HomeMy WebLinkAboutCOGEAN AVE., 923
'"t ,_ '.~. .j.
BREMERTONPERMIT CENTER
286 4th Streetg Bremefton~ WA 98337
Phone:: (360) 478-5275 FAX: (360) 478-5278
BlHLDINGPERMIT
'Job' Add)" ~ 9t'!.3 CClGFAN AVE
Location: 928 CClGEAN AVE
Pan:;e1 NQ::
Pe:r m j t No ~ 96'''{)646
st at UH: I SSUEO
Applied: 10/09/1996
I HHued: 1. 0/09/1 '19(;1
Expires: 04/07/1997
A~)licant= .80U(~EY TAMMY
,923 COGEAN AVE BREMERTDNp WA 98337
Owner ::
Ccmtracton LANCE M CUMMINGS cn ~360 BEl4 416L1c #= LANCEMC044,J7. Exp~ :::lI1f.,/l1l
6824 19TH ST W *174 TACClMAp WA 98466
~;ubc:ont r ~
Dese: I~E:PL.ACE GAS FURNACE WATEr~ HEA"rF:r~ & (3AS PIPING
*xx**********************x*******************************************************************
Valuat:lon ,)t' Permi.t F'f:-lfm: !52,,~;~O 'rota1 Calculi:'itt~d F(01e~ ~Y7,,;?O
.00 * Plan Cheek feeB~ Additional Fees:' .00
* Other FeeB~ 5.00 Total Permit Fee: 57.20
*********************************************************~***********************************
MECHANICAL./PLUMBING FIXTURES-.. MECH-Gas Furnace to lOOk btu,: 1 MECH-Gas Piping (outlets)"..: 1
PLBG-,Water Heater",.........: 1
r-~~~.-f
*********************~************************************************************************
This permit shall become null and void if the building or work authorized by this permit is not commenced within
'180 daYEl from Ute date of such permit, or if this building or ~.Jork authorized by such permit is susp€mr.!ed 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 Bremerton or BuildIng Official to see
to it that required insPElctiofl13 are made, The permit holder must I1Cltify th(~BtIUding OfflciaI when ready for
inspections. Failure of the permit holder to noti.fy the 8uildin[l Official of required inspections may result
in the stoppage of the work until sllch time that the pl:<Jrmit holder can substImtiate to the building official
that the conceal€!d war k meets or exceeds code requirement({, Any c1emol it; ion, test i ng, or fi nand al burden shall
be borne directly by the pr;rmit holder, Failure tl) substantiate code requirements will indemnify the City
against any and all resPclOsibility or liability ctmnected with the construction. .
I hereby certify that I have read and (1xamJ.ned this permit and know the same tll be true and correct. All
provisions of laws and tlrdinanc:es Qovernir., this" ~ of work will be compl1ed with whether specified herein
or not. The granting of a permit does t pre e to gi.ve authorIty to violate or cancel the provisIons of
any other $ :..e....s.'( . . v~ati'. co llc:tion Of. the petformance of construction.
I
S i 9nat~-= ~;..-e:::;~-~'--/-i ,_..,~.__.,________.u,_____.,,_,_ Dat e: .,,~._____~...___....=__=.,___.._____'"..,,_
I certify that I am exempt Jf6m the r.equirement!:! of the state contractor's regie:tration law, under
Section 3, Chapter 126p laws of 1967.
Si gnature: .~_,..._,.,_,..~.i~.._,,___.__.___,_.~.."..._ Dat e: ....--1o-/.CJ..f-9~-.:--".__..._..._._-
~***~***~*********~~*******
PermIt CenteT--ApPY~ved BY; DRte=
'*"
BREMERTON PERMIT CENTER
286 4th Street~ Bremerton" I.JA 98337
Phone: (360,) 478-5275 FA.x:: (360) 478-5278
Job' Address: 923COGEAN AVE
Location: 928 COGEAN AVE
Assr Acct No:
8uilding Permit No: 96~0646
Status,: ISSUED
Issued: 10/09/1996
Expires: 04/07/1997
I:~F:G~UIHED
INS P E C T I ON S
It f.(.)m:i 01400 Mf::C}'IAN I CAL.
