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Home My WebLink AboutCOGEAN AVE., 1108 Mechanical/Plunlbing Inspection Card CV ~ I.!I I PERMIT CENTER J:ITT ~F BREMERTDN 286 Fourth Street, Brernerton, W A 98337 Phone: (360) 478-5275 Fax: (360) 478-5278. Addresll f) f C()'~ A.VE.. Permit No. 88 0'1 0\ 3"1 'QTY. EQUIPMENT APPROVED :1'" .NOT APPR'D .' . ..,COMMENTS' . ':. .. .. : J Gas Piping (outlets) , Furnace ". Hot Water Heater Wall Furnace Room Heater Gas Fireplace Gas Logs Gas Stove Gas Range Gas Clothes Dryer Wood Stove Pellet Stove ~ Boiler* *cross-connection approval req'd by Public JForks Propane Storage Tank* *Location must be approved by Fire Dept. J ~L~i. ~~~ Fill" PlJ.l. 1_- .....c::: ...... , Other: - FINALINSPECTIO.N/APPROVAL TO SET METER: /...,tJ-~~ Id, Building Inspector ~ U 00 '-J ~C!l.- Additional Comments: -. PERMIT NUMBER ~~4":0kl~~il2 DATE ISSUED: If'ol~~@,U,. ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: 3747-001-006-0004 ZONING: CBR SITE ADDRESS: 1108 COGEAN AVE VAIL CHRISTOPHER D PHONE: ADDRESS: 1108 COGEAN AVE, BREMERTON, WA 98337 VAIL CHRISTOPHER 0 PHONE: ADDRESS: 110~ COGEAN AVE, BREMERTON, WA 98337 ALKI STOVE & SPA INC PHONE: (360) 692-4303 ADDRESS: P.O. BOX 156, SILVERDALE, WA 98383 PHONE: ADDRESS: SUBMITTED: 1 0/12/2004 /1212004 EXPIRATION: 04110/2005 STATUS: ISSUED Mechanical Fixture Fee $45.50 2215 \.. ~.b~l1~i'umbi~.~,:l4!!}rthe C~.T NEW GAS FIREPLACE Building Code Edition: Occupancy Group: Type of Construction: Flood Zone: Setbacks: Sanitation Method: Number of Bedrooms: VALUATION: TOTAL FEES: ,xII/I' $45.50 6tf Inspection Requests DCD: Building Inspections L&I: Department of Labor and Industries (360) 473-5870 (360) 415-4000 Fire Inspections HID: Bremerton, Kitsap County Health District PW: Department of Public Works (360) 473-5380 (360) 337-5285 (360) 473-5270 This permit shall become null and void if the building or work described and authorized by this permit has not commenced within 180 days from the date of issuance, or if this building or work is suspended or abandoned at any time after the work is commenced for a period of 180 days. Obtaining inspections at intervals not exceeding 180 days identifies that work has not been suspended. 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. The granting of a permit does not presume to give authority to violate or cancel provisions of any State or localloaw regulating construction or the performance of the construction. If listing the owner as general contractor, I certify that I am exempt from the requirements of the State Contractor's Registration Law .under Section 3, Chapter 126, Laws of 1967. All revisions to an approved plan require DCD review and approval prior to performing work. All building and tenant occupancy permits are required to pass final inspection prior to permit expiration and obtain a certificate of occupancy prior to use or occupancy. I have read, and agree to abide by the conditions of this permit including all conditions of zoning, building codes, and State and Federal laws. SIGNATURE OF OWNER OR /~~-u!