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CAMBRIAN AVE. S., 316
BREMERTON PERMXT CENTER 286 4th StrsGtr Bremerton~ WA 98337 Phona: (360) 478-5275 FAX:: (360) 478-5278 BUILDING PERMIT Job Addr: 316 S CAMBRIAN AVE Location: Parcel No: 3732015-006-0001 App 1 i cim'l;: CITY OF 131~EMERTON 2::19 ,... 4TH STREE"I" BREMEJHON WA 98~i~17 Permit No: 98-0608 Status: ISSUED Applied: 10/16/1998 Issued: 10/16/1998 Expires: 04/\4/1999 Owner: STATE OF WASHINGTON DOT Contractor: SELF Lie :It: SELF Exp: Desc: DEMOLITION OF HOUSES IN GORST CONNECTOR AREA ***~***********************************************~***************************************** Valuation * Permit Fees: 22.11 Total Calculated Fee: 26.61 .00 * Plan Check Fees: Additional Fees: .00 * Other Fees: 4.50 Total Permit Fee: 26.61 ********************************************************************************************* 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 responsibility of the permit holder, not the City of Bremer'ton 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 respons.ibility 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. T~s-gr~ng.of a permit do s ot presume to give authority to violate or cancel the provisions of :~:n:::::,:~:~~~~::~::_::::::::~~::_::_~::_per::::::::_:~_~,;~~;:~_________ I certify that I am exempt from the requirements of the state contractor's registration law, under .. Section 3, Chapter 126, laws of 1967. ;~9:;~~:;;;.;.;;j".;;..;i";'-;.;.;------~---------------- Oat e' ---------;,=;5-------------- Per ffl i t Cent !;!r -'-Appr Clved By = ..""",::::zJ.i::...~,,,..,,-.,"~"" Oat e : .,"."..L9.,""/.,,L,~".LJ..,,' " 'j BREMERTON PERMYu,CENTER 286 4th Street ~ 8rama'f' ton 0 UA 9833.7 Phone It (360) 478....5275 FAX It (360) 478.....5278 :Jc)b Addn!.H'~!:~:: :~H 6 S CAMEHH AN AVI:::: LI::lf.::liA't; j, (In r, Assr Acct Nag 3732015-006-0001 Building Permit Nag 98-0608 St; Ii! t U((f :: ISSUED Issued: 10/16/1998 Expires: 04/14/199~ H E I;J l.J ): I:~ I:::: [) INSPECTIONS Item: 02700 FINAL--BLDG Dt::lpt:: BI....DG D j. v :1. f.~ :1. on : ********************************************************************************* TESTING: Must be recognized by the Washington Association of Building Officials '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 PUBWnl:~I\S= ctty of BY'eml:~y.ton Uttli.t:l.t~€~ Dl:':~paY'tm(::~nt 47B"'.5~31B FIRE= City of Bremerton Fire Marshalvs Office 478-5380 ENG= City of Bremerton Eng:l.neering Department 478-5270 HEALTH: 8remerton/KitsBP Health Department 478-5235 ST OF WA= State of WA Dept. of Labor & Industries 478-4921 ********************************************************************************* pey'm:l t Ho I delY' ~ €S S:l.gnature=_________________________________________ Datf:l: 'y.,,~ (" "".... ......, .\~ .",' . ~~~=~:~==~==~=~=====~=~m~lMlli~=::U~~======~:=~:~:=====~~=~m==~==~ru~:~==~=~~::~~~m=ll~=~~=~=====l=mn BREMERTON PERMIT CENTER PERMIT CONDITIONS Permit No~ 98-0608 PiiH~le u j, ::i:: :;:;: ::;;! :;;:: ::g: ;;:.;; :;::~ ::::: :g:; :m: :~~~ :~: ;;~:J ::.::; ::;; :;::: ::::: ::t.~ ~::; :::~ ~:: ::::: f,:~ :~g :~:: ::~: :::~: I:::: ~::; :;:: :~~: :~~.; ~:~ :~::.:~t:: :::~ :'~!: :~~ ;::~ ::-::; ::::: :::~ :~.:.: ::::; ::~: ::::: ::~: ::::: ::".:: :::;: m:: ::::: ::~: ::::: ::::: ::::: :;~:; ::::: ::::; ::;:: :~:: ::::: ~.: ::~~ ~:: :::~ :::: :~:: ~::: ::::: ::::: ::::: ::::: ::::: ::::: ::::: ::::: :~:: Job Address: 316 S CAMBRIAN AVE A~.r Acct No~ 3732015-006-0001 Location~ Applied: 10/16/1998 Approved~ 10/16/1998 Issued: 10/16/1998 App11cant~ CITY OF 8REMERTON Owner: STATE OF WASHINGTON DOT Contractor~ SELF Descript10nu DEMOLITION OF HOUSES IN GORST CONNECTOR AREA Conditionsll 1. ONCE DEMOLITION WORK HAS BEGUN>> IT MUST BE COMPLETED AND READY FOR INSPECTION WITHIN 60 DAYS. 2. ALL PORTIONS OF THE FOUNDATION SHALL BE REMOVED AND DISPOSED OF AT AN APPROVED LEGAL DUMP SITE AND THE SITE GRADED TO MATCH EXISTING CONTOURS. FILL IN EXCESS OF 49 CUBIC YARDS REQUIRES SEPARATE GRADING PERMIT. S. CONTACT PUGET SOUND AIR POLLUTION CONTROL AGENCY AT 1-800-552-3565 FOR ASBESTOS REMOVAL INFORMATION. ASBESTOS MUST BE REMOVED BEFORE DEMOLITION COMMENCES. Per m:1. t 1'''ICll d(f.