Item: 01550 PLUMBING
Item: 02150 CROSS CONNECTION CONTROL
Item: 02700 FINAL-~8LDG
Dept= SLOG
Dept= BLDG
Dept:~CROSSCC
Dept= SLDG
Division:
Division:
Division:
Divisionl
*********************************************************************************
TESTING: Must be recognized by the Washington Association of Building Officials
SPE:C I NSP:: Mur.~~t bH r((:l9:i. ~~~t ((~~'('f.~)d w :1. t h t h(:,:.) St i:'it e:l of WA
I~) 1 [') t'" " f'" '1' .1.. v "...... I") "'. ", ", v' 4.. "T' "') (,,, ] "I '}' T'" I'" ,.., "\" 'yo ,I.. ", T' 'I" I.l .")' ("\ ,~' ''', "'1 '::'
::;, .'.. , \;~ ., ' ...' .. II F U I ;',) I v;:, m(~';., (, U \ 1::,... ,l "t... 1\::1 "h'::, f" d \, m (::, I" '.' I (:,j"'" ",,);:: i ;..)
PLANNING: City of Bremerton Planning Departm~nt 478-5275
PUBWORK5: City of Bremerton Utilities Department 478-5818
F' I I:~E::: C it y o'f Brf,(o!mert on I:::' :1, j"():': May' f.,:~hei:l. ~ i:(~ Of:f,':i. C('~l 478 ":!::;:::lEfO
ENG= City of Bremerton Engineering Department 478-5270
HEALTH: Bremerton/Kitsap Health Department 478-5285
<::''''1'(''),':::' W' /::-'U <::"!"".'["I"\; (""1:: WoC:- I")t~,,,..).t" ,'\'tl;"~1 'I"')''')'''' & 'l'r'I("lt'~,""':""'I'("'''~;' 1.'7"{~'},,"'1,~::)'::\1
~'I) " ''''I ~,,) ,1 t~ ~ ti".. j'~ . {'''I ,,~o# f" ~ I, ~".. ",..., (" I , . ..~ .J. f..'> '0 I .' ..,... 'i..') ";"1 (',,) JiTI 7 A,. .J.
*******************************~ ~*~*******************************************
Date::
p(o::)'f" rn j, t 1"'10:1. dv::l'r ~ ;i;1,"l _' F '
<::; 'I C::lni'i t II y:K(" " .'- --,,- "",c."oC_~~'''. ", /,,:, <:".." .",'.. "'" ".., ."". ,..... ",' "," "".., ,,,.. ..... ..=:. ..", ,........ ..... ""
'" .. ". ,. .",".'" "'''''''''''':''';:'''" . /r;r....
. ,
/ ,
,/ ,/
~" .
...'.............::--...
. .