__t!:;::.//../~ . AGENT: ? ~~- ?'~~ PRINTED NAME: C:A If (..S fo () h e. v' \/ Ot / J ,. DATE: /CJ//? /0'1' / / CONDITIONS City of Bremerton's approval of this application pertains only to the City's regulatory jurisdiction, and thus compliance with City regulations does not necessarily ensure compliance with federal or state laws. 1. (DCD-01) DCD: Prior to performing any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and Washington Department of Labor and Industries (L&I) regulations require an asbestos survey be performed to determine whether there are asbestos- containing materials in the work area or structure. The asbestos survey must be conducted by and EPA-certified (AHERA) building inspector (except renovation or owner-occupied single family residences). DCD: For more information, please contact Clean Air Agency through their web site at www.c1eanair.org or by phone at 800-552-3565 or 206-689-4058. The L&I web site can be found at www.lni.wa.gov/p-ts/asbestos/asbestos.htm. c.~ 2. (DCD-02) c~ Page 1 of 2 " PERMIT NUMBER DATE ISSUED: 87 10/121~.~ 3747 -001-006-0004 VAIL CHRISTOPHER D VAIL CHRISTOPHER 0 ALKI STOVE & SPA INC ZONING: CBR PHONE: PHONE: PHONE: (360) 692-4303 PHONE: ASSESSOR NUMBER: APPLICANT NAME: OWNER NAME: CONTRACTOR: LENDER NAME: SUBMITTED: 1 0/12/2004 APPROVED: 10/12/2004 SITE ADDRESS: ADDRESS: ADDRESS: ADDRESS: ADDRESS: EXPIRATION: 1108 COGEAN AVE 1108 COGEAN AVE, BREMERTON, WA 98337 1108 COGEAN AVE, BREMERTON, WA 98337 P.O. BOX 156, SILVERDALE, WA 98383 04/10/2005 STATUS: ISSUED MINIMUM INSPECTIONS REQUIRED Inspection requests must be received by 8:00am in order to be scheduled for same day. To request an inspection, please call (360) 478-5275 and be sure to provide your permit number, name on permit, site address, contact phone number, and inspection type. Mechanical Plumbing Groundwork Final Inspection - Building Qty Description FIXTURE LIST Qty 1 1 Descriptior Gaspipe System LPGINATLlOIL Fireplace-Gas, or Gas Log Insert Page 2 of 2 10", ~ i.: A- Jo)~~~OW~Jru . ln1 UGI 12 2pEb1IT CENTER BREMtHI,ON eUltoiNGDEPARTMM EEOLj 013P;, C~VZ b\.STS- CITY DF BREMERTON Department of Community Development * 286 - 4th Street * Bremerton * "T A * 98337 . (360) 473-5275 * Fax (360) 4.73-5278 &~!lrn' . Type of Fuel: Gas Oil Occupancy: . 'Commercial Site Address: AVf J- '13\fe.XYl eJ+-on CONTRACTOR: Address: Cit , State, Zip: License # & Ex . Date: Contact Phone #: NO. TYPE OF EQUIPMENT NO. TYPE OF FIXTURE RANGE WATER CLOSET I WOOD/PELLET STOVE/GAS FIREPLACE BATHTUB GAS FURNACE btu: LAVATORY (BATH SINK) CONVERSION BURNER btu: SHOWER UNIT HEATER btu: KITCHEN SINK BOILER btu: DISHWASHER I GAS PIPING LAUNDRY TRAY EVAPORATION COOLERS btu: CLOTHES WASHER AlC UNIT btu: WATER HEATER HEAT PUMP btu: URINAL REHEAT BOX but: DRINKING