ] Mechanical
[ ] Plumbing
Building Contractor:
Contractor
street
City
Phone
Representative
state License #
City License #
Nature of Work:
Siding and roofing
Building Valuation
06/24/1992
06/25/1992
3774-005-007-0000
1527 N. CAMBRIAN
PERKINS
1527 N. CAMBRIAN
BREMERTON
(206) 373-5746
[ ] Grading
[ l Move Building
[ ] Mobile Home
Application Number 92AP05336
Permit Number 13461
Project Group
First SANDY
MI
state WA Zip 98310
Phone(206)
Phone(206)
[ ] Sign
[ ] Burning
[ ] Land Clear
[ l Paving
[ l Underground
[ ] Demolition
BANKS NATIONAL
8613 14TH AVENUE S.
SEATTLE
(206) State WA Zip 98108
BANKSN*163PQ
Expiration Date 02/14/1993
Expiration Date
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$10980.00
Council District 6 Census Tract
Construction Sq Feet Inspections
Type Required
Residence [Xl Zoning Foundation [ ]
Business [ ] Type Framing I [ ]
I
.
Other [ ] InSulatio\l ]
New [ ] PI umbing . ]
Repair [X] Status Mechanical [ ]
Remodel [ ] Code Wallboard [ ]
Addition [ ] 5 Final [X]
Recei ved By: (;' Approved By:-
=== == ~!.~~l!] = ~4Z = =;; = = = = = = ====.. = = = = = 4 = = =L l-JA19=?-
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B REM E R TON
RECEIPT * 084720
B U I L DIN G
D E PAR T MEN T
* This Is Not A Permit *
.Jun 2.5 I 1992
Building
62-322.1001
Permit Fees
$ 121).00
Amount Paid
$ 126.00
Plan Check Fees Aroo1.lnt Paid
----~------------------
--~~-------------------
$ .00
62-345.8300
$
.00
other Fees
Zoning Fees
Gan Payment
Other Fees
Energy Charge
state SIC
643-237.13
Total Fees
Amoun,t Pa.id $
Prior Payment $
$
$
4.50
.00
$
4.50
---------.,.
-,....---.....--.--
$
130.50
130.50
.00
--,,""------
------~$--
Balance Due
$
.00
-----~---------------~-
._------------.-----~-~--
$ 126.00
$ 126.00
Received From:
Banks National '1101
On 06/25/1992
For. #92AP053.36
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INSPECTION RECORD CARD
CITY OF BREMERTON BUILDING DEP ARTIJENT
13461
PERMIT NUMBER
i
ADDRESS
OWNER
CONTRACTOR
1527 N. Cambrian
Sandv Perkins
Banks National
PHONE (206) 373-5746
PHONE
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_ .dI.
1 FOUNDATION
1. PERMIT ON SITE
2. CHECK PLANS TO PERMIT
3. CHECK SETBACKS
4. PROPERTY STAKES
5. FOOTING WIDTH & DEPTH
6. SOIL BEARING O.K.
7. CHECK FOR FILL
8. REQUIRED STEEL IN PLACE
9. CHECK FIREPLACE FOOTING
10. ANCOR BOLTS
11. FOUNDATION VENTS
12. CRAWL ACCESS
. COMMENTS:
FOUNDATION INSPECTION
APPROVED BY:
-"l/I!
...
