Loading...
HomeMy WebLinkAboutCHARLOTTE AVE, 615 -, ;. PERMIT :. CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478-5281 615 N. Charlotte 3283-007-019-0006 SITE ADDRESS Mark. & Gail King, same ASSESSOR'S ACCT. # 377-1683 OWNER MAIL ADDRESS ZIP PHONE self CONTRACTOR Class of work: D NEW MAIL ADDRESS GJ ADDITION D ALTERATION ~ MECHANICAL COMMENTS No. Type of Equipment Fee STOVES Gas_ Oil_ Wood_ 1 FIREPLACE INSERT FURNACE Gas (Nat._ LPG._) Oil_ Wood add on_ Other_ Electric_ BTU Type: Up flow_ Down flow_ 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_ Split_ Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CMF _ BTU_ FANS Exhaust_ Supply_ Bath_ RANGE HOOD Residential_ Comm._ ROOF DRAINS CLOTHES DRYER Res._ Comm._ INCINERATOR ALTERATION TO DUCT SYSTEM Heating/Cooling_ Exhaust_ TANKS Oil_ Gas_ Propane wlOK from Fire Dept._ Gallons REFRIGERATION UNIT h :;0 15.00 PERMIT $ M),OO TOTAL FEE $ 21. 50 FINAL APPROVAL RECEIPT NO. . PHONE LICENSE NO. D REPAIR D PLUMBING No. Type of Fixtu re or Item Fee WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISPOSAL DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER 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 PERMIT $ TOTAL $ 10.00 NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT 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 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. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT V'-~ ~t~,,^-- SIGNATURE ~ OWNER (IF OWNER BU/LfER) \ ~ '-7r ..</ - ,--.J 0 ../ ,=~~ .....) PERMIT h 0 (DATE) 3318 (White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT) t" KMI-I APtl'LI\;A TIO . '. CITY iPF BREMERTON BUILDING OEPAIf ./jlENT . PHONE: 478-5281 CD IS N. ( l=i1l12( {JT1E AUC SITE ADDRESS ASSEssaR'S ACCT. # fv\PrIf2-)C "* c5A \ C k-I "-16- (o/S N.C\'Y,I r loBe A-U€.- P")(em Leu q831~ 3TI-/Co(r3 aWNER MAIL ADDRESS ZIP PHONE CONTRACTOR Class af wark: D NEW D REPAIR MAIL ADDRESS D ADDITION D ALTERATION PHaNE LICENSE NO. ~ MECHANICAL D PLUMBING No. lYpe of Equipment STOVES Gas_ Oil_ Waad_ FIREPLACE INSERT FURNACE Gas (Nat._ LPG._) Oil_ Waad add an_ Other_ Electric_ BTU Type: Up flaw_ Dawn f1aw_ Harizantal_ 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 autlet Tatal_ EVAPORATION COOLERS Raof_ Wall_ BTU_ AC UNIT Electric_ Gas Elec. Camba_ BTU_ HEAT PUMP Single Package_ Spli~ Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CMF _ BTU_ FANS Exhaust_ Supply_ Bath_ RANGE HOOD Residential_ Camm._ ROOF DRAINS CLOTHES DRYER Res._ Camm._ INCINERATOR ALTERATION TO DUCT SYSTEM Heating/Cooling_ Exhaust_ TANKS Oil_ Gas_ Propane wlOK from Fire Dept._ Gallans REFRIGERATION UNIT COMMENTS Fee ~<(\) . PERMIT S 7?::. O-B TOTAL FEE sl!:;J/. <'01 FINAL APPROVAL No. lYpe of Fixture or Item Fee WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISPOSAL DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER 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 PERMIT S TOTAL S NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT 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 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. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) RECEIPT NO. (While-ORIGINAL. Yellow-INSPECTOR, Pink-APPLICANT) PERMIT - INSPECTION REC.O CARD e CITY OF BREMERTON BUILDING DEPARTMENT ADDRESS & DIRECTIONS ~--' 77 . & / 6- S6AtJ/Yr"L2J..Jf.AfYu ; u) A , ~7%~ PERMIT NUMBER OWNER CONTRACTOR ~ Y3.r Y{J,,:, .e.o1.Lt~ 1 FOUNDATION CORR O.