~r u E(~ S :1. !;HH:l t U'l" sO'"...." ,... ""......".., ",..""..,,,...., "''' "",,,,, ..".."..."" .","'" '''' ...""...",....".""".....". ,,,.. "".........,,..... ...., .." "", .."..... ."" ",.. ""' .."..."...... ..,,,,.,,........... Da t t7:l.... "." ..." ,.... ".. ...., "....".. ,;", ,..............,,'" ,.."..,.. 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 .l15 8. i(vl..off V () \0 217 S. Wycoff 219 S. Wycoff 221 S. Wycoff 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 319 S. Cambrian 329 S. Cambrian Public Works FROM (EXPENDITURE DEPARTMENT) SUB- TOTAL TOTAL p-q I - ~ ~ -$929.76 AMOUNT FUND!DEPl BASUB EL OB IT PROJ.# AMOUNT - ~ "'-'ry'~~. 1(" I 60 .5'0 $-135.0(}- 11 ^ /J II,)J, ~ '4 ~~ REVENUe--~PAItfMEtI SUPERVIS~H (Sign Here) ) r"-.~ f' \ \ I (Sign Her~ ....,.... I J\. s:;, '" ^ EX~ RE DEPAR\rMEN\ SUPERVISOR ,.BUILDING PERMIT I Uf/~~1 .. ~ City of Bremerton, Washington 98310 Phone: (206) 478-5281 Assessor's Tax Account No.: Site Address: 316 S. Cambrian Owner's Name: Mrs. Tennison Phone No.: 479-3123 Address: 316 S. Cambrian Applicant: DOwner o Architect o Contractor o Tenant Address: Representative: Phone: Architect Firm: Contractor: Pat's Burner Service Representative: Pat Phone: 373-4341 8-27-~~ Exp. Date: Address: Contractor's License No.: ?A-T,s 85 (/1-(;V.s Residence o Business o Other: 0 New o Repair o Remodel/Addn 0 Demolish o Duplex o Multi-Family (No. units o Sign 0 Parking Lot o Grading (cu. yds ) o Bldg. Move Nature of Work Proposed: Ins tall 75,000 BTU furnace,hoy water tank,and gas system Sq. Ft.: Utilities: o Water o Waste o Sewer o Septic o New o Existing o Storm Valuation of Materials/Labor: [UBC Sec. 304(b)) Plan Review Fee: Permit Fee: Surcharges: $ $ 3'-/. 50 Receipt No.: Date: State $1.50 0 Energy $10/$15 0 Date: Zone Designation: Minimum Req. Setbacks: Front: Occupancy Classification (UBC): No. Stories: Side: Rear: Height: Heat Source: Comments/Conditions of Approval: INSPEQ"IONS REQUIRED: Foundation 0 Framing 0 Plumbing 0 Mechanical Wallboard 0 FINAL 0 OWNER OR BUILDERSHALL CALL 478-5281 FOR ALL REQUIRED INSPEQ"IONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING AND MECHANICAL. All prOVISions, of taws and Ordinances governing [his lype of work will be COInQlied wnn whether specified heretn or not. The granting at a permll does na presume to grY8 authOrity IQ Violate or cancel me proviSions 01 any other stale or lOCal law regulating construcltOn r the penormance of construction. SeE AND READ NOTICE ON REVERSE. t a ~ ~)/ Signature Date ;Y~- Stat. Code I Copies to: White-owner: Yellow-file: Pink-Assessor: Goldenrod-Building PERMIT APPLICA TIO CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478-5281 ~ '~I t; gc:;/ SIT€~~e::S . ~._ . ~ --- ~ ,1;..-_ ASSES~SOR' ~C~ ~~z;rz.,-y~~J i',,-' l"-- ~ ~ ow~ ~ A MAIL ADDRESS _ , CONTRACTOR MAIL ADDRESS PHON Class of work: D NEW D ADDITION D ALTERATION D MECHANICAL COMMENTS No. lYpe of Equipment STOVES Gas_ Oil_ Wood_ FIREPLACE INSERT /I.~. -?7C7C70 l!317u FURNACE Gas (Nat..E LPG._) Oil_ Wood add on_ Other_ Electric_ BTU Type: Up f1ow_ Down f1ow_ Horizontal_ Wall_ CONVERSION BURNER: Gas_ (Nat._ LP _) Under 100,000_ Over 100,000_ Oil_ UNIT HEATER BTU_ Gas_ Elec._ BOILER Gas_ Oil_ Electric_ Other_ HP_ GAS SYSTEM Max. 5 outlet Total~ EVAPORATION COOLERS Roof_ Wall_ BTU_ AC UNIT Electric_ Gas Elec. Combo_ BTU_ HEAT PUMP Single Package_ SpliL- Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CMF _ BTU_ FANS ExhausL- Supply_ Bath_ RANGE HOOD Residential_ Comm._ ROOF DRAINS CLOTHES DRYER Res._ Comm._ INCINERATOR ALTERATION TO DUCT SYSTEM Heating/Coolin9- ExhausL- TANKS Oil_ Gas_ Propane wlOK from Fire Dept._ Gallons REFRIGERATION UNIT Fee q.oo 3.'