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HomeMy WebLinkAboutCAMBRIAN AVE. S., 317 ~f~ .~ . . Job Addr: L !:;1I:U1;,t i em : ;:i~~~'('c&rl No"~. ; -', it, '. .', :~~ ,1;,1 ; _AEMERTO~.ERMrT 21M 4th$'Fr~B~, Bremertcm,: M4 .., 98S37 Phone: (360) 4>?S,.,!5$!J15 .'. FAX': (36tJ )478--5278 eUILOlNG PERMIT . S l7 $CAMf3IUAN AVI~ 37Sl20l:4...0;?4....0Q02 I PerIllH;'NcJ: 9fi",,06l2 :,!:11~fl ~. I S'9Ll!:t;) A~IP)l .i1 C)lr m/l\?l98 1$'*"cl)"1 01 16{199a r;~~~'f.s: (:)4/14/1999 ,. ~-,,' .,,,:X;;" '1' ..... t.. CT'I..y...... !"ll.!!,".. rlr,.'c.,r.;'M.'..~.."..f:').T..n."N '!;.:)~P 1 Ciao... ,j, .Jr ~"j;i', C,"\ I,J 2:99 "~4 rHS1'Rl:!frrp.~RfEMERJONWA9aS37 . . Owner:~H'ATE . OF.W~$HINC\l1.0N '" DOT, SfJr.l:J~'Exp : Cqnt raCitOT': ~;&:Lfl.' Oese; OEMOI,.ITleJN C)FH~IUBe:S IN I;O~S't Ct1NNECrOR AREA . ~ . *.******************************~.****~(******~,,)E****.)(*************,~**,)E*.******~*****.)(.****.)(.***** Valuation * Permit Feces: 29.70 T(,JtalCI'1l1oula1;el<tF'Ie.: ,::14.20 ,00 * plan Check Fees: Addit iOTlalFees~ .00 * . . . .Ot her Fees:. . . . 4.50 . . .rpti~l'~li.trtnit~Ii?~~ ." . .' ... 34 . ~eo ***~,**********~)f***************~!**~*********:)f.)(.*****~*~~,***.~)f**+H(.**.)f**i)f**~***lt~~~***~********** T.h.. is. p.e.1"lilit. e.na..I.l.....b...eo. o..me...~.ul.I... B....n.d V." oid. i.f...t. h... e.'. ...bU.....l..1d. ..i...n.g.......~r. w.ark.. "'...u.th.or.....l... z.e...,..d....... bY." thl~. p.arll1it... ....i.;S,~.~ll.~......~m~I...).:~.~d.... ..wit. Mn 180 days from the Qate of suchpertnit, or if thisbuildifig(jrwm-kauthrafited bysuohpermjl'.,'$fus~end~d' bY' abandoned at any Hmeaftet the work !scomrtiencedfqra perfodef 190daya. NonCE - It is the responsiblHtyofthepefmitho~der , not tneCityofSt:emertonof Bui14inSOrficial to sa, to it that r~qu!red !nspecdOnsate de.. The'perlTlit.hQlder mustnotHytheBuHding'of '~e'l\ fl~l'adyf13r . ." inspections. FailLtY'e Gf the permit .'