~ -~/ - -y -~ --v --y -- 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: #$ (7;; b oCY PHONE PHONE </ 79' - t? 60 5- COMMENTS: 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 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: ~?C 12. GAS PIPING TEST -- WOOD STOVE APPROVED BY: 13. GAS PIPING SIZING -- z___ Zt-'i/1 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 BUILplNG -- 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: PLANNING: BUILDING 'ERMIT -- City of Bremerton, Washington Phone: (206) 478-5281 ASSESSOR'S ACCOUNT No.3783-007-019-0006 SITE ADDRESS/LOCATION 615 N. CHARLOTTE OWNER'S NAME NRS. TROSKE OWNER'S ADDRESS SANE AS ABOVE PHONE II: 1&1 " Z / ( BAY BUILDERS CONTRACTOR STATE CONTRACTOR'S L1C. # BOB :I ADDRESS PO BOX 86 BRENERTON PHONE 479-0605 0 ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPY~G BUILDI OWNER'S SIGNATURE BY ~j- . (SEE AND READ NOTICE ON REVERSE SIDE) D RESIDENCE D BUSINESS ex OTHER D NEW D REPAIR D REMODEL D ADDITION D DEMOLISH D SIGNS PLANNING/ZONING # STORIES OCCUPANCY THIS PERMIT ISSUED FOR: REPLACING RETAINING WALL 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 I Framing D Plumbing D Electrical D Wallboard D FINAL [Xl 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: APPROVED BY PLANNING/CLARE . APPROVED BY BUILDING/GLENN JOHNSON PER ENGINEER STAMP APPROVED BY ENGINEERING/INITIALED AS NOTED: BEFORE FINAL SIGN OFF THE ENGINEER HUSTCERTIFY THAT CONSTRUCTION WAS DONE AS PER THE STANPED DRAWING. >- I- - (.) SURCHARGE: $1.50 BUILDING OFFICIAL: DAVID K. DELPH/1g VALUATION $3,000.00 BUILDING INSPECTION DIVISION - PLAN CHECK FEE RECEIPT NO. PERMIT FEE $ 25.03 74509 $ 38.,50 RECEIPT NO. DATE 1~fl-?S-- Bremerton, WA 98310 Permit No. I 6788 COPIES TO: WHITE - BUilDING, YEllOW - ASSESSOR, PINK - OWNER 'BU IC DIN-GP.~~'I T:(.AbZ~l?r2'i,ii 0 ;\J . City of Bremerton, Washin'gton Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO, :3733'-007-019~60Q~ CCNTRACTOR ~-:?Z ,L f'j) f;.~ ( [{ L:-' ISSUANCE OF OCCUPANCY CERTIFICATe: REQUIRED BEFORE OCCUPYING BUILDING [p/)' 7(/~~/ '~L(Js/.20~ J &(./1 CA.r'7 L~~ C\,vNER'S ,.l.DDRESS :"5C'yy-...Q- PHONE SITE ADDRESS/LOCATiON, /< CWNEri'S :-'JA~E: ?'1~(.,.). STATE: CCN"'-riACTOR'S Lie. :t ADDRESS PHCNE 7'79 --06<15 fA--I OvVNE:=i'S SIG~l.';TL..';:;E: 6'1" ALJ:,"on:.ed ~gent (SEE AND READ NOTICE ON REVERSE SiDE) ~ RESIDENCE BUSINESS J2(9T H E ri :...-. NE'// i REPAIR ! ,REMODEL r-; ADDITION r: CE~'i'C L L! SiG0iS PLANNING/ZONiNG ;; S,ORIES OCCUPANCY THIS PERMIT ISSUEC) FOR: ,&h-L~~~I 7~~~PP All provisions of taws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does presume to give authority to violate or ca'ncel the provisions of any other state or tocal law regulating construction or the performance of constructic IN~:;PECTIONS 'REQUIRED:,';::; F~~nd~tion 0 ..Framing' n,':: Plumbing 0 ,'.' ,,' Ele6trlcal' 0 '" ' Wallboard 'O'}tFINAL n OWNER OR BUILDER SHALLCALL FOR ALL REQUIRED iNSPECTIONS AND RECEIVE APPROVAL PRIOR TO~ONTI/'.!U,ING we SEPARATE PERMITS ARE 8EQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND EL,ECTRICAL', .::: "; < - ., ,",,/ "".,':,,' ',', ',' '~. ,', ',,' ",' ~ ~~" ' " .. ,,f,,,,, ":~:<""',- COMMENTS' : '" " . ,', ';'- ~ '," ''-' " "'".,' -1V_, ,-c:r ::;) ,,',', : ' , :',:, ,"-' ,".,~' ',,' ";'. , ' ',' . .' . -~. ~.....