<)0 PERMIT $ /7).0 6 TOTAL FEE $ 3~, 0-0 FINAL APPROVAL Cf79" 3/23 PHONE LICENSE NO. D PLUMBING No. lYpe of Fixture or Item Fee WATER CLOSET (IOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISPOSAL DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER ~ tf(}c9?? jl) 'tv URINAL DRINKING FOUNTAIN FLOOR - SINK OR DRAIN SLOP SINK WATER PIPING & TREATING EQUIP. WASTE INTERCEPTER (Grease) VACUUM BREAKERS & BLACKFLOW DEVICE LAWN SPRINKLER SYSTEM SWIMMING POOL - Private_ Public_ GROUNDWORK SUMP ALTERATION KIDNEY MACHINE /, f)b PERMIT $ TOTAL $ NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Ncrr COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR WORK IS SUS- PENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM PLED WITH WHETHER SPECIFIED HEREIN OR Ncrr. THE GRANTING OF A PERMIT DOES Ncrr PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY crrHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) RECEIPT NO. (While-ORIGINAL. Yellow-INSPECTOR, Pink-APPLICANT) PERMIT INSPECTION RECORD CARD CITY OF BREMERTON BUILDING DEPARTMENT _ 9131 PERMIT NUMBER ADDRESS OWNER CONTRACTOR 316 S. Cambrian Pat's Burner Service PHONE PHONE 479-3123 373-4341 Mrs. Tennison 1 FOUNDA liON 1. PERMIT ON SITE 2. CHECK PLANS TO PERMIT 3. CHECK SETBACKS 4. PROPERTY STAKES 5. FOOTING WIDTH 8.. 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: 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. A trlC 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. TR. 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: .- 2B INSULA liON COMMENTS: 1. PROPER R"VALUE 2. VAPOR BARRIER 3. PROPER FASTENING INSULATION INSPECTION APPROVED BY: I ~ M MECHANICAL 1. PERMIT ISSUED 2. FURNACE LOCATION 3. FURNACE CLEARANCE 4. 181 VENT SIZING 5.181 VENT CLEARANCE 6. '81 VENT SUPPORT 7. COM8USTION AIR 8. DUCT SIZING 9. DUCT SUPPORT & JOINTS 10.GAS PIPING TEST 11. GAS PIPE SIZING 12. GAS PIPE SUPPORT COMMENTS: HVAC APPROVED BY: SS t'ol2-//[iP,.. GAS PIPING APPROVED~By~':32:"'iz>/z.(/d WDST 1. WOOD STOVE CLEARANCE 2. CHIMNEY CLEARANCE 3. HEARTH EXTENSION 4. CHIMNEY HEIGHT WDSTAPPROV~ ~~ _#..... ~~ ~. ~~ . ~ ,/ /6/2-yr;t!.r' p PLUMBING 1. PERMIT ISSUED 2. UNDER TEST 3. WATER PIPE SIZING 4. DWV SIZING 5. PROPER SUPPORT COMMENTS: UNDERGROUND APPROVED BY: 6. PROPER RTTINGS 7. REQUIRED CLEANOUTS 8. PROPER GRADE 9. HWT PRES. RELIEF VALVE & LINE 10. SEISMIC STRAP ROUGH-IN APPROVED BY: 3 WALLBOARD 1. LID OVER SIDES 2. NAILING 3. W/R AT TU8 OR SHOWER 4.5/8 UNDER STAIRS 5. FURNACE ENCLOSURE COMMENTS: WALLBOARD APPROVED BY: 6. FIRE SEPARATION IN GARAGE 7. A TIIC ACCESS 8. DRAFT STOP IN A TIIC 9. PROPER CaNST. OF FIRE WALLS 10. DROP CEILING & LIGHTING .... 4 FINAL 1. HANDRAILS 2. GUARDRAILS HEIGHT INTERMEDIATE 3. EXHAUST FANS 4. WATERPROOFING IN SHOWERS 5. DISH\AlASHER AIRGAP 6. FIRE DOORS LA8LED AS REQUIRED SELF CLOSING 7. FIRE DAMPERS INSTALLED 8. PENETRATIONS IN FIRE WALLS 9. HOT WATER 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 & ATIICE INSUL. WATER PIPE & HEAT DUCTS 16. WOODSTOVE APPROVED 17. WINDOWS & DOORS CAULKED FINAL PLMB, APPR. (comm.) COMMENTS: FINAL MECH, APPR. ~QmmJ.) tft:- I z" 7-8$ 5 €- FINAL BUILDING APPR. ..... , \ .-0. INSPECTION REARD CARD CITY OF BREMERTON BUILDING DEPARTMENT ADDRESS & DIRECTIONS 316 S. CAMBRIAN e 7288 PERMIT NUMBER OWNER WAYNE CLYMO CONTRACTOR COMMENTS: 1 FOUNDATION CORR O.K. 1. PERMIT ON SITE -- 2. CHECK PLANS TO PERMIT -- 3. CHECK SETBACKS -- 4. PROPERTY STAKES -- 5. FOOTING SIZE CORRECT -- 6. WALL SIZE CORRECT -- 7. CHECK FOR FILL -- 8. REQUIRED STEEL IN PLACE -- 9. CHECK FIREPLACE FOOTING -- 10. ANCHOR BOLTS -- 11. FOUNDATION PLATE -- 12. FOUNDATION VENTS -- 13. CRAWL SPACE ACCESS -- FOUNDATION INSPECTION APPROVED BY: PHONE PHONE 479-5637 2 FRAMING COMMENTS: CORR O.K. 1. WIRING APPROVED -- 2. FOUNDATION VENTS -- 3. SHIELD UNDER POSTS -- 4. POSITIVE