FOUNTAIN EXHAUST FANS FLOOR SINK OR DRAIN RANGE HOOD (RESIDENTIAL) WATER PIPING & ALTERATION RANGE HOOD (COMMERCIAL) GREASE TRAPIINTERCEPTOR CLOTHERS DRYER HOSE BIBBS INCINERATOR LAWN SPRINKLER SYSTEM DUCT ALTERATION SWIMMING POOL TANK TYPE: BLDG, SEWER: (MOBILE/MOVED HOME) REFRIGERATION UNIT ROOF DRAINS - OTHER: OTHER: OTHER: OTHER: MECHANICAL FEES: PLUMBING FEES: TOTAL FEES: . r ~:/7?d/~ \.1. " C.z:;1?J ,~ ~~ ArR!.lcantls--S Ignatu re i i /O//2/D LJ Date' ( , 1108 Cogean Ave. JOB ADDRESS e PERMIT e CITY OF BREMERTON BUILDING DEPARTMENT PHONE: 478-5281 / v OWNER MAIL ADDRESS ZIP PHONE 51 Iverdale Plumbing and Heating Inc. CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. Class of work: D NEW D ADDITION D ALTERATION D REPAIR 0 MECHANICAL 0 PLUMBING CHIMNEY (No fee information onLy) INSPECTION: Groundwork Gas Test Masonary Lines Unlined Wasted Vents Water Factory Mfg Type B' Type L Htg. Ruffin Chimney Location: Internal Outside Wall Stove or Insert Refrig. No. Type of Equipment Fee No. Type of Fixture or Item 'Fee STOVES Gas_ Oil_ Wood_ WATER CLOSET (TOILET) 7 00 FIREPLACE INSERT BATHTUB FURNACE Gas (Nat._ LPG. _) Oil_ LAVATORY (WASH BASIN) 7 00 Wood''add on _ Other_ Electric_ SHOWER 3 50 BTU KITCHEN SINK& DISP. 7j 1)0 Type: Up flow_ Down f1ow_ DISHWASHER Horizontal_ Wall_ LAUNDRY TRAY 7j 50 CONVERSION BURNER: Gas_(Nat._ LP_) CLOTHES WASHER 7j 1)0 Under 100:000_ Over 100,000_ WATER HEATER 3 50 Oil_ URINAL UNIT HEATERS BTU_ Gas_ Elec._ DRINKING FOUNTAIN BOILER Gas_ Oil_ Electric_ FLOOR - SINK OR DRAIN Other_ HP_ SLOP SINK GAS SYSTEM Max. 5 outlet Total~ WATER PIPING & TREATING EQUIP. ~ 00 EVAPORATION COOLERS Roof_ Wall_ WASTE INTERCEPTER (Grease) BTU_ VACUUM BREAKERS & BACKFLOW DEVICE AC UNIT Electric_ Gas Elec. Combo LAWN SPRINKLER SYSTEM BTU~ SWIMMING POOL - Private Public HEAT PUMP Single Package~ SpliL,- GROUNDWORK Add on_ BTU Ton~ SUMP MIXI.NG OR REHEAT BOX CFM~ BTU~ ALTERATION AIR HANDLING UNIT CFM_ BTU_ POST & BEAM FANS ExhausL- Supply_ Bath_ RANGE HOOD Residential_ Comm._ PERMIT $ 1:\ I:\n CLOTHES DRYER Res._ Comm._ TOTAL $ A? nn Incinerator NOTICE ALTERATION TO DUCT SYSTEM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- Heating/Cooling_ ExhauSL- IZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS TANKS Oil_ Gas_ Propane w/OK SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER from Fire Dept._ Gallons_ WORK IS COMMENCED. REFRIGERATION UNIT 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 COMPLIED WITH WHE- PERMIT $ THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE- TOTAL FEE $ SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR- MANCE OF CONSTRUCTION. 