'H" HTDER'.' ':jLl.,~',::At:....IJt....:.~:t.. r-:IO'~'HH
.:; .:...~::.:.... ::.:..:-:.'-:,'".'.:.'.; r. l'~ ~'-LI:"..; ~T~:JL.l.&~~.JL.. 1:.,.... .':_"
:/:::i::.citi::gf;B'rerii[~on;'W~bingron.. '983.10'HPlibri.e~:(2Q6}~4-7S-~ Si75:::: F~~X:(206)478- 5278 H:": ..,
......-
/:'::\:':.ME~;\l~ICt':iL:... ,'. .:::.:.::.:i.:.:.:.....::..PLlJ"'JfB.lNG
A.PPUCA.:.'iT: 0 OWNER !- CONTRACTOR 0 OT:-iE.~;
COMME"ITS:
SITE ADDRESS: 9;3 Co&eA-PL M
OWNER, 7lffl/llM;'l i>> t-d...e r AD DRESS, ()- 3, CQ (Ti:--",,,,; pIv-e
CONTRACTOR: ~IACC /J1. CUIV1iJ4"'~) 50 <AD DRESS: !o8;;2~ Ifl14 St. '-<.J"",
CONTRACTOR LlCENSE:; 4i1t Q, f.W'lu 0 Cf 4. r~(PIRATION DATE: -::;!ts!i7 /
OWNER PHONE # ell S-.~ 07' u & . CONTRACTOR PHONE it Bgq -- 'Ii ~ (
HN.~O........I.:::.:....::....:.::::;:.:::.::::.:.:::.:..-:::rvnEHC'I.r.' 'Q",:::n:PC\:''''''''N' ---:'::-
:;1.. :.' .:~:{ l:r:.::::::?;:::?~:~:::::~:;:~:~{:~~:.)i:i:; . :'~V.c)~ '. . G~r: :.~ Y..l~. ::l:':::~.::;'.
I RA.i."i GE
I WOOO/PEl.LET STOVE
J 'GAS FURl~ACE btu~.: 1(57),&10
I CONVERSION BUR.I\;'ER bt':l ',.:
I G1'TIT HEATER bt':~ s:
B 0 il.ER br".I. s:
, I GAS P1PING
I EVAPORA.TION COOLERS !m.t~.:
I AC UNI 1 bN./.s:
I HEAT PUMP !Tm~': tam:
I REHEAT BOX bN./..~':
I AiR H-\..~DLlNG Dl'-ilT bms:
E<l:IAUST FAJ."fS
RA.i.~GE HOOD (residenciol)
RA.i.~GE HOOD (commerciol)
CLOTHES DRYER
I INCINERATOR
DUCT AlTERATION
T Al"fKS typ~:
REFRIGERATION 'UNIT
OTHER:
MECHA.NICAL PER."vfIT FEE
........,/\:>:f:::F~;.:{~kN.0F:hj::.;::)1:::>::TYPEOF:FErr0REr::::\;::\it!:;::iPEE
i I i WATER CLOSET i
I
I I I BA..,...HT'B I
I .' .di U
I I i L\. V.-\.TORY I
I
I I i SHOWER I
i
! I i KJ:TC-IT:-! SINK I
I
I i I DISHWASHER I
I I
I i I L-\tJNDRYTRAY . I
i I I CLOTHES WASHER I
I
I I f I WATER !-1.E.\TER I
I I j URINAL I
!
I I i DRlN~G F00NTA1N I
I !
, I I FLOOR SINK OR DRMN I
I I SLOP SINK I
I I I WATER PIFIING & ALTERATION I
i I I GREASE TRAP/INTERCEPTOR I
I I I HOSE BIBBS I
I I I L\ ~- SPRlNKlER SYSTEM I
I I I S'WIMMING POOL i
I
I I I BLDG. SEWER (mobile I moved house) ,
I I I ROOF DRA1NS I
,
I I laTHER: I
, $15.00 i I PLUMBING PERl\tfIT FEE 05.00 or 4.50) I
APPLICAl~T'S SIGNATU
DATE: CJcj- ~ /tt~
" , '
\
\
M*M**MW********M*~***~M*M*M**M***~M"********M******NM******X****
C :r. TY OF' fH<FMFITITIN !:(FC;f::: :r P"l