~- ~o.:.- . - . .. . - .' ,,' ", ;..f!~J:j)",},+:).,;;.;~,,~~;,,_~,,;:;;:,':i;' ..... ...... .' "".v'i"\ ../', . .<.,':" :':i . ',. . ":. .:; {. ':7-~+ -.", .", -.~ . ~~ _.~: ~~-~~:.;~_.~j~~~'~i:~~/,.~:'~$s:~~-~'/"~~'{7;"; .":,' . . - . .. . ~ '..' . ". . ::'~ < ;_::~"'?" .- :: ~.:~~ :.-;'~ ~~" "- .,-:.< .' }'.... ,>.. . , .. . . - . . , '.,A~,G 2 6 19~5' ~ ")-1 .' ~ - , --' - ..... . : '-',,~, .~.- - .' '< .-.-. , " , ' . <.-. ~ :.;~:>'~:~, ,..- . . - -", '. . .'-. ,.~~ ~.~j;~., --7~" : . :.': '"BREMERTON ". .. ',,' - BY'LpING DEPARTMENT"'<:~::;,:<~:; ....'. '", :~:'~:?-0C~:{YLt/~""..::,;,7(':,~ ' , ' .. ... . : . _~ _.. .~:. '. c!. "~' :~:- " -.. -' '-~.-.~. -- . .,..' . . \_" co', BUILDING OFFICIAL;' ,'t- :' .$ "3 , oV~~AT&-.):,;I;;~'~Ej3EI1,j~all$P3~~~ I R.ECEI~~N~:> I i~;, ~A:0~;. "BU'H~riING' INSPECTION DIVISION ':::':';(f.';':;<~:;ir:;~,>::,;:,'<,:'1;i~2*,;,{Bre'm~'rt~on'. WA 98310\,,::,' > . '::':,~:>:;;/','~;;r:;:;\':>'" "",.,::<~, ,_ ',r\,~,;,~:"~~' - ,-' " , .. ": i':"'~":'~-';;- ,', "~~/;~',IC( ',",:'::~~.:.~i,~'~~:,f~~H"oi;:';~;7~'/'.~ .~';':'-~'~::~~.:;:r~r:~ i\, N ~', I':,;"/~:"/;:;<~ -~:~:::\;; CCPIES TO; WHITE:"" 8L:IL:;ING, YELLOW"- 'ASSESSCA, PINK:- CWNEi'l , ,,' ;',;l'":"',,,~,:":)/"T ' . ',' , ,~ '". .'; :.:;.:..: -', :"):~ ~>'"'' ~ ". '<~:/,~~~{~:~~,;" ."' ,:~:. ~_~l)i. ,~;,~ ;;~.~ :~- t,,: ':.'~ :J~. .' . ~:.= '-~'i.~~-"'" ,.~ ~ . .'~ .:;. ;:.. ". _."__. .~_ _. _~. A'~<_ _ ~~..:~ ~--<:,-7."t-.:.:.'..:- ;:"f~~_ ~-;."- .......,~__. "..'..k . - BAY 13UfLDE.R,G P.O. BOX 86 BREMERTON. WASHINGTON 98310 479-0605 A SUBSIDIARY OF BREMERTON CONCRETE PRODUCTS CO. COVER SHEET - CITY OF BREMERTON PERMITS PROJECT NAME: U.M. Troske Retaining Wall PROJECT ADDRESS: 615 N. Charlotte Bremerton, WA 98312 PLANS PREPARED BY: Bay Builders Inc. Pat Thompson " ZONING: N/A USE: N/A OCCUPANCY GROUP: N/A TYPE OF CONSTRUCTION: N/A AREA: N/A TOTAL AREA: N/A VALUATION: $3,000.00 " J'.' -',~ i.. , .Y ;" '.': TAX ASSESSOR'S ACCOUNT NUMBER: 3783-007-019-0006 PT/dnd 1/29/85 BB-5000.F t " . , .. . e CITY OF BID!ER..'tl()N BUTIDING DEPA~l\'JT PEPJVlIT APPLIC~..'I'ION DATE ~/ 9-8' _~ 1985 ora BE CQ."v1PLETED BY q/ll . / . ../ _196 \. ~.J;l~ -...----- r-J f:) 'i) - ~)~f )(~Vl4J - q)NTRACIOR (0 /~. It;, ... CkJ>M iJ.~~~_T~ON OF JOB . ~Q YLfL1JiVYl.4~C~ Wec, . \ APpRD\7ED _ ~ProJED ~ El\lGmEEJ:UN'; CCMliENTS/REVTI:mU B"i ~.P~/ ~/ . ty~LE r/N~--L _Sli7":2c~ ._~~~QN~ #fLSl,L: ~;7?rEY ~ .C~/V..uAq'cpc~ tt//J-S ~G /15_ r1 :~::::7? _ -. -4/'.. -~ ~ -r- A-?__..... - I ./7 A.A ~ I' J ,,-AI"'" /-~P-- ~ ~ -Z1i..c S-2~C:::-ZZ~~l.O I (" ,I . e CITY OF BREMERrCN OOnDrm DEPARIM:NI' PEPMIT APPLI~-TION DATE rt / f)f I q//-j "/ . ../ 196 1~85 'ro BE ca1PLEI'ED BY ~. ~.d~ i'~ ,-G3~~ CJV.7NER &/5 )u ~ ~I.CCA_T!ON OF JOB (J () .. - I I la-X-J< '---C\, w \ ENG:rNEER:rm CCMv1ENTS/REVITh1D BY DISAPPROVED ~/ APPROVED ~.c!~~~ Ii 'I ~S lJ I LD IN G P.RM! T";;'APR~ c. . T !gj\)/L,~,:.~q":i" ,-...-... . -.... ,^ .' '-. . -," '. . h _.' ., City of Bremerton, 'Washington Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO. ~733-C07-0/9~60Qt. SITE ADDRESS:lCCAi!ON T OWNEH'S ,'JA~IE . MA../ COt'JTRACTOR ~;?CL ADDRESS 1'2 f~K ( 25 (; ISSUANCE OF OCCUPANCY CERTIFICATE:: REQUIRED BEFORE OCCUPYING BUILDING C'A/7~/xl/ ~ CWNEH'S .J..DCRESS :~Y7^-.O PHONE S"lATE CCt'J"lHAC"lOR'S L1C. :t PHONE 77/,-c10.Q:5 OVVt'JEH'S SIGN.:..,t':;:;E BY .J.J.Jt."ori:ed ~~ent (SEE AND READ NOTICE ON REVERSE SiDE) ~ RESIDENCE BUSINESS ~THE.:::; :........ NEW L REPAIR ! REMODEL n ADDITION C CE~,ICL-: [J SiGNS PLANNING/ZOi'J:NG # S,ORIES OCCUPANCY THIS PERMIT ISSUE:) FOR: &h<~-Y7q ,/ L~cxl~p All provisions of laws and orcinances governing this type of work will be complied with whether specified herein or not. The granting of ,apermit does presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the perlormance of constructicl . INSPECTION'S REQUIRED: Foundation 0 . Framing 0 . .' Plumbing' 0 Electrical 0 .' .wallbo~~d'O ..' ..:F.lNAL n:. OWNEROR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAC~Rl0R TO,CONTINUING WCf .~,~~~:~:E:MITS ARE. ~EQU'~;::H~:M~'~;C;A~;~AL. AND .ELECT~':AL:....,~:. ....,~;}; '-...." ,. . l-~'".:.",~.~"j" ,__. :.:. '~"..~ ,-_.....,,, '\ :f' " ~ '_; ,<,'r' ,,' '.:' ~.... - ..' . -." _,,"C,. .:'_". ',' '.' , .', ,', '. .,-'\.,.-.-. ;. :..< :" ,'\;.:'~ .~:. ~' .- '.'..:::,::. . . .. ~;,.:"- " ~12ft@ &~ . . '.'. ,'" .:. .. .A~ G. 2. 6 .1,9$5 ~. >:,:':~ . .' ..; ~ . " . . _." .......~ . _~. ,_ A 1. _' ..' 'BREMERiON":"'",..:' .~. . . BUIWING DEPARTME~T:~':~' ~~..,:.. :'. . . ,..... ". '.~.~ . , ~". ..: ' , 7,,,,-- . ~ .~ ,'..:.: ..t~ :;, '" :'.' ,~ '_' . <f_' '"'<! 'S-c . . :~""..' .~~(~0;;~ 7/ S25 " . ~ . \'...o? ",: . "'. - ."'..:,. ~...~ , :; ~: BUILDING OFFICIAL: . '.'~, VALUATION ....$ '.'7 7\60 ~. ::J1,v I ~ ;~ ;~~;E ...1 I BU~LDING INSPECTION DIVISION ...,...:. ;.., .,'- RECEIPT NO. .:..., r;L(5d Cj ':.:;i;~~.e,~~'~O~, \VA ~~~~:;~ .:..~. '\;;'" :;~.;i': "~:,'.~.P?~:~;~J Jj.,,;, ':; ,,:'r:~::~:'~~~~ .... . . { '. '. _. Permit No .I....:::...,..{...~."';r;.. ~ r....., ",.'-,..\ .'- . '.' ':. ~., .._':_'_'-t~'~"'~'}~:"\>:'~>~ ;:"'~.:.""'/.,;~;.; ..:;:,~"":~,,'~.,_,,,Ii~~tt:J.2;~aD:: ..$' P~.OM~.T5V.FEE.. '.I.R~{~.I.;T';~~:i(1 \,:';~':',::DA!:~;. .' ..:;/0 ~ .': >.' ,'.' ~,-" ..~< . .' ;~, : ,,: '~.,\~! ,,: '. ' . ._. . .' '.." '"'. .' J- ~ ':..' .'..' ,.,. ...".: ..,' ',,,:,'t, :.' ~ c :~~ I' :-''r''-''~r.'~"..:""-,"",,,,~, .'It 'r- - -:;: ~''";'-'''''i. . '~~'t_"'~'.'f'-.__"J":' ~"~'~';~': :....:....;;:J.~---;:.._.f:~.,... ,'I".. , ,COVER SHEET -. 1.' . \, ' ;',:,-'PROJECT NAHE: \';. . }';~:~'.; ;. PROJECT ADDRESS: 615'N~' Bremer'ton Bay PREPARED BY: Pat ,N/A' OCCUPANCY GROUP: TYPE OF'CONSTRUCTION: N/A VALUATION: 3 000.00" ASSESSOR'S ACCOUNT NUMBER: ~PT/dnd ','1./29/85 BB-5000.F , ,\." BUILDING P~RMIT . A (7 e L- \ C eT I C ,^) City of Bremerton, Washington Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO. ? 1J'5-()07-019-60()~ COi'JTRACTOR 7{0~ ~ J~ OWNER'S .~DDRESS y-yJL- PHONE SITE ADDRESS/LOCATiON OWNER'S NAi\.1E STATe CONTRACTOR'S L1C. :t ADDRESS (g PHON E "i'7f -Oh05 ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWi'JER'S SIGN.-\TL'Re BY Aua'ori~ed Agent (SEE AND READ NOTICE ON REVERSE SiDE) ~ RESIDENCE = BUSINESS ~THER ~ NEW i ' i1E?AIR ! . REMODEL Ii ADDITION r: DE~t'iCL:S [J SiGNS PLANNING/ZOi'JlNG # STORIES OCCUPANCY THIS PER,\.lIT ISSUECl FOR: ~~~~ ~t7LP~ 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 :1 presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construcllcn. INSPECTIONS REQUIRED: Foundation 0 Framing n Plumbing 0 Electrical 0 Wallboard 0 FINAL l...J OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WCF.! \ SEPAf3ATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL COMMENTS: 1'f~~~ V ~(~ 7/.53 lM~ @~ rrw~ AUG 26 1985 BREMERTON BUILDING DEPARTMENT BUILDING OFFICIAL: VA LUATh<2Jl $ 3,OoO,~ f BUilDING INSPECTION DIVISION - I PLAN CHECK FEE I $ 0\ -5' j {J j; RECEIPT NO. I PERMIT FEE RECEIPT NO. '/'-/'50 c; I $ 3f? 5V Bremerton, WA 98310 Permit No. I DATE ~ I CCPIES TO: WHITE - aL:IL:::;I~lG, YELLOW - ASSESSOR, PIN;'; - CWNEH :f;::f;~F;~;Zi'B:r'" ~'u' ')1 '0'. I ""N" .' 