HomeMy WebLinkAbout1979-05-15 636 CHARLESTON AVE N - Permits
BUILDING 'ERtvllT
'N~
1905
AI
City of Bremerton, Washington
Phone: (206) 478-5281
OWNER'S VALUE BLDG. DEPT. VALUE
$;2.5''00 dJ C'"
PLAN CHECK FEE
RECEIPT NO.
PERMIT FEE
RECEIPT NO.
DATE
SITE ADDRESS I LOCATION
OWNER'S NAME
2
A/
$,2 ~ 0cJ :71 ~ 0-'0 t:5--/S -7 a
#- .:5?/s- CJc;tJ - cJcJ c:L- (;) 0 0 f!
ADDRESS
PHONE
CONTRACTOR
STATE CONTRACTOR'S L1C. #
ADDRESS
o RESIDENCE
o BUSINESS
~NEW
o REPAIR
PHONE
o REMODEL
o ADDITION
PLANNING I ZONING
FIRE ZONE
STORIES
OCCUPANCY'
THIS PERMIT ISSUED FOR: C~4..7t;..;...;.~,r-~--~7A-r-er- ~L:2.. r ~
~ Art'_~ ~
.....,
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~ Framing^--. Plumbing 0
INSPECTION:
Electrical 0
Wallboard 0
FINAL/,
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME APPROVED' APPROVED
COMMENT
DATE
TIME
APPROVED
FINAL INSPECTION APPROVED BY
Building Inspector
OWNER'S SIGNATURE
/
IRED BEFORE OCCUPYING BUilDING
ISSUANCE OF OCCUPA
BY
~
I
Authorized Aaent.
. '.I\. I fl Ll1 ~I\\ III fA '-J I ""q .
~ I.&Ef BREMERTON' .~ BUILDI'i DEPARTMENT
s......v~~~ ~:~...... ~~ F~ $.~ CLAN ~HECK s...i~.~) .r.r?!Y7~.
AO:lRESS ILOCAT I OU Of JOB.......... .'. . .. ~ ;3.~ .... . M.. .... ~ If.~~t;--'?:?rq!:!...,... .... . . .'. . . .. . . . .. ~.. .. .. ... . .'. ...,
APPLICATION JSSUED FOR: .~ ..CA1:?f?tJJ.t9;:r::./.:/ilQffr:..~&i:-:__ ~ ~ f~ eo ~~~--;-... .,..... . . ... . .". . . .
"PLANNING 201.:ING... (.~ (..... ,F1RE ZONE:.... ..,;"J.....
OWNE~. . :. . A1~.... . !:-/I!. ~.f?!'! .. . . ~ . . . . . . .. . ..... ~,. ... . .
OCCUPANCY. . : ~1. .. . . .' TYPE OF
. .:%Mi3 '
CONTRACTOR..............~...................~.......
AODR E S S . .. . . . . .'. . . . . . . . . . . . . . . . . . - . . . . . . . . . . . ..;. . . . . . . . . .. . . ADDR E S S . . . . ~ .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . . . . . . '..
P~O",:... '-"3. 7. 3. : - .7.11,'!... . -.. . -'::z:?. ~~',~.' . . .. : . . . : PHO"'..... . . ,....... STATE LIE.............. -........
mH' ,"" ';'U CANTO' ../ :;jj~~7.l.. OATE.. .~:-,tf. ';:.:1:l. . ~ . .' lEnv,o ;:/{f~p ..
ACCEPTANCE OF APR1 ICATION DOES NOT INSURE ISSUANCE OF BLDG. PERMIT.
I
. ...... s r/7? .
7rtWJh'V.tkd.~~~'
ENGINEERING COMMENTS/REVIEWED
K
5;9 /7;
'-.
.
SEPARATE PERMIT REQUIRED fOR WORK IN RIGHT-Of-WAY, EXCAVATION, PAVIt~G, SIDEWAU::S,SANITARY t STORM SEWER.
~lRC DEPT. COK~ENTS/REVIEWED
-'C,
.... r!) ~/( . ~ /1 V ~7! /'
...
,... .T;(AfFIC DEP1. CO"1~EN1-S/K[VIEWED BY....____..
I....
~ PLUMBING REVI [WED BT.... ......
SEPARATE PERMITS REQUIRED fOR PLUM~ING AND ~ECHANICAL WORK.
~
ELECTRICAL REVIEwED By..........
6UILDINC; REVIEW[O
~
- .
.' &,/r,
SEPARATE PERMIT REQUIRED fOR ELECTRICAL WORK.
~
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shall be instituted the insured shall at
once give notice thereof in writing to
the Company at its home office and, if
f:h~jn_Cll r.~;I_';,~_T.\~r;t:'-l__tr\_C;:J.l~h_I~WJ.1
pany, exclUSIve 01 costs lI1curreony
the Company as an incident to' defense
or settlement of claims hereunder,
shall reduce the liability of the Com-
sured may have or may bring against
the Company with respect to services
rendered in connection with the issu-
"lU_CP_ofJJllc::_noJ.';,.~u..-..,::;t~f~...Jp..l:~.;r_Q'"I~,d-h.J"1r:~';.n
4. The land referred to in this policy is in the State of Washington, County of
and is described as follows:
Tract 2, Blackwell's Garden Tracts, as per plat recorded ln
Volume 3 of Plats, Page 44, records of Kitsap County;
Situate in Kitsap County, Washington.
TP-37 REV. 1-76 WLTA (WASH.)
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