*~~****~***********MM**~********M******N~*****~~**~****~********
FtFCF:r p'l' Numbe~":; 960009l :::1. rllftount::i !::l'1' "~?() 10/09/96 14 it 46
Pi:~ ym~~n'{t I'''lf.~t hnd:; CHFCl< tiClt at ton:; CUMM 'f. NGSW 1. 19~:1 1: nit f, MJN
.." ,~, "'l' ~,,,_,,,, .".,."" ",," ..-.,,<,~..... .....,,, , '''\' ,"" ,,". ".'., ,-.... " ""'" .", .... '.' J,~...... ,.",,"'. ," ~,", .""..w ",. ,"....^_ "" H''l .,'0.' ",., . ,..... , . ..-' 1"'_'" ,"'", '" "" "0< ..".' .'n ,~</ ,...,,, "h, ","'.... ,', '''' ~,. ., ,..,,' .....,,,
Pn'\"'m:l t No:; (J.l6"'O,'S4,{;; I'YF:'>(:1: ~ M/P"'F:>~
Site Address: 978 Crn~~AN AUf
LOc;:ittnn: (!n::;:5 COGFl\N At}L:
t1U:f'l/r~1 ,JsG ,. (l1.,Jn::> cnu
lot f:l,:I n:~€H':1 ~ ~;:/ ,,:?O
nlt~~ F'tli)/flH:mt 5i" ,,~~o rotl:1l AU, j)mt~:~~ Sf? ,,:,,~~o
H(J, .11'l;r,C~;-~ : t.OO
"KMM****MH*M**M*"****M"MM*.H**.M***M*MMM*M**~*"**~MM*********MW*
f0CXiOWl't COdt:l De<:tICY' :i pt :f on l~lInnunt
l6,,<:j~;:~;~ ., 1. ()O~:l (~~~::~ 1. ~i ) Mr::CJ."lt'lN r CAL. PEiJ~~1 f. T FFr:::S ~!':t " .I"(}
1 ~~"<J;,;~;'? . l()O::J (,~tj ;;\ 1 a ) PIl..H'1H :r. NH PI':f<M 11' f' r t<::; 2::? , SO
,t,~ i ..,;i!)I'~\'::;. 'I f'H'l~" .. t,~',:"1 (;;~ ) ;,'I:':'I~M r '" '~'I Jj;"'I"U ~ 1:::>(';0,';' r... (",I"
r:,1.!, ..,"Jl~"",", \,)\.. '? \ <,,',., . , , ,,,, .... ../1. ~ ,,,,nn , .Af , 'o,j 'J ",)
"," ~'~\.. to, ~ >.,',,"'''' ~... ,...~ ','" ,',,, P'.. ..." ._,., ........ ", . ",' ,,' . ",_, "". ,".,. ." ',' .~, ",:< '...' ,>>'" .. "" ",.., '''-, ,,', ,," ... ,.. < ~-." ,",,, ,., a ..('... ""'" .,. ,_ ..,,, \w ".' .'. "1> . ..,.. n , .."". .... ", .<t< ......, ",_, "', ','
/
/
I
/
-4i .. ".
BllEMEIl'fON BUILDING DEI.AIrrMEN1'
PIUJubillglMechauicnl Inspec,tioll Report
Scope of wo.'k: RRPT,Ar.R r:AS FrJRNAr.R WH ANI)
Address: CCX;EAN AVE, 923
COlltntctor: LAT>TC~ M ('TlMlVIINGS CD
PTPTNG Penult NUlnber:
OWller: BOUCHEY, TAMMY
Phone:
96-0646
U nder ~U!Ql~~~()~1J-!.I_~"'~~t'l) P rOL~r__~!:!!.1j;~~l'port
12ft miniu\luu hdow Jinde whcn undc~oun(l C<.?~~~1!w"!.rE.~'":!~<:'I!_':~~~IJi~~I!!..~ or willlih 6ft of earth
G rOlll;~qoi;;;-;-;~li~n~ I';~;ibi;e(( ill cc;;:ail~-I()a.dom nu~l.in~' not :allowc:d in ronccak(l :l{ea~
GAS PIPING
COMMENTS:____
GAS PIPING APPROVED:___ ~________
M~I......l_~a~uI'ttY_!l~_~_~~i<.?I!.~~_...~}~~ Wa.ti(~...t.!_~~~.!...:.~lT.<?~~_.