'G' ' .;" j,".:'< ,,:::" '-";,:~'i. - . ~1. : ., ~ .... 1>_ -. . ..,~.. ~ - .. . . pi'R MI T;A(iIiL~!'(. T ;()'Arr";~'/?;! ,.' ,_....... > u~._.~..._~..'_......,..._~...'~ .... _.... ._....... _';'_._ _-:~__ ...-~-,.-_ . . .. . . Cityof'Bremerton, Washington Phone: (206) 478-5281 "'{ ASSESSOR'S ACCOUNT NO. ~735-CO/-o/9-600t SITE ADDRESS:LCC~.7':Ct'J OWNER'S ~JA~l= ,r 'li,c./). CA/, L/~~f7 0 CWNEri'S .~DCRESS :s.r)/y---O- PHONE CONTRACTOR ADDRESS (;: 1- STATE: CCNTriAC70R'S L1C. :t ,- PHON E L./79-o~'a5 ~- J,-':"i"'AJ , ISSUANCE OF OCCUPANCY CERTIF1CATC:: REQUIRED BEF=ORE OCCUPYING BUILDING QY'ir'JEri'S SIGN,~TL.;R= 8Y AJ.;tnofl:ed .Jgent (SEE AND READ NOTICE ON REVERSE SiDE) ~ RESIDENCE BUSINESS J.2\9THEri L- NEW L riE?AIR ! REMODEL n ADDITION C DE\1C~; L! SIG~jS PLANNING/ZCi'Ji.\iG # S70RIES OCCUPANCY THIS PER,\-lIT ISSUE0 FOR: ~"-~~ry r;JcX-PJi 41/~ All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Th!3 granting of a permit does , presume to give authority :0 violate or cancel the provisions of any other state or local law regulating construction or the performance of constructic .,INSPECTIONS REQUIRED: . "foundation' 0> .Fr~'ming"O'Plumbing 0 "-.:..Electrical 0":' Wallboard' 0 '. ',:..FINALn, OWNER OR BUILDER SHALL CALL FOR ALL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOF3 TO CONTINUING wel S~PARATE PERMITS ARE REQUIRED (WHERE ~P~L1CABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL', . " ..,.: ~~;~~~;~NTS.:;.C ". :.. .: -r~,..:/~ f .......:;::':-~ ....~~.>:;~.\:',./ ". "".,~ :>, '.{ J '. ';"j i/t;~{j,",>-, . :~..;tt.:::. .~.:.--: ~,~..-,,, "~'-,.- ..;.~ : .......:. ',~..;r ':,. '. ,. ... ^'.. ...~ .. ;<~:-.:::::(<:~ ~'~.' i:~" .:'~:>~_ ~~~_ " , -., . ..;..',: :-.>~ ~~.1 ., '.'C,'" '. '-' ., '. . l /M~@ rg trW-ii~.. ''',' " '. ,-~ .... ~U~2 6 198~:}':':7}:~::~;?J:;'.~~:':,< .'::" .~.~. . " . -.-.-". .~- . " .-.. -,,-" .. ::;.j..-s:.:.~;~.'L.... '0' ., - - '. _ .,.. .. - ~ _~ ~~.,,'., ..~....= .1~4~. ~ '. .~.: ". ~ } ):- ~f~~,~:;{: :'.'.:.:;:( ~_: ".~'" _.~: n "..,+.. ~. .~~ "'.' .' ~ . ,.~.~.':" ,-", .--. . .'~, . , . " .- ~ . ~ " . ,', .; BREMERTON' '~ '~>';';!':;':'.'~ ...~.UILDING D~.PARTMENT'::7,.;\,,"";::~,> ....':.~ fl' .>.,..... '9"'/.'53 .~.::. .' ..;(-'J-Lc;~: 7'" .;,- .. _ <~' ~, .' t " -. . '. ~ , _ . . ,..' .. . , . . :.~I'~.~-.;~ ~/~~ . .::" ,'---. . . " ';'; . BUILDING OFFICIAL: . , '-", .,' ...:';, . VAlUAT~";', ~~:." :' .....1 P~AN C~~CK FEE:l : RECEI.P:r NO. ..1 ...~ERMIT FEE::I :.R~~,E,Ir..:T. ~~:!'~ I ,-./:......',..~?~. .,:.;..>: -:5 . ..'52,' 000" ".'" ,.. ~..~ -5 ,~.?: :1'1.50 Cj". $.3g:..5V':f':'!;"""'..~:.:'< ..... "..' ;' BUILDING INS~E5;1~~D!:I~t~~~L~;:;U,~;<~';.:~: ;(,: .. · Bremerton!Y!A;,:~::o. ~;rm il'NB!'(' :~:t:.~~y~~:.;~~z,) ".\ CCPIES TOJ !'IH1TE - .3L:IL:;I~JG..YEl~OW :7~~SESSC.A,.PI~i< 7:'.'C.WNEFl. ".' . ". .:-~.'_: .....' . , .' , '.' '..',.' ..' ~'.t. .' ,....i~X.id~,~..:..~...~<." ,,'.,: ..~..,,',.~....,~ .' ". ~:.:~:.' '\ ~ "'-"'~"."