. '. . to noUfythe Building Offi~lal of required! . ..S'mCi'Ytesult in the st opgage of~>he W.Clt~ untU suobtme that the permit ho Ide\" can $ubatantiatetoth~ ,,/;!lJJldfng off 10 ia 1 that t he concealedw~r k lfi~~tj'Qr\exceed'cQde reCfutrements. Any dell\pl it ion, .. test i ng, .orfoin~Cilal" burden. shall be bO\"l1ecH featly bl",tliej!lt!'f<mitnolder-" FaHureto SUDstantiateotlderfltillli r~ments wU 1 ind~l'Iln;~f'Y.t he City against any and all resJllflJl1sibHity or HabiH~Y'boni1eGted with the constr\J;ctlon. ,>" I hereby oer~ifythtltl hay,teod /ll"ld examin(!d th1spermit and know thesatne to be trueanl:tlt~t. All PfQvisionsor laWsal'ldQtdi~1Jir~:~$Qoverningthis type of work will beCompU,edw1thwMe'therSPe,Qtfiedhereln o.r nc.t. . Th~...... ........r...a.rn. \t......i.tIS.'...O.....f....... a:.fl........ ..................d.'oes.. n.Q~1tes. urne to. 9ille. au. th.Q,rity to... vi..a........l.. at.e. o. r ca.n.,.c. e....!... ....th..e p'f"O'IIisitms of any other sateO'. c:al law 'ulating c nsruct ion or the perform'imes of construction. Si gnature: ---~-_"-"'''''-'''':-''~~1~~t_:..---~:.. __""_.. .._..___--_' Date :__..!_~~~/_~..r~....._...._.._ Icerti fy th~t 1 am~xempr'from the requirements of the state contractor's registration la'W,under Section 3, Chapter 126, laws of 1967. S. j gnatu. re.. :._';'_. .... ____... __._. _.... _.. ._"._.. ""'.. _......_..__.......... "'. ._..... _. . _.. ~_......_. ... ....~. ...... __..... __. .__._'-_. __._.._. _. ._" '. o.'.a. ..te....>.I..... . _'. __..__.. ..._.......___. _.._.. __.. _____..___........___.. *****'****************'K<**'*** .. ... · /9 f Perm j, t Cent el"-~Ar.)pr'ClvedSy: __:.. . ..............___.._ Dat fJ: __LQ,.J,..L..S'.. ......_.., .~ :,~.!~,-';;&l;2:J~.< :i:.-~__'..! __' '":"'~':'T?~~~'''''.~~''"'''ll.'l'>'<, '''''''1'''''''''......:_..." ,l"":~r.-,: ~ .~t;:ME Fa~T.2N. ...P,es:.,M:t "1?r' c::~.NTe:Ft ........ 2864tlt5treet,Bremerf;cl1.,1bJAi1r;8:i1S7. ..... phone: ($60) 478-5275' FAX: '(360) 478-527S ZfC:lb Addr(ii~~iHn :::11'1 ~J CAM~'fH AN AVE I ."~c." '.I.'l" ,i".~'..'I..:"'1 ". ,...\t ,.'I,.~), ~I, \'~_,", ;,,).\ Af.~~n' Ac:t.;t; {i!4,(lll :~~i'~!I~;:!(J.t 4"'()~m 4""OOO~~~ BU:i.ldl T'H;;I I::)~.~'('m:kt; No ~ t1:~;<<~iJtI~ II J:$f,~\J.~sd{~ :1:::'~I"!il. "",,",~;,, l>n f!llj( _ ~ Ii" Sl.~ ""~', K (.~l (','i "")')/h 1 '.:\ 7'(;,) n m~ ,. ,(i" J: !:S:1~:\Jlm;~:) 'lOll 6/]; frl'rf.l ()4./14/1999 'R E~.Q UJ f~ E I:> INS PEe T ION S '. J: t em'~ (J~7e7()()r~ l' NAL.......m.I::3LnDG [)(i~pt tt .BL.l:)(:~ t:) lvi f.i~ b:m:: ~ - . , , *;;(..