- -~....~~
2A
FRAMING
20. FIREBLOCKING
STAIRS
DROP CEILINGS
TUBS OR SHOWERS
ROOF & CEILING LINES
FURRED OUT AREAS
FIREPLACE AT CEILINGS
HOLES PLUGGED TOP & BOTTOM
LID IN VOIDS
21. WINDOWS
MEETS ENERGY CODE CLASS
SAFETY GLAZING
REQUIRED FIRE EXITS
WINDOW SILL HEIGHT
22. CEILING HEIGHTS
23. SWAY BRACING
24. TRUSSES
PROPERLY INSTALLED
STAMPED
PROPERLY BRACED
25. ATTIC ACCESS
26. RAFTER & JOIST SPAN
27. ROOFING. FLASHING. SHEATHING
28. SIDING
1.WIRING APPROVED
2.FOUNDATION VENTS
3. SHIELD UNDER POSTS
4. POSITIVE CONNECTIONS
5. SOIL TO WOOD CLEARANCE
6. BEAM SUPPORT
7. TA. MAT. NEXT TO CONC.
8. WASHERS ON ANCHOR BOLTS
9. BEAMS PROPER SIZE
10. FLOOR JOIST SPAN
11. NOTCHING & DRILLING
12. STAIRS
WIDTH
RISE & RUN
WINDERS
LANDINGS
HEADROOM
13. ATTIC VENTILATION (upper & lower)
14. CHIMNEY STRAPS SECURED
15. FIREPLACE COMBUSTION AIR
16. FANS VENTED TO OUTSIDE
17. WATER CLOSET CLEARANCE
18. SMOKE DETECTOR
19. SHEETROCK BACKING
UNDER STAIRS
ABOVE GARAGE DOOR HANGERS
COMMENTS:
FRAMING INSPECTION
APPROVED BY:
1m.. -~:- ~
-.~
"'-
1..t:h-
.....
...--
2B INSULA liON
COMMENTS:
1. PROPER R~VALUE
2. VAPOR BARRIER
3. PROPER FASTENING
INSULATION INSPECTION
APPROVED BY:
MECHANICAL
1. PERMIT ISSUED
2. FURNACE LOCATION
3. FURNACE CLEARANCE
4. 'B' VENT SIZING
5. 'B' VENT CLEARANCE
6. 'B' VENT SUPPORT
7. COMBUSTION AIR
B. DUCT SIZING
9. DUCT SUPPORT & JOINTS
10.GAS PIPING TEST
11. GAS PIPE SIZING
12. GAS PIPE SUPPORT
COMMENTS:
M
p
HVAC APPROVED BY:
GAS PIPING APPROVED BY:
WDST
1. WOOD STOVE CLEARANCE
2. CHIMNEY CLEARANCE
3. HEARTH EXTENSION
4. CHIMNEY HEIGHT
WDST APPROVED BY:
- ~ - ,...................
......--
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PLUMBING
1. PERMIT ISSUED
2. UNDER TEST
3. WATER PIPE SIZING
4. DWV SIZING
5. PROPER SUPPORT
COMMENTS:
6. PROPER FITTINGS
7. REQUIRED CLEANOUTS
8. PROPER GRADE
9. HWT PRES. RELIEF VALVE & UNE
10. SEISMIC STRAP
UNDERGROUND APPROVED
BY:
3
ROUGH-IN APPROVED
BY:
v ... ....--..r.-V1'-
"-
....
WALLBOARD
6. RRE SEPARATION IN GARAGE
7. ATTIC ACCESS
8. DRAFT STOP IN ATTIC
9. PROPER CONST. OF FIRE WALLS
10. DROP CEILING & LIGHTING
1. LID OVER SIDES
2. NAILING
3. W/R AT TUB OR SHOWER
4.5/8 UNDER STAIRS
5. FURNACE ENCLOSURE
COMMENTS:
WALLBOARD APPROVED BY:
1. HANDRAILS
2. GUARDRAILS
HEIGHT
INTERMEDIATE
3. EXHAUST FANS
4. WATERPROOFING IN SHOWERS
5. DISI-M'ASHER AIRGAP
6. FIRE DOORS
LABLED AS REQUIRED
SELF CLOSING
7. FIRE DAMPERS INSTALLED
8. PENETRATIONS IN FIRE WALLS
FINAL PLMB. APPR. (comm.)
FINAL MEeH, APPR, (comm.)
FINAL BUILDING APPR.
4
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FINAL
9. HOTWATEA TANK PAL
. 10. OUTSIDE GRADE
11. SOIL TO SIDING CLEARANCE
12. SMOKE DETECTORS
13. FIREPLACE HEARTH
14. SAFETY GLAZING
15. INSULATION
WINDOWS MEET ENERGY CODE
UNDERFLOOR & ATTICE INSUL.