CONNECTIONS -- 5. SOIL TO WOOD CLEARANCE -- 6. POST CLEARANCE - 2" -- 7. BEAM SUPPORT -- 8. TR. MAT. NEXT TO CONC. -- 9. WASHERS ON ANCHOR BOLTS -- 10. BEAMS PROPER SIZE -- 11. FLOOR JOISTS ?PAN -- 12. NOTCHING & DRILLING -- A-FLOOR JOISTS -- B-STUDS -- 13. STAIRS -- A-WIDTH -- B-RISE & RUN -- C-WINDERS -- D-LANDINGS -- E-HEADROOM -- 14. ATTIC VENTILATION -- 15. CHIMNEY STRAPS SECURED -- 16. FIREPLACE COMBUSTION AIR -- 17. FANS VENTED OUTSIDE --- 18. A-BATHROOMS -- B-LAUNDRY ROOMS -- C-KITCHEN -- 18. WATER CLOSET CLEARANCE -- 19. SMOKE DETECTOR -- FRAMING INSPECTION APPROVED BY: CORR O. K. 20. FIREBLOCKING _ _ A-STAIRS _ _ B-DROP CEILINGS _ _ C-TUBS OR SHOWERS _ _ D-ROOF & CEILING LINES _ _ E-FURRED OUT AREAS _ _ F-FIREPLACE AT CEILING _ _ G-ELECTRICAL HOLES PLUGGED_ _ H-PLUMBING HOLES PLUGGED__ I-LID IN VOIDS 21. WINDOWS A-SAFETY GLAZING B-VENTILATION C-REQUIRED FIRE EXITS D-WINDOW SILL HEIGHT 22. CEILING HEIGHTS A-BASEMENT B-MAIN FLOOR C-UPPER FLOOR 23. SWAY BRACING 24. TRUSSES A-PROPERLY INSTALLED B-STAMPED 25. ATTIC ACCESS 26. CEILING JOIST SPANS .27. RAFTER SPANS 28. ROOF SHEATHING 29. ROOFING APPLICATION 30. SIDING 31. CLOTHES CHUTE 32. SHEETROCK BACKING A-UNDER STAIRS B-ABOVE GARAGE DOOR HANGERS e -- M MECHANICAL CORR O.K. CORR O.K. 1. FURNACE SIZING -- 1. WOOD STOVE CLEARANCE -- 2. FURNACE LOCATION -- 2. CHIMNEY CLEARANCE -- 3. FURNACE CLEARANCE -- 3. HEARTH EXTENSION -- 4. 'B' VENT SIZING -- 4. CHIMNEY HEIGHT -- 5. 'B' VENT CLEARANCE -- 6. 'B' VENT SUPPORT -- 7. COMBUSTION AIR -- 8. DUCT SIZING -- FURNACE APPROVED BY: 9. DUCT CLEARANCE -- HEAT PUMP APPROVED BY: 10. DUCT SUPPORT -- 11. DUCT JOINTS -- GAS PIPING APPROVED BY: 12. GAS PIPING TEST -- WOOD STOVE APPROVED BY: 13. GAS PIPING SIZING -- 14. GAS PIPING SUPPORT -- OTHER: 15. OTHER -- P PLUMBING CORR O.K. 1. UNDER TEST -- 2. GATE VALVE -- 3. WATER PIPE SIZING -- 4. DRAIN PIPE SIZING -- 5. VENT PIPE SIZING -- 6. PROPER SUPPORT -- 7. PROPER FITTINGS -- UNDERGROUND APPROVED BY: 8. VENTING -- 9. CLEANOUTS -- ROUGH-IN APPROVED BY: 10. PROPER GRADE -- 11. HOT WATER TANK P. R. VALVE -- 12. OTHER -- 3 WALLBOARD CORR O.K. COMMENTS: 1. LID OVER SIDES _ _ 2. NAILING _ _ 3. W/R AT TUB OR SHOWER _ _ 4. 5/8 UNDER STAIRS _ _ 5. FURNACE ENCLOSURE _ _ 6. FIRE SEPARATION GARAGE _ _ 7. ATTIC ACCESS _ _ 8. DROP CEILING & LIGHTING _ _ 9. BACKING AS NOTED ON FRAMING_ _ WALLBOARD INSPECTION APPROVED BY: 4 FINAL CORR O.K. CORR O.K. 1. HANDRAILS -- 9. OUTSIDE GARAGE -- 2. GUARDRAILS -- 10. CLOTHES CHUTE -- A-HEIGHT -- 11. SEWER/HEALTH DEPT. -- B-INTERMEDIATE -- 12. COMMERCIAL BUILDING -- 3. EXHAUST FANS -- A-MECHANICAL APPROVED -- A-KITCHEN VENTING -- B-PLUMBING APPROVED -- B-BATHROOMS -- 13. SMOKE DETECTORS -- C-LAUNDRYROOMS -- 14. FIREPLACE HEARTH -- D-DRYER -- 15. SAFETY GLAZING! 4. TILE AT TUB OR SHOWER -- DOUBLE GLAZED -- 5. DISHWASHER 16. INSULATION CERTIFICATE -- PROPERLY INSTALLED -- 17. FREE-STANDING 6. FIRE DOORS -- FIREPLACE APPROVED -- A-SELF-CLOSING -- 18. WINDOWS & DOORS CAULKED -- B-SWEEP OR THRESHOLD -- WEATHER-STRIPPED -- 7. ATTIC ACCESS -- " 8. HOT WATER TANK -- FINAL INSPECTION APPROVED ~ : BY: . - NOTES: ::if~d (Iltj PLANNING: BUILDING ~ERMIT II City of Bremerton, Washington Phone: (206) 478.;5281 ' ASSESSOR'S ACCOUNT NO, 3732-015-007-0000 SITE ADDRESS/LOCATION 316 S. Cambrian PHONE II: UI z :I o OWNER'S NAME Wayne Clymo CONTRACTOR Self ADDRESS ISSUANCE OF OCCUPA ,C CERTIFIC~~f REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE ~ ~ ~ ~ BY OWNER'S ADDRESS 1140 ~ bwer Marine PHONE 479-5637 STATE CONTRACTOR'S L1C. # Authorized Agent r \Z1' BUSINESS ri REPAIR '" o RESIDENCE o OTHER o NEW o REMODEL o ADDITION o DEMOLISH o SIGNS PLANNING/ZONING # STORIES OCCUPANCY THIS PERMIT ISSUED FOR: Installation of sliding glass door and repair of existing deck and door in accessory building 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 &1 Plumbing 0 Electrical 0 Wallboard 0 FINAL ri OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK, SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL COMMENTS: BUILDING OFFICIAL: VALUATION PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ 500.00 $ 0 $ 15.00 L7~ 5/22/86 BUILDING INSPECTION DIVISION - Bremerton, WA 98310 \.. . ..J >- ... - U Permit No. I 7288 COPIES TO: WHITE - BUILDING, YELLOW - ASSESSOR, PINK - OWNER BUILDING ~RMIT APPLI~TION City of Bremerton, Washington Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO.-~ 73 -0/,<<:' SITE ADDRESS/LOCATION OWNER'S NAME /f!1l(/,A./C Ie- S. CL V/?1t:J CONTRACTOR ADDRESS STATE CONTRACTOR'S L1C. # PHONE {C "79-$&737 ffi z i: PHONE 0 REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE BY Authorized Agent D RESIDENCE D OTHER D NEW D REPAIR D REMODEL D ADDITION / 4 STORIES OCCUPANCY D DEMOLISH D SIGNS THIS PERMIT ISSUED FOR: 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. OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. COMM,ENTS: 11.~ ... "" \ ) ~(' hr>. - \ - > ... - CJ BUILDING OFFICIAL: ~ VALUATION $ ~---~ PLAN CHECK FEE $ .~ RECEIPT NO. PERMIT FEE $ !S-~. RECEIPT NO. _I. DAT~~ ~~/~ BUilDING INSPECTION DIVISION - 817 PAC I FIe, Bremerton, WA 98310 I w ~. II S/~ ;'. . ' '... ,.:..' .. ~ . .~t...,. . //t+I.5>I"/~f),JV " -/7.1"" ,,/ II' ,"" -,vU yr, , Kfllt- . ')N/J fJo i'{?/J I #-. t~ fj~" f1/1{./8 ?~/t ~/N {,:: . ~as /1/.,1-1. "b'fJJ'ryP- '. ;',.IJ . ~ i~/~/} ~....,. :, : .... . ,,~, : .1.! . '~," .\ 'i.~ ,. I~~' . .' . ~( ,\" ,to ;, ...' J~ ". ~' , " _,I" I. ~' ;., . \ ~ I . ,_.1-, I' .' '.. ~'7tl~C/e::-,. ~. ,FE/yCe' -' - . . ,~; '. -,.':1 . , . r. ,,/ ;:i. , ;\ ,;.: t;: ~ ". ' ',,',' . '." ~ ":' " e . v///. Ng 46425 00 . /d -- . -:?9207 Fee $...................................................m......m........ ReceIpt No. .... .....,..'.,.,......'.....m.....h.,m................. BUILDING PERMIT CITY OF BREMERTON BUILDING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 Owner's Valueo i Bldg. Dept. Value I DESCRIPTION: $ q 71) ~ I Lot Block .d: ~ t' Address on Job --..m.h....':'z-tl.~.._________.....'..h...~...'t:~_.,'~.L..m___....h_h...m Date ___m_/.~'-::_~-:'...Z~..__...m Building ___..m__h_m X m.....moo__. and _oo.__hm_m_ stories .h_m__h.m_...._... basement. Lot m._m_...m_ x _....m_m__.. Front Yard __....__h_.h_.m..... Rear Yard __.._____._.__m_ooh__ Side Yard _m_m__.._______.____ Garage h_..h._m.._.____hhh..._ OCCUPANCY PERMIT REQUIRED BEFORE OCCUPYING BUilDING Zone hh_____________.____h___.mhm.__... '-tJ _ Owner ___d-':.1'.."'?:!_M_m_~2_~_::'7.'?_~~=:_._.._.__._...m.. Address h__h_._h__h______._.....__..__.._..___._ Phone _..._h_...._.___ Contract;r .._~_~-k!~_~.t6:-l..._...&2.~~..__.__.. Address _.__.h__...____..h__.n._..._.._.____n_.. Phone __._nn__.______ This permit is' issued for: -';~ . - - -... - - - -. -. _.. - - -. - - -. -. - - - - -... -... -.... -.. --... - - _. - - _. - - -. - _. - -.......- (; - - -. - - - - - -. - - - -. -... - -. - - -. - -..... -...... - -.. - -.... _.... - -... - - -. - - -.. - - - -.. - - -. -. - -. - - - - - - - --. -. Additions - - ~ - -- - - - - - -~ - -.- - - -- - - - - -.. - - - - -- - --- -- --- ---.... -- -- -- - -- - -.... --...- -.. --- ---.. ---.. - ---- .-- -... .... -- -- - - -- - __ - ___.... __........ __ __.. - __ _.. - _.. - __ - - _.. _.. _.... - __.. - a_" _ __ __ .___________ _______ ___...... ........ --.. -_............ --.... --.. --.. -.. --.. --- -- -_.... --.... -- -- ---.. ...-....- --........ ..-_.. --- ---.... --.... ---- -....-.. - - - - --. - - - -..- - - - - - - -- - - -. --.. - - --. - -- - - -- - - - - - - - - - - - - -- -- - - -- - - --- - - -- - -.. - --- - - --- -... --- 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 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. . -- -- -.. -- - - - -.. - - - - - -- - - -- - ....- - - --- --- - - -- - - -- - - -. - -- -- - -- - - -- - - --- - -- - - -- -- -.. - -...