~ 'X..K *,)(;* '*'K*.)f****.)f.*****~** .)fiX, * 'K*.X- **.* ,)(o*.)f.~ ** ~'***'~'~')(~****~'X")H~~')(O'~*')("X:'W'X"K\*I~***'K'** ~jj)(o.)(o,x-,* .~* .~.x "r.'I'~:'I~"l" '.' Nt?" M' '<~'l- t" -:., .. .. ", j'.... ,i' '. i..... .., ,.,. I:. ..,;~,,~ '" W.:; ~"t'. J. ", .. . (,\(.,...... .t. ..:. .. ,.... . ""'J':: \:\):,1"].'1'> " .. 'f' f'J ". i' 'I ' .:....1 .I.. ,~" ..... !;.:.>. ..)(;.1' ~w,l,,,Clwn, Zf.,.( ....JYk!lt:\.. ,:1".> .1.1. nst CHI A..;>\.\~C:H..., lit ),UTlPIOf.h "'. J.ng OJ.(" r:).;. S .(~-r')I:~'('" .,. Ne:'I) ~ M.'~""'" I" ", .y,jil ,.1~~.1oI.. ."",. "I "1"':.1 .~. f'l. .t}~,./ l'~'t., ..J.. ~.. 4: W^ ;, ..) r r.:.. _.. .;;If , :l.J,.'.'I1> ")f::.. J;.. 04 ,f) I. ~.;. I e. I. . W .1. I. . I H..~ ,:.1 I, (.1,1. f~. t.l I "'I ~3t..DG~ C:lty of E!~Y'emlii!rtorl rai,d. J.dirt!;~ l)~::ipl:l)"'tmElT1t 47~~...^~'fl;!7eii PL.,ANN r NEi ~. G:I: t y C:jt',.r~tr.E:lm~7)y't dn P 1. f.'~ntl~.p!itjt)~~pr:* Y' trn(~lnt; 4. '7ffi...~1~1~xi PUBWCH~I(!ffi ~. C i t Y t) T' l~~Y'(i\~mf.il'rt dm tIt; lld~ .'D. ji~~~ .... [;)~~li;!i:'irtmt~~rft 'f?fY3~u"!)~~J;~13 ' 1;::':1: Hf.:::: C :1, t yr.rl~lBr' ~:i!.ll'lli:)y't on r;' ir't:) Ma'(~fAf'h'f.*l ~~~ Off':!.t:;(\'l 4'/~~!"'.1~ ft:NCil~ (~ :it y e:rf . eY't;~m(:?r' tCJn 'IE)'lg :l.n(1;)~~y.iJ~)!;1 t>({~f;(ii!it't;mf.':~nt 4; '1~"'.. .' HE AL.:r H l: E3Y'.t:~rtH*) y"t;o n (K :iJi Sil~P l'/k::!i:'i:l.'~ h 'r.:~~r.~ilil'l" t to ~mt 4 :?1I.!<o,.~\t1~l~~1 $'T'ClF WA ~~;-t~ii~t;f.1!!i)f W~ [)f.itf.a't; .,c:l'f L.libel'r &. I ndtH1'1~ r :I.t:~!~ ... . 47H::"4.17't:1J. 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E~EMERTON PERMIT CENTER r;)ERM:r "I" COND In: ONS:i Pe:!'l"'m 1 t !)leI:: 9f.~~"C)6., J, ~:;~ P ffl. ~~t;,n l ~:n :::~; 1:::: ::::: ~~: ::::: ::::: ::::: ~'; ::::r ::~J ::;:; :m:r.::::m :m: ::i:: :;;;: ;~u :::;: ;;m ;::;; ~::;; :~i;:X :;~;: :im WJf;:~ ;.~: :::r: ;f,:::r.:::~:im *'": ~m =:1 :~:~: ::1:: ~'-:r.t :t~~:::;-~: am :'~ ::~ ~ l?:t:t:: r.::: ~~: ~;: rn:: ~:~:::::; ::~: ::~:,~':~"m m~:re: iltli: ~::'~:u'ir.~: l:~t~:: ':::~ ::'.:: ~ ~l::': :~': :~:: :::.~ ;::: ::t: ~"f'" . t" ^ "1'1 ." "M ," '7 <.