_'_"_'''''_''V_.' "{'.;....I.\;!.~,l.r'"r::~.'I"~v. ,...-. . "'... ,- 'Ta.-tl("o;\ ;.I,~" -~- - 'f.'" ,~ CITY OF BREMERTON - BUILDING DEPARTMENT 478-5281 - 239 FOURTH STREET, BREMERTON, WA 98310 INSPECTION REPORT cJo PERMIT NO. :; 1 0 0 I have this day inspected this structure and these premises and have found the following violations of City, County and/or State laws governing same: /10 I'L/ /} /lIt);- //fP/4lJf /}/ O{J~: /)/ljA I I I~l- 0't/7 ec;;{;y I /- J / / /V /(/0 ///1;7', ~f , "'. }. You are hereby notified that no more work shall be covered upon these premises until the above viola- tionsare corrected. When corrections have been made, call for re-inspection. (/', Do Not Re'move This Tag DATE 9' Ir ;;rGTZr~ /;y~---, / .. - INsPECTOR~F6R'EftJrc6ING DEPT. ~ . . N(} 43250 ~co Fee $.............---.---.--..::............................................ Receipt No. .....;?.2..r...(!.Y................................... BUILDING PERMIT CITY OF BREMERTON · BUILDING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3.1411, Ext. 36 ~ Owner's Value Bldg. Dept. Value DESCRIPTION: $ S/ () Lot Block Additions Address on Job _k L~_. __/.UJ.. ~ _ _ ::.J:.'Jf..~..:&k.... __ ._____ ___ ___~_.._ _ _ _. _.. __ _._ __ __ n __ _. ._.. _ _. n U _. Date .LA__-; .~;; _2";'. un n_', U u.___ .'_" Building ___._.mn._n. x _U_.n_.._____. and .__________.___. stories ___.00___.__.___________ basement, Lot n......._u.___ x .___.______.uu Front Yard n_.___m.___________.. Rear Yard u__uun__.__n___.___ Side Yard u..___._________n___.. Garage ____nnnn.___.__________._. Occupancy.. un._n _._..u uu. ._. __ .... u u _u __.. _ __ _. .._. u.. _. _. _...... _. __.. _u. ...... u n. u"u _.00 .., _ u.. u Zone _u_...u..nu u.. u ..u..u u__.. _...... Owner ~..u~~.._.._.u__.._...u.n.__._._._...._...._.. Address u._.__.._..__...unu___._.._._.__..u..n Phone n..u.___n_..._ Contractor ~./d..dz.__..Y:...~.n.~..~:&/ Address n____.._._.__.__u__._._._.u_.n_._..u... Phone .u_u._u._u_.. This permit is issued for: ......~...~~--_.._--_..._-----------_.._-_...._-_..._-_.._-_...._..----...............------......-........-......--..--.....------....-..............-....--------....------..-.......--......---------....-......--....---------.-- ........ --...."'.... ---............-........ -- -....... .....- -..-.... --- --...................-.. --...... --.. ..--.. .--.......... -..- ....--.... --- ......... -.... --- -....-............-............ -_.... -.. --.. --.... --.. -- -....-...... -- -- -- -- --....-.... --.. ----.. -- -- -........- --- - - - --- -.... -............ -... -- -.. - - - -- - - -- ......- - - -- --- - -... -.. --..-.. - ...-- - -- - - -- -.. --- ---- ..-- -.. --.. - --..- ..---- -- - - -.. - - -- -- -- -- -- --- -- -- - --- - - -- -- ..-- - ..-- --- -- ---.. - -- - - -- -......-.. ....-.. ..-.. ....-----.... -..... -..---.. 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 mason'ry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or sidewalks. ..- -- --.. -....--- ....--.. --- -...... -....- -- --.. ----- --.. ....- - - -........-..... - -- -...... ......... ---.... -...---....... ..--.....- --.. -....- -.. - -.. - -- - -.. - - - ..-- -- -....-..-.. - - - -.. .......... - -....-.. - ...... --.. ..--.. ..-..-... ....- - - -- ..---.. ---.. ....---........ .. --..- - - --- -.. -.. -- -- ---.. --...- --..