Ck:uance to colIIllll!ltihk3 _V~......~~$.: dc:uancc .....!.?_<:oIll"u1tI~"b
----------.-----
Vellt ,i_~~']t & ~_I!l'~l/col1neclion~ Vent termina.tion
Combustion air _c;}.I.~;!;-;-jI;-~;-;IIJJor !lCEr:ttc flues a, required
----------
Gas shut-QITwithin3' Pi.l.<?t ckvalc><1 (}I~~oo..:,}_~_g,:a.ragc
-----------
Ducts: she & ~up"ortlinsu';Hed when rcqllire<l Ikturn :air
11 URNACH
COMMENTS:
FURNACE APPROVED:
~w
MISC. APPLIANCES
Ma.llufacturer'9 specifio.~iofU 011 site L~.~~..!.!!.!~2!.'!lPor(
C6r:U1ce to combll~tihb Ven~.~.G~~!!"ce to combustibb
Vent ~.~~'!IL & sup~tI COllocctiofU Vem termin;atioll
- --..._-
Combu91ion air Chimney: liner :and/or lKpa.U.IC fluc:s a~ required
Gas s'lOt-off witl,jn 3' W()()(( Slave & (j~~laccs: llropa hearth
Wood 5tovcs: EPA arr.rovcd f--g!~~I2~: ':ai~ry ~Il~~t--Q{f
Wood stoves &: fireplaces: ti.B!.~t fitting lloon Gu shul-off wiu.in 3'
COMMENTS:
(j
MISC. APPLIANCES APPROVED:
Manllfacture~~cificati~~lS 011 site Loa.tio,!!..~-'~~t
Clearallce (0 oombu!Jubb Ventit~: deaullcc to combustibb
Vent sizing &_!!.lfl)()rtlrol~i~~l~ Vent tccmination
----------
Combustion air Cb}mney: lincc and/or separate flUC5 U fC><Jllire<l
Gu shut-off within)' Pilot ckv_2.tcd-.?ff floor j.!.~arage
Gate valve on ~ill water suf.l>.ll Relief valve duincd. to oll~ide
._4~__________
Copper to g:llV2n~_~~~!on. .. Uniolls 011 walc..!:..r.ipc:s
Seismic strap
WATER DEATER
COMMENTS:
rJtjilv
WATER HEATER AI)PROVED:
ALL '''ORK UNDEr! 1:'DIS PEltltD'I' AI-PI10VIID:
4~.
If) f((~
~
"BUILDING ~ERMIT
4pN?
1093
AI
City of Bremerton, Washington
Phone: (206) 478-5281
//
/
OWNER'S VALUE
BLDG. DEPT. VALUE
PLAN CHECK FEE
RECEIPT NO.
-'
PERMIT FEE
.-aO
::>-
RECEIPT NO.
DATE
$
&0
---
$
</s-8'CJ/
/ ')~t)~/ w.3 - D
SITE ADDRESS I LOCATION
OWNER'S NAME () Ie. CJ Iso n
ADDRESS
CONTRACTOR
.~.
STATE CONTRACTOR'S L1C. #
ADDRESS
JiQ.. RESIDENCE
PLANNING I ZONING
o BUSINESS
o NEW
o REPAIR
PHONE
o REMODEL
o ADDITION
FIRE ZONE
STORIES
OCCUPANCY'
THIS PERMIT ISSUED FOR:
g~ it
~~ L-:4 ~~__
~
/
~
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
INSPECTION:
Framing 0
Plumbing 0
Electrical 0
Wallboard 0
FINAL~
FOR INSPECTORS USE ONLY:
REINSPECTION:
NOT
TYPE OF INSPECTION DATE TIME PPROVED' APPROVED
,
COMMENT
DATE
TIME
APPROVED
FI NAL I NSPECTION APPROVED BY
Building Inspector
ISSUANCE OF OCCUPANCY CERTIFiCATE REQUIRED BEFORE OCCUPYING BUILDING
OWNER'S SIGNATURE
BY
BUILDING DEPT.