- - --- -.. - - - - - - - -- -- -- - _.- -- --- -. - - - - -- --- - -...- - - --- -.. - - --- - - --- - ----- - - --- - - -.-- ---- ------.- -...--. - - - --... - -- - -- -- - - - - --- -- -- - - -- - - --- - -.. - --- - - - - -- - - - - - - - - -- - - - - - - -- - --.. - - -- - - -- - - --- - --- -.. - - - -- - - -- - - - - - - - -- - -- - - - - - - - - - - -- - - --- -.. -- - -- - - - - - ---- --- - ---- --. - - -- - - -- -- - -- ---- - ---.- - - - - -- --- -- -- - - -- -.. -- - -- -- ..-- -- --- - - -- ..-- - - -. -- -. -.. - - - - - - - - - - - - -- - - - -- -- - ------------- -- ----- ----- - ------- - - - - - - -- - - - - - -- - - -- - - -- - - - -- - -- - - - - -- - -- - - - -- --- --- - - -- - - -- - - - -- ---- -- - -- --- ---- - - - - -- -- - -- - - - - -- -- - - - - - - -- -- -- - - - -- - --- - - - - - -- -- - - - - --- - -- - - -. - - --.. - - -- ....-- - - - - -- - - - -- - - -- -- -- - - --- - - -.. - - - - - - - - -.. - - - -- - - - -- -..- -- - - - - - -- - - - - - -- - - -.- -"- -- ---- -- -- --- -- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- - - - -- - - -- - - - - - -- - - - -- - - - - - - -- -- - - - - -- - - -- -- - -- - - -- - - - - - -- - - - - -- -- - ---- --------------- -- - - --- - - - - - - - -- - --- - - -- - - - - - - -... - - -- - - - - - --- - - --.. -.- - - - - - - -- - - - -- - -- - - - -- - --- - --- - - -- - --- -- " -'..' -. -. - -. --. -.. - -- -. -. - - - - -. n. _.. _ _ n _. n. _,_..__ _. __. _. _.. __ _. __ _ _~,: _ _. h _ __ _. _ .... _... __ _.. _ n _ _ n_. _ _. _. _. _ _ __... n n. _.._ _. h __. __ _ __ _. __ _ _ __ __ ___. __. _.._ _ ___ n_. n -----------------------------------------------------..----------------------..----------. ----------------------------------------------...----------------------------.-------..--- - - - -- -- --- - - - - - - - - - -- - - - - -- -- - - -- - ---- - -- - --------- --------- - - --. -..- --. - - - --- - -. - --- -- - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- -- -- - - -- - - - -- - ..-- --. - - --- -- -- - --- ---- - -- - - -- - - -- - - -'"' - -- - -.. - -- ---.- -- -- - - - - - - - - - - - - - - - --- -- -- - - - -.. --- - - -- - - - -- - -- - -.. - - - -- - - - - - - -- - - -- - - -- -- --- -- - - - - - - - --- - - -- ---- - -- - - - - - -- - - - -- - - - - - - - - - - ----..._- -. - - - - - -- - - - --- - -. -.. -. -. -. -- -- - - --- -- - - - - - - - - - - - -- - - -- - - - - - - - - - - - - - - -- - - - - - - - - - --- - - -- - - - - - --- - - - - ~ - -- - - - -- --- - - -- - - -- -- --- -.. - - - - - - - -- - - - - - - - - - - -- - -.. - - - --.. - -- - - - - - - - - - - - - - -- - - - -- --. -. - -- - - -- - - -- - - -. - - -- - - -. -- --- -- - - -- -- - ----- -- - - - - - -- -- ---- -- ---.- -- - -.. -- - - - - - - - - - - -- - - - - -. - - - - -.. - - -- - - -- - - - -- - -- - ---. -.. - - - - - - - -- - - -- - - -- - - -- - - - - - - - - - - - - - - -- - - - - -- - - - - - -- --- - - -- - -.. - - - -- - - -- - --- - ---- ------- - -- --------------------------------..--------------------------..-------.----------------.--- --------------------------------------------..------------.------------------------------ --------------------------------------------------..---------------------------------.--- ------------------------------------------------------------------------------------.--- -- - - -- - --- --- - - ------ - - - - - --- --.. - - - -- - - - - - - - - - - ---..- - - - -- -- - - - - -- - - --- --- - - -- - - -- - - --- -- - - - - - - - - - -... - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - - - -- - - -- - - - - - - - - -- --- - --- -- --------------------------------------------------.._--------..-----------------------..--. -----------------------------------------------------------..------------.---.--..-------- O,,'ner's Signa ture._.._____... ... _h.n..n_...._n..._. .._.. __. ... ._.. __.... _. By ...