3/7/85 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DA TE) FINAL APPROVAL SIGNA TURE OF OWNER (IF OWNER BUILDER) (SEE OTHER SIDE) RECEIPT NO.' 73705 PERMIT NO. ~~ (DA TE) 2579 (White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT) 6262 AI BUILDING ~RMIT I ,~ City of Bremerton, Washington Phone: (206) 478-5281 3.74700100600 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ 8433.60 $ 48.43 73671 $ 74.50 73671 2/26/85 SITE ADDRESS I LOCATION 1108 Cog ea n Wa y Brame rton OWNER'S NAME Patr.l<::ta Nysaonger ADDRESS 890 MelanIe Ct. N.E. PHONE373-5389 CONTRACtOR ,j K & S Gen. Contrs. STATE CONTRACTOR'S L1C.# KUHNS,J* 182MA ADDRESS 9325 S.E~ Emerald Dr. P.O. WA PHONE 479-4884 o RESIDENCE 0 BUSINESS DOTHER 0 NEW o REPAIR o REMODEL o ADDITION 0 DEMOLISH o FENCE 0 SIGNS OCCUPANCY PLANNING I ZONING STORIES THIS PERMIT ISSUED FOR: Flre damage. Repa.t r lntedor Q.nA'y .r TYPEM BUILDINGS Nor TO BE USED FOR HUMAN OCCUPANCY All provi~ions 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'locallaw regulating construction or the performance of construction. INSPECTIONS REQUIRED: Fou~dation 0 Framing 0 Plumbing 0 Electrical 0 Wallboard 0 FINAL 0 SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, ME,CHANICAL AND ELECTRICAL. FOR INSPECTORS USE ONLY: REINSPECTION: NOT TYPE OF INSPECTION DATE TIME APPROVED APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING ~ OWNER'S SIGNATURE . .' . BY ~~.j:; Pt. ~ OJ." . Authorized Agent BUILDING DEPT. BUILDING ~RMIT1 6262 AI ~! City of Bremerton, Washington Phone: (206) 478-5281 374700100600 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. PERMIT FEE RECEIPT NO. DATE $ 8433.60 $ 48.43 73671 $ 74.50 73671 2/26/85 SITE ADDRESS/LOCATION 1108 Cogean Way Btemerton OWNER'S NAME Patrlela Nysaonger ADDRESS 890 Melanie ct. N.E. PHONE 373-5389 CONTRACTOR J K & S Gen. Contrs. STATE CONTRACTOR'S L1C.# KUI-1NS 1* 182MA ADDRESS 9325 S. E. Emera t d Dr. P.O. WA PHONE 479-4884 D RESIDENCE D BUSINESS D OTHER D NEW D REPAIR D REMODEL D ADDITION D DEMOLISH D FENCE D SIGNS OCCUPANCY PLANNING / ZONING STORIES THIS PERMIT ISSUED FOR: FIre damage. Repa1r tnterlor only TYPE M BUILDINGS NOT TO BE USED FOR HUMAN OCCUPANCY 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 D Framing D Plumbing D ElectricalD Wallboard D FINAL D SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. FOR INSPECTORS USE ONLY: REINSPECTION: NOT TYPE OF INSPECTION DATE TIME APPROVED APPROVED COMMENT DATE TIME APPROVED FINAL INSPECTION APPROVED BY Building Inspector ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING OWNER'S SIGNATURE BY :i~~~;nz1 Jl)]- P, /~ . - Authorized Agent BUILDING DEPT. e . M MECHANICAL CaRR O.K. CaRR 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 HEI~HT -- 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 1. UNDER TEST 2. GATE VALVE 3. WATER PIPE SIZING 4. DRAIN PIPE SIZING 5. VENT PIPE SIZING 6. PROPER SUPPORT 7. PROPER FITTINGS 8. VENTING 9. CLEANOUTS 10. PROPER GRADE 11. HOT WATER TANK P. R. VALVE 12. OTHER UNDERGROUND APPROVED BY: ROUGH-IN APPROVED BY: (' I; I'f'n d A.. ::; .~ '" ,. (-/ jU-'1?l '.'!-- V r''.r-jr j-.tf- ,..'-' 'b) if .f Jld fJ7 . CORR O.K. 3 WALLBOARD COMMENTS: CaRR O.K. 