5 CUSTOMER COpy
, "
I INSlALLER:S NAME
(~IL
SEARS, ROEBUCK AND CO.
:.ESTIMATE AND PROPOSAL .'
1 87-32
Fencing
.--
:--)-
\
.~ ~---)
Customer's
Name
Address
{\j L\";
RETAil
MERCHANDISE SHIPPED FROM:"FlOOR 0 ,WHSE. 0 DIST. 0
CENTER
C. O. POOL 0 SOURCE 0 INSTALLER 0 INSTALLER PICKUP 0
SALES CHECK NO(S.J
:, ..
(./ ~
No~,42Ql5'
Store :::J- \:J \'1
() 1.:..;)0 ,,-J
r. ',r-, /' ;:.~' .-', -1
~ '" \...0 \.,.; .t~ .~''''~:
q~?
i-~ J.
City -t; Q.:{'("f\ ,>. Q -r-'~ tj S;~t~'
Installation
Address
Nearest Cross Street
Phone:
Home'
---"','':) _' <:; , I ;' if Business"
1 - '-1 '-I
CUSTOMER HEREBY ASSUMES FULL RES~ONSIBllITY FOR THE LOCATION OF THE LINE UPON
WHICH SAID FENCE MATERIALS ARE TO BE INSTALLED. AND AGREES TO BE RESPONSIBLE
FOR All ADDITIONAL LABOR AND/OR MATERIALS NECESSARY TO REMOVE OR RELOCATE
INSTRUCTIONS C.U ~............-,... ~.., ~'" l>~, f'(>, " J~ If\ t)ANYPLUMBING, ElECTRICAL CABLES OR ANY OTHER UNDER GROUND INSTAllATION,
- 2~ ~ ~ ----l-~ ~" !! - t-<' CUSTOMER AGREES TO DEFEND, HOLD HARMLESS AND INDEMNIFY SEARS FROM AND
\'" 'It: ( r-... . r ,.,- ("' AGAINST ALL CLAIMS, LIABILITIES AND EXPENSES FOR INJURY, DEATH OR DAMAGE TO
'1/\ SI( () ~... \) \- ()l... 0 I- ". ~'... '-' I.: .. PERSONS, PROPERTY DAMAGE, TRESPASS AND ALL OTHER DAMAGE OR lOSS ARISING OUT
__ r\ 1 T:l - OF THE INSTAllATION OR LOCATION OF SAID FENCE MATERIALS,
<;. d L, T \) r!'l ~ \!. ,~) \) .:-)\(.:h Ie, i') ~ \ L \) \ ~J (--SEARS RESERVES THE RIGHT TO MAKE ADDITIONAL CHARGES TO THE CUSTOMER IN THE
\::::. ~ n. u'-"'. --,....,. - . EVENT UNUSUAL GROUND CONDITIONS SUCH AS ROCK FORMATION IMPEDE THE INSTAL,
~ ..' \t ~ ~ ': . \ LATlON HEREIN DESCRIBED, SUCH ADDITIONAL CHARGES SHAll BE BASED ON ACTUAL
ADDITIONAL LABOR REQUIRED TO COMPLETE INSTAllATION UNDER THE CIRCUMSTANCES,
SPECIFICATIONS
9
..,
-
-
CONTOUR:
LEVEL
ROLLING
HILLSIDE
TERRACED
INSTAll FENCE:
AIRLINE 0
KORIZONTAL 0
FOLLOW
CONTOUR ~
LINE STAKES SET, '"
BY CUSTOMER ~
TAKE DOWN EXISTIN~,- ~ '
FENCE YES 0 NO ~
HAUL AWAY EXISTING' .