___...._..__.._ __. .._n._._.n._... .___.__.____..... .._. .__...__._._n. .__ His Authorized Agent Building Inspector ... .._ _'_"" __.... __. ...(1:._ _._"~.... _/;~._.._. .." .___ ..'" _..... .__.__.._____._ By n............._d,:::L~C=_.______________._____.______..... ,/ --- -- ~' ~IOoDF ~-' ~~ .~. e e N9 45296 ;) 03.- . ~/ ~ 6/"7 Fee $...............................000000000.............................__ ReceIpt No. __....................m.........ooo......ooom.......__. BUILDING PERMIT CITY OF BREMERTON BUILDING DEPARTMENT / F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 y-// Owner's Value I Bldg. Dept. Value DESCRIPTION: $ c,?CJ 0 Lot Block Additions Address on Job .'.i::9-/.f.[._...__._..~.~~?~~.--./.:h~,4-:.t~~!.----h------.---.____._____. Date ____~1::"~./t~__:?$.:-:____oo___ooh..oo Building .__.__oo__oo.m x __oo__.oom.m and .____moo_no__ stories .mm__n.no_______.. basement. Lot _mm_h__m. X ..__.mm__.__ Front Yard ..__m.mm_______.__ Rear Yard mm______mm____._ Side Yard __oo_____m._______.__. Garage .__..m_.oo____.m____mm OCCUPANCY PERMIT REQUIRED BEFORE OCCUPYING BUILDING Zone ______me..'.m_m.m_h__m.m.m Owner (~~-.\.."t~~~~d"~!oo.(~/~~.&....-h~-;.~!(?:!""'Acl.cll,e~s~------.---..___.___.___.......________ Phone _.__h____..._.__ Contractor _~-<?!'~_-:!.-::!:,/.___"__0~_!.___...___..__. .___ ___ ___ ___. Address .m__...__.___..___..__.____..__. ..________ Phone _.___.___. .._____ " This permit is issued for: . i! 4.L.<A'.Ah ",k..-j ../_/ //./~./~.-Jf--Z:; / ~;...".) ,.. --.- --- - - - - - - -- -- .-- -;;:1-- -.- - - .-- -. -- - -. ...-- -.- .-........ oo. ..- - - -- -- -.. - --- .----. .. --7 ..-.-.- -- -- - -- -. -. - - -- - - -- -- --- - - -. - -....... - - - - -- -- -" - -' -. -' - - -" - --.. - .-. --- -. ~~;:::~ ~~A;~ ~:: ~~: ~{.~:; ::;~~:; :~~~~~;:~;~~ :~:A;~~~~~ ~;;;2;::; ~~ ~ :~: :~:~:~~~ :~~:~:~: :::: :~:::::: ~: ~~ ~::: ~~ ~ ~: :~~ :~~ ~: ~~: ~ ~~~~ :~~~ :~~~ ~ -- -. "/ 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 befo,re covering. Wood preservative to be used on aU 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. ... -.. --..- -- - - -. - - -- - - - - - - _.-..- --. - - - -- - - - - - - - -- -..- - - -- - - -- - - ..-- -.- - --- - - -- -.. --.. -.- -- -- - -. - - -... -. - - --. - -.... -. -- --.. --. .-- - -.... - -....... --.. ... ....... ..- -.. - - --- --... .... ..-..- -.. - - - - -.- - - -- - - -- -. --- -. - -. -.. - - -. - __a __. - - _. _.. - __... - - - __.. - _... _. - - _.. .._. _. _. - - _.. - ___ _. - - - __. .__ - ~ - - _. - - _.. __ - - - - - _. - - - __ _..._. - __ __. - - _. __ .._ ____..... _. _.._.. - - _... - __.._ - ._.. ___.. . - -- - - -.- - .---. -. - - -. - - -. -- -..-. -- -- -- -. --- -.- - - --- -.. - --- - -- - - - ~- - - - -- - -- - - -- - - -. -.. _.-.- - -. - -. - -...... _..- -. - - - -. - - - .-- -,.- - -.- - -.- - - --... -.. - -. -- ---- -- ~ - - --- - --- .... -.. - - -... .-- - -- p~, - -..- - .-.. - -. - - -- - - .-- -- - - -. - -...- - -. - -. -- - -. - -. - -... -- - - --.-.- -. ..-- - -.. - - -. - - -- - - - - --.-.... ..... - -. - --- -.-- -. - - - -- - - - - - - -- - - -- - - - -- - - -- - --- - -- - - - - - - - - - -- ~ - - -- - - -'"'.. .-. ...-- --.. - -. - -- - - ~ - - - -.- - - - -. - - - - - - - - - -.. - - - - - - -- - - ~ - - - - - - - -- - - - -- -. - - - -- - - -- - - ~- - - -... - -. - - -.. - - -... -- - - - -.. - - -..- - -. - - -.- - - - - - --.- --. - - -- - - -- - - -- - - -..- - -. - - -- ~- - -- - - -- - -- - - -.. - - -~ - - --- -------.-. - -.. - - - - -- - - - - - ~ -- - - - - - - - - - - - -- - -- - - -- - - -- - - - - - - - - - - -- - - -- - - -- - - ~- - - -.. - - - - - - --- - -..- - -. - - - - - - - - - - - - -.. --- -. -- - -- - - - - - - -- - - -- -- - - - - - - - - - -- --- - - - - - --- ---.. - - --.. - --- - - - - - -- - ---- - -- - -- - - ~ - -- - -- - - -- - ~ -- - - .-- - - - - - -. -..- _...