- -.... -- ----.... -... -..- ---- --- - -.... -- --..- ..-- ---.. - -- -.. -.. - - --.... --- -- ..- -- ---...... -..- - ---.. -.... -- -.. -.. -- -- -- -.. --- ...... -.. ......... ---...--.... ----....... ..-- -.. --..----.. --- -..-------- -.. -.. -.... ---.... -.. - -..- -.... -.. -.............. -- -.... - -...... -- - -- -.. - -.. - -.... -- - - -- -.. -.... - ..-- - -.. -....-....... -.. - ..--.... -..- --.. -..- --.. - -..... - -..... -.. - -............. -.............. - - -.. -...... - --.... ---.......... -...... -..... -..... - --.. ..-- -.... - -..-..... ..---- - - -....- --......... - -- - - --...--.........- --.. ..------.. - --- ........ -... -...... -..-..- - -..-..-....- -.. ---- --- --...........-.. - ...-"'-- --..- -- - --.. - -.. - - .....- --.... -.... -.....- -- ...--.. --- ----- ...-- .._-... -.... -....- --....... ..---.. -..... -........-.. -...... -.... -..-- .. --...... -............... -- - - -...... - -.. -.. - -........ -.... -.. --..- --.. - -..- - ..-.. -..-.... -- -.. ....-... ..-.. -...... --.. -.... -.. -..........- -.... ...--....-.......- -.. -- -- -.... -.............. -.. ....-....-...... -..... -.... ....---......-...... ----.. ..-.. ..-..........-... ..-.. ---..---..-.. - -.. - - - -.. - - - -....... - -.. - -.. - .._--......... - --... - --...... -.. - --.. -- - - - -- - - - "-"'- - -...... - -...- - - -........ - - - - - - -... -- -.. - - - -... -.......-... -...... -.......... - -- - -.. - - - - -.. - --.... -.. -.. - - -.. --.. -.... ---...... --... -- - -.. --.. -..-.. -- -.... -.... -..--.. ..-..-.. ..... --.... -........- - -.... -............ -.. --..............- -.. - -...-.. --..-........ -.... - ..-.. -.. - - -.......-..-. -..- - -.. -- ..-............. -.. - -.. --... --- -.......... -.. -- ---..- -....... -... -.... - -..-.......- -- --- --- -- -..-... ..-- ....-- - -- -.. -.. -... -.....- ...--.. --.... --.....- ............ - -.. -......... -.. -.. -..-...... - _.....-.. -.. - - ~ ~ -... -.. - -.. --.... --...... -..... -- -.... -.. -............ - --....... - - - ~.. --............ - - ..... -.. -.. -.... -.... - -.... - - _..- - - -... -..-....... -...... - -......-.. -.... -.. --.......... - -.. --.... -..-.. - -...... -"'- ---...... -.. -- ..-"-" .....- - -... ......-- ---... -- -.. --.. .....-... .......... --.. --- --...... -.....- --- -.. --.. -.. -.. - ---....... - -.................. - - - -.. - -......- - -.. -.. ..--.. -.. ---....... -.............-..- ..-.....-.. -....- --.. .....- --...... ......- ..-...... -- - -- -- -.... -- --- - --.. ....- -.. ..--....--.... - - -.. - -.. .-.. ..-- -.. ..-.. ......-..-..- -..-....... - - --.. -.... -"'-- -.... -.. - --...- -................ -.... - ..-.. -..- -.......... -............. -.... -.... -.. - - -.. --- -- -.. --....... -......- -....- -..... _....- - -.. --.. -.. --- -- ---- ......- --... ----.. --.. --..... -... ...... - -... -..-.......- .......... - - --....... -.. - -........... -.. -.... -..-....- - -.... -.. - -...... -- --.......... -.. - -............. -.. - -........ --........ - -...... -........... .. -.. -....... ....- -.. -.. -........ -....... -.. -.... -...........- --.... -...... -.... -.. -.....- - - -..-.. -.. -......... - -..-.. - -.. -.. -..-...... -......... -.. -.... - - - - -.. -.. ..-..- -..- --- -.. --... -..... -- ..-- - --- --.. -.. -- -- - _.. -.... -.. -- - - -.. - ..