FENCE YES 0 N
HAUL AWAY EXCAVATI
DIRT YES 0 NO
CHAIN UN
;g<.
o
o
SPECIFICATIONS
DIAMETER LINE POST
GATE FRAME SPACING
!, ! :
; ! : -'
" ,; lot
DIAGRAM
f
4-
,
! l
+-H-r
!," I
: ., I
! :
! I
-H
.:-, ,I I 1: I '--!-+1i!
i- ~ ~j!
fir: : 1-', ! .
,J: I I L-: : :
- -
;
! ,\
ii:
,0-, : ! :
i i i
!illj j ~ j i
! " j
l , +-, : 1 ;
i'Titl i i i
":H4~
KNUCKLE BARB
UP UP
!
-t_ -..
-J ; : ~ : ; :
-fl.l: :+:
,! 1
! !
I !
i
t-
~ I
t-H,
FENC TO HAVE:
HORIZONTAL BRACES
DIAGONAL BRACES
TOP RAIL
o
o
)X
I i
f I
!
I 1..\1
! !
~~;:l ; ; r-i
WOOD
j', \.!
+-WjR=: I f I! ,
'. A.J-1..! i I!! !; j I
,'i"f' ,,' 1,1 I i I; LL :!"
."- '" -'t >fu! i I' j i i i ! !
" ,', 'I,! I r-t-; !! !!
'!"F it ! ! ; II , I' i 1
. . I Ii. . I.. I . II I -+~ ~; , i_l-t-,-LJ
e:;;;':'- +!:+,'-~: Ij-l-+{
~i- . ! !, LJ.';- I " I N,
-----t 1
,,, t iJ. I i '1~ ,,~. '," . . I . r I. ':
I _ l~ I TIT : I I " . I I .j ~ I I I.
'-~ ;-r-r---;- . : . I ! I I I I I I I I I
!-t '. , :, II 111L..-r--r-ti::-+-i
t I I h"'" I iJ !i'll! I ~l", ji~'l' f" I I
Il't III +-+--t+- .f' Ii';
! ; f i! I I ! I !:! I, l.LL.-' " !
i .'It I,' :,: f. !, f !-LL J I, 1--l-J. '
! ,','! ! Iii ,; I !!.I! i I ! I
; , ; : : i ' :! : l; ,f i i ~ wi! i r:t~
! i! !! !! I I.! I i I i
, I
I
i
l!
I
, I
; I
i ;
t'-.
!
I I
, : i I
! Iii i !
I I! !
i j ,
I j
TYPE
OF WOOD
! i i
! : ; ! i Ii!
STYlE
OF FENCE
! i
CEMENT BLOCK
WIDTH COLOR
OF CAP OF CAP
i i
!
i
! i
; " ,
! i !
! .
i
GRILLE COLOR OF
BLOCK NO, GRILLE BLOCK
i !
j......j -i-.. ,
, rt'
,';'
'.-.
- ,... l
By SEARS, ROEBUCK AND CO.
I i
I I'
COLOR OF, PILASTER GRillE
PILASTERS BLOCK NO, 103
;
I 1
! i i i
! l
j i
! I ; i I I
I I i
GATE GATE BOLTS,
PATTERN NO, ONLY
i I
I
i !
i !
i ! I ,
I i
COLOR & SIZE NUMBER Of
OF BLOCK COURSES HIGH
1 j j
! I I
I
I !
: !
I
COLOR SIZE,
j 1 ! I !
(PROVISIONS ARE STATED ON REVERSE)
/:
<'L.-
Approyed and Accept~d (Customer)
DA TE OF SALE
I 61 J(~I-J 11
Mo. Day Year-
I <; h.!1 ,. '3 '- 'l- ~
~-~; - --^~,:
.:~ ' '\-' I
. I ~"- L' \
._,..,........., l
By
,
,
Authorized Representative (Div. Mgr.)
/'
/
/\-:-::;-;~: ~'rr./ ~;( ~~.,
J"';
~.. .......
_,0_,
h...._ '
" j.--."
Salesman
4774-106
"f" :~:'
,~
:)
L",~ 'I I
I l!'
"
'J