- ~ - -- -. -- -. - -- --- - -.- - - - - - - ..-- ~ - - - - - - - - -- - - - - - - -- -.... - - - -. - - -. - - - - - -. - ~ - - - - -.. - - -. -- - -- - - - - - - --- - -..- - -- - - -... __a - - _.... - __. - __... .__ - ___ _.._ ___.. _.. - -..- - - - --- -. - - ~. - - - -- -.... - -....... -- - --- - - - -- .-- -. - --.. --.... -..- - - ..-- - ~ -- - -.. - --...-. - .--..-... - -. - - --. - - -.... -... - -. .-- -. - - -... - - -- - - -.. - -- - - -.. - - --..... ~ -... ---- - - -. - - -... .-.. - __a _... - __ - -.. - -- - -- - - - -. - -- - - - -- --... -- -- __a - - __ - - __ - - - _. __.... __ - _. _..._ - _._ - - _.. __ __ - - ~.._ - ___ __. _.. - - - - - - - _.. - - _... _.... __ - _.. - _.. - - _._ - - __ - - __ - - ___ .._ - - __.. ._... ...._.... _.._... _.. - - __.._ - - _. .__ __ - -.. - - ~ - - -. --- -. -... - --. - -... - -. - - -... - -. - - -- -.. --.- --. -. - -. --... - - - -.- - - - -- - -.. - -..- - - -.. -- .-. -. - - - -. - - --. -.. -...- - - ...- - - - - - -.- --... - -- - - -.... -- - _.......- - - - - - --..- -.-. - --.-... - - --. - .-- - -...... - -.. - - - -. - - - - - -.. - - - - -- - - ~ - - - -- - - - -- - ~- - - - - - --- - - - - - - - - - ---- - - - - -..- - - -. - -... - - -.. - - - -..- ---... - ~ - - - - --- - - - - - - ~ - - - - -- - - - - - - __ - __ - - __ - - - - - ~ - - - - - - - - __ - - - - - - -<0- _ __ _ _ _ _ _ _. ___ ___ _ _ _ _ _ _. _.. - -.. - - ~ ~ - - - ~ -- - ~ - - - - - - - - - - - ~.. -- - -- -- ~ - - - -- - - - - - - - - - - - - - - --- - - - - - -- - - - - - - -- ~ -.. -- - --- -.. - - - - - - - - -.. - - ~ -.. -- ~ - - - - -- - - - - - - -- - - - ~ - - - - - _.- - - - - - - ~- - - ~..- - - - - - -. - - __a - __ - ___ - ___ - __a ..... - __ - - - - - - - -- - - - - -... - - - -- - - - - -.. --. ~- - - - - - - -- - - - - - -- - - - -- -- -- - - - - - - ..- - -_.....- - - ~ --. .-- _.- - - - - - - - - - - - - - -.. - - - - - - - -- - - - - - - -..... - --. - - - - - -- - ~. - - - -- - - ~ - - - - - - - -.- - -_.....- - - -. - - --- - -... ..-. -- - -.. - - - - -- - - - - -... - - - -- - - - - -..- - - -. - - - -- - - - - - - -. - - - -- - -... -... - - -.. --... -- - -- - -..- -....-. ---..... - -.. - - -.. ~ - - - ~ - - - -... - -.. - - - ~ - --- -. -- - -. - - - - - - - -- - - -.. - - -..... -.... -...- - --... ..-.... ~.. - - -..- -- --- - -. - - - - -- - - -- - ~ - - - - -- - - - - - ~. - - - - - - - - -- - -- - - - --.. -.... -.... -..... -.. ---.... - - -- - -..- -...- -....... - - -. - -. -- - - ~ - - - -- -- - -.. - - -.. - -- - - - - - -- - - -. - - -.... ~ - - - - - - -- - - -- - - -- - - -- -. -..- - --- --- - - -..... -- - - - - - - - - - - - - - -. - - - - -- - - -.. - ~ -- - - -. -- -. - - --. - - -..- - - -.- -...- --. - - - --- - -. - - -- --... - - --- -..--.. - - -. - - - - - - - ~. - - -.. - - -- - - - - - - -- - - -- - - -. - - -. -. - - - - - - - - - -- - -- - - - - - - -- - - - - -- -..- - - -- - ---- --- -- - - - - - - ~ ~ - - - - - -. - - - --- - -.. - - ~ -- -- -... - -.. - - --... - --. .-.. -- - - -- - - -- - - -- - - - -. ... ~ - -. - - -- - - --. -.. - ~.. - - - - -- - -.... - - - - ~ - - - - - - - - -.. - - - - - - - -. - - - - ~ - ~ - ~ ~ - - - - -- - - -. - - - - - - --.. -... - - -.. - -.. -- ----. ...--- O\vner's Signa ture_.. _' _. _ __.. _... __. __ _ _ __ _ _ _ _ _ _ __ _ _.. _ _ _. _ _ _. _ _ _.. _ _ _... _ _ _.' By. _ _ _. _ _ __. _ _.... _. _. _ _ _ _ __. _ _ _ _ _.. _ _""'_ _. _ _ _ __ _ _ _ _ _ _ _ _ _ _. _. _ _ _ _ _ _. _ _ __ _ ___ His Authorized Agent Building Inspector .___._ ~i= ..__t:_.\..!k.f-c.d-,.. __ __ _.__... '._ __ ___ __._ _ __.. .__ _ .______ __._ ___._. By .... __.._ _ _., ..d/. _ _.. _ _ _ _. .r.:., .", _. _ _ _"" _ _ _ _ _ __ _ _ _. _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ _.... ~~DF - -T-- -- - ---- -- - -- r ---- ---- - ---r-'T~ 4 .1 - i-' -- --I --- --1-:- .. 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