-- -- --- -..- - - -.. -.. -- - - ----- ...... -- -.. -.. -- --.. -..... - - --- -.. -............ ---.. -..- -... -.... -.... -- -_.... --.. ..--... - -....... --- --..... --- - -........ ..-- ------ ...... - -.. -.. - -....-.. - -- -....-.. -.......... "'\........... -...... -.. -.... -.. - - - -- _...... - -...... -.. -........ -.......... - -.... -.. -.. -- - -...- -.. - .... - - -.... -.. - -.... - -.... - -..-...... - - ........ - - -.... - -- - -.... - -.. -.... ...-- --.... .............. - ..-. --.... ....-.......... -.. -.... - .-...... ... -- ..-.... --..- -..-- - - -..-..... -..-- "'--" - ---.. -- - - -- - - -- - - - -- - -.. - --- - -- -.. - --.. - ---....- -......... - -... -............ .... -.. - -- "'--"'- --.... -.. ---.. - -..... --- -.....-... -- -.. -.... -...... -........... - -.. ....-.. -.. - .......... ..-.... ---......... ..--.. .........- - - -- -.... ....- - ------.. ........- -.. -- --.. ............. _.......-........ -.. -.... --- -.. --.. - -.. -....-.... ..-........ - -............................ ... - - - -.. -...... - -.. -.. -- -....... -.. - -.... -.... - -........-.. -....- .._-.. -..-.. ..-- - - ..-.. -... --........ ....-.. -...-- ..--- --........--.... .... -..-........ -....... -.. - -....-....... -........ -.. ....- -..-...... - -....-.... -.... -...... -.... -..... -.. - -.. -... --.. -.. -- - -.. -.... - -............ -........... - -.... - -.. -...... - -..- -...... -.............-.. -...... - -.......... -.. --.. -..................- -.. --...... - - -....... ..--- -..... -.. ...... -- -...... -.... --- ---- -....-.. -.... --..- ..--.. -...... -...-.... -.... -.......... -.. -.......... -....... -- -.. -...........- ..-- -........ -.. -................. - -.. - -.. -..- - -.... -...... -........ -.......-.. -..... --- - -..- ..-- - --... _....- ........-- -....- ....-.. - -...... -- -- -- ..-... -.. ..--.. ----.. ........ -.......-...... -......- -.. -.... -.. -..- --.. -..-...... - - -...... -.. -.;.... - -...... -.... -.......... -.. -..... --.............. -.... -.... -....-.... - .................... -.. -.......... -...... -.. -........ -.................. -........-..... --...-.... - - ..-.. _..-.. -........ -.. -.. -- -- -...... -...... ...... -- ..........-...... - ....-- ...--- -......... -..- -..--.. ....- -...........-....-.. -...... -.. - - -.. -... -.... - --..-... --.. -........ --........ -.. -..-.. - .. -.. -.... -..- -.. -.. -- -.. -.. -- - -............. -.. -....-.... -- ---.. ...... -... ....- --....-.... - -.. -..... -.. - --.. -.......... -.. ..........- .-.. - p -.. -.. --....-..........- -- -.. --.. -- -...-.... - -..- -.. --.. -..- -.... -- - -- - - -.. - --- -..-- - _.....- ..-- -....- -.... -.. - -..... -..- -.. - .. -........ -.... -.. - - -.. - - - - -_.. -........ - -.... --.. - --- -.. --.. -...... --- -.... -.. ....-- ...... --.... - - -....... -.. - ...... - ----..---- Owner's Signature_. -._ _. __....... _..... .___ _ _._.._.. __. _ n.... _... _ _.. _. _ _. _ __ By _ _ _._... _...... _.. _. __ _. __ _._. n_ u n .0000 uu__u__.. _., n........._ u.. u__ His AtllhorizeJ Agent ~D~ B 'ld' I ..A '<. "If .t: . UI lng nspector _... ~_... _w.,.. )J{:J'~~_ _ "_n _. n.._ _.._.. __ _.._._._.. n.. _' u __.. __.. _._ n... .,u. By _......... f:.z.__. _.... __ __............ u..,_ _.,.. _._ __....,.. u _ __.. _..... u ..u..