~ "'A' M" ~')", V,..i. d.)..) nU. r (~il~3 *Xh ,.::11 ,,:1 C,. Hhd. AN A ~:~ A*~~~:fr Ac:~c't; NCI.~ :1:!':::I~::~O 14"u024"'''OOO:,~ 1....<::lCl:l'l; :t C/.ng Af::l~~l :11~lu;d.~ 1()Il ~!I J. (!iI(tf:l A;I~j~jY:PV~~H;:I:: ], C>116/ 1.99H 1~{i.~LH$~d: :1,(.')/ 1. ~,/1. <rl:JIEi App 1 :l C:lii nt;::. ClTY .I::JF BREMEf~TON Clwnt\;~y':~a'T'A"rl~: OF WASI'i.ll: NllrroN DCll" GClnt r'ii~ct 0'("': ..SI~:l."F:~ 6) tiil$ (~: Y" j, p t;1(~ rIll Df:~MOL:r"I":[CIN elF 1..'tCHJ$E::~l IN Glm~$"r C()NNECTOI~ AHE::A ,CcH'u::1 j, t 1. cm~~ ~ 1. '. .C)'.:N'.I'."I::~'.'.I''''I:t.:'M.'n.'L '[."".'I".(';IN .W'('jf')I" I-J^.C:;'. r:,.r;:'C,f'JN'.. ).....1" M'.'JC'''r' E)E'~' ('''C'IM'':)1 r;:"l"i:::'I'.') ^.'N.'l') " ' 1'1 ''IJ. ~ lnf, ".' 'n ~ .. ,. ", -.;, \. .......10 r.;>r,'h .:;t~.. jI' '1. t. .~.. -..) H)'" ..~ .. "'Ir.... ,["." l~. .... I~E;~AOYI:;:ti::ll~ INSlPEC'T' J: ON. w:r no: N 40 l:)AYSl~ * :;;;;" ALJ.. POrrl"JONSCH::' THE: FnUNDAT 1. ONfSrIALLBt~~ F~E::MClVf,~:O ANt) ..~ l::a~r:il~n~:~'Et::)nF AT ,AN AI:~PNClVl?:D I.J;~l~AL. DUMP 8:t"j"lm: ANI:) TI"'l[o[ .ILU'rr::: r:iI:~At)Ern TO MATCH li~i:X l$iT:r. Nf~ (;~!;JN'rCH"J!:~~:;. F:f. L.t.... :( N .Ei:XGF.::~Jl~~ OIJ:": 4'1 CUlj!~rc:... YAI~'6~il' 1~~I~%t;aUJ.REf.!~ !~;f[P~I~A"I"F.i:. (~I;~At:):rNfi PliE:RMI"f'" :::J,,,C(lNTAc:tl~)tJf::U;l::rSttl..lN()A IH . f.')ClLI.J,rr:rON CON'r'N('jLA(;~~:NCYAT . t....;.:.f()O,h,.~1!1:lf~t,~;~l!~6S . F()f~A$w.31:a:~STr,,1$ HIL~M(JVAI... :rNI::;'CJ~MA.\" :tON " Afi;ll!tEi:~;'rCl!:~'i MUST lii3f:!:.I~E::MfJV~E:rj1!i3r:itFm~e: [)1~j:MQf..,XT :CON CCJMMENCEl?l" P(Y~Y' m:1. t 1'''1<:;)1 dE~Y" ~t::. S1gn.ture_____________~_________________________~______ ().te~_____~________ '- .' j( ,t."... .' '-'!;ii,,h 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 ..2-15 ~. W.v\...off V ()\D 2]7 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 00]/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,- ~~ -$929.76 AMOUNT FUND/DEPl BASUB EL OB IT PROJ.II AMOUNT ^-~ ~ ...,,--rT .Jn~ ut. t (., 160 .50 $-135.0Q;- /1" \ /J flU/) I / 'I ~ I} ',f/ 4 ~....A--7 REVENUE--~PAFtFf.tEN r- SUPERVISUff (Sign Here) } r r---..." I "\ \ \ J (Sign Her~ ~ s:; . "-1\ EX~ RE DEPAR\rMENt SUPERVISOR \