WATER PIPE & HEAT DUCTS
16. WOODSTOVE APPROVED
17. WINDOWS & DOORS CAULKED
COMMENTS:
fNQ
BU-ILDING "ERMIT
2697
AI
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
SITE ADDRESS I LOCATION
OWNER'S NAME ~o/ )
CONTRACTOR _ ~4i1ElL
ADDRESS
fl{. RESIDENCE 0 BUSINESS
PLANNING I ZONING
o OTHER 0 NEW
FIRE ZONE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
S/yS"/
DATE
~5dSo
5'--:;--6>0
PHONE
STATE CONTRACTOR'S L1C. #
PHONE
o REPAIR ~ REMODEL
STORIES
o ADDITION 0 DEMOLISH
OCCUPANCY
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THIS PERMIT ISSUED FOR:
nF-
-~
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~ Plumbing ~ Electrical ~ Wallboard ~ FINAL~
FOR INSPECTORS USE ONLY:
REINSPECTlON:
NOT
TYPE OF INSPECTION DATE TIME APPROVED' APPROVED
FINAL INSPECTION APPROVED BY
COMMENT DATE TIME APPROVED
,
Building Inspector
OWNER'S SIGNATURE
ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING
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BUILDING DEPT.
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Fee $____________._._...__tff...~___~___.....__n..__._______.._______._ Receipt No. ___.______~/.~.:f!.7_._______._______._h_____.
BUILDING PERMIT
CITY OF BREMERTON BUILDING DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36
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Owner's Value I Bldg. Dept.
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Value I DESCRIPTION:
I Lot Block
Additions
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Address on Job j~~i!_.2____.<;(2A__.__.__.("!,&~o:'.~d~t~~_~~LL___.________.___._________._.. ._____ Date ._cL-::_ b.._:::_-L_!-I._ -----------------.
Building _m.m.m_._. x .n.nn..mm and _n.__nm___n stories .m..n_m_.._.m_m basement. Lot __n..nn___m x _.n__.__m._..
Front Yard .______m.m._m_..n Rear Yard m..._.n____n.m.m Side Yard __n..__..__..n___m__ Garage __n.m..nn___n_.___mm
OCCUPAN.CjY PERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone ___n_..____n.__..________n______._.m_
Owner _~-:..__.4(~3::4:._-_...____n_._nn__m___._________.__. Address .__.00..._ __._______._______.___.~_____._n. Phone .__._____ --.____.
Contractor __._.__...__.___._ __.___..._..00.._ ___ '___"__"00_00__00__ __ ___. ___. Address ....__...__.00_.__..__00.___._00..__....._.. Phone ...__...__ --.....
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.
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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
befo:re covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa-
rate permits required for plumbing, wiring a:nd heating. See City Engineer before working on streets or sidewalks.
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Building Inspec;; :::::::: ::~:::::::_:::_::::___::__:::::::_____::__:::
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Fee $n./n....n......nhhnn...mn.n.hnnmm...mh.n........ Receipt No" ...,:<.{.~....c::::.../n..Lnnnn.......h...n.
BUILDING PERM IT
CITY OF BREMERTON BUILDING DEPARTMENT
F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36
Owner's Value I B~.~g. Dept. Value I DESCRIPTION:
$ /@/7)0
'. -, v Lot Block Additions
Address on Job ./~f~(3.?../~~_. ..~:~_0-::.~?L:~{~?~~::::?::~~~..._... ..... """""'.....u... Date .../.~/ .=uluZ:...:'....2.I....
Building "umm'.'m x __mmhum_ and uhum.mm stories umu.u___m.m.m basement, Lot m_m.u____u x .m.um.mu
Front Yard .ummu_u__._...m Rear Yard ..m.mm.muu__u Side Yard ..u.u..u.u__.m.u. Garage .um..u_.__u.umu_mu
g~::r:;:~~ ,: ;:.:~~~~:~/:::~ :.;~ ;:~~:: z;:~;:;: ~~~~~(:::::::: ::::::::::. Ad d.;~.~~u.:............:.... ::'. ....:....::. ~~~~.::::::::::::: .Ph~.~~u. :'_ '.: :'. :::'.: ........:
Contractor _.u__':.._u__u__. __u um'u umu m u u uu u m.m_.u mu u Address _.u u mu_. _u_m. mu.._. u.uu um.. Phone u m ___'_. u.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 inspeded
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 wOlod against masonry. Ventilate fo'undation and attic. Sepa-
rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks.
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_____.______.__________________N___________M_____M_______________________________________M___________._________________M________________________________________________________
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Owner's Signa ture. ?/~::1:_:,_<;~P-~~:'/ ~ _ C"~'_::: _ _. -;,,:( :;:tf;~~~:~~4~ __ __. __. _ _. _ _..... _. h __ h _. _ _.. _ u m _ _. __. __ _ _ _. U. h __ _.. _ _ m ___. __ m ___
.9 '. His Authorized Agent
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