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 CaRR O.K. CaRR 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: PLANNING: BUILDING ~ERMIT .N~ 1931 AI ~ City of Bremerton, Washington Phone: (206) 478-5281 OWNER'S VALUE BLDG. DEPT. VALUE PLAN CHECK FEE RECEIPT NO. / U ()t? L10 0(./ $ 7V- ,.- $ SITE ADDRESS I LOCATION It 0 B ~ ~ OWNER'S NAME JO\tV\AP-S A\f\~~!V'9 an ADDRESS J I 08 v PERMIT FEE RECEIPT NO. DATE 600 $- it 'I J (p. 5'-lcr--7 C~ ~ c..-.. PHONE i'77- ') ") se CONTRACTOR s~~.e STATE CONTRACTOR'S L1C. # ADDRESS o RESIDENCE PLANNING I ZONING FIRE ZONE STORIES PHONE ft3 REMODEL OCCUPANCY o ADDITION o BUSINESS o NEW o REPAIR THIS PERMIT ISSUED FOR: Po V+ () -+ ~ G.<:.. 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 0 FOR INSPECTORS USE ONLY: REINSPECTION: Il,PPROVED NOT TYPE OF INSPECTION DATE TIME APPROVED '''k . . COMMENT DATE TIME APPROVED FI NAL I NSPECTION APPROVED BY Building Inspector OWNER'S SIGNATU CY CE~.!~AT :s- Y RED BEFORE OCCUPYING BUILDING BUILDING DEPT. /€: Author~ -' ~~ ~ -- - ,- e 1/' N? 46383 24..00 . -aql:a~ Fee ,.....___......__....................___................................ ReceIpt No. ........___..___....m_________....______..___._.......... BUILDING PERMIT CITY OF BREMERTON BUILI)ING DEPARTMENT F. E. IRISH, Building Inspector . ESse~ 3.1411, Ext. 36 Value DESCRIPTION: Owner's Value Bldg. Dept. $ ,2"100.- Address on Job --}LQJ5..=....CQ.~.._E:An~--....-...__....--__...----n.n..--.mm Date _.~._=.'bl:=.7.ku__u__ Building u____m....m x m.__.__.mm and u__m.__m__. stories .m__....____.___h.___ basement. Lot ...___m.mu_ x .__...mum.. Front Yard u______m.._uu._____ Rear Yard .___.__m____.mmm Side Yard _.__.__m.__.m_.._.__ Garage .__nh_u_____..m_m_m.. OCCUPANCY PERMIT REQUIRED BEFORE OCCU.PYING BUI~Ol!e _.-__.-__...__-----..--h..--m-;.--__m- Owner .uA:_~LC,.?:...._.._b..[')_4.~.!._N...__......___.m__ Address u..."'~_;mh:m....~.!.~._____.___._ Phon@..2Z3~~.Z~ 31 Contract~r _.8g,.r.rJf.';f?_u_.8b-.DQ.5..~rtt.__I3iYn1, Address ~6tDr.L::__~S~~4Ea./.__ Phone ,3.ZZ."::...;2.t;;. ?b,j This permit i; issued for: J..../<:...e1JSE? /-.:J€7JD/ ~ fi'/ ~ - . -....-..-.-.--...-_._~__!_..Q.l.A.J./~.-..-.0..~1.-...-:f.tQ.~)._ ;>-.~..__._...._.._....._.__.._....____....._.._.__.__.....__...~__.._.....___.....__ Lot Block Additions 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 shan be inspected and approved before pouring. All plumbing, wiring a,nd the fra,me of all buildings must be inspected and a,pproved before covering. Wood preservative to be used on all wood against masonry. Ventilate foundation and attic. Sepa,. ra,te permits required for plumbin,g, wiri1ng a,nd heating. See City Enginee,r before worki:ng on stree:ts or sidewa,lks. ...................................... --...... -............................................ _.. _.. _. a _.. _ _... _ _ _ _ _. _ _ _ _ _.. _. _ _ _ _ _ _ _ _.. _ _.. _ _ _ _ _. _ _ _ _ _ _ _ _ _.. _ _ _ _..... _.. _ _ _ _ _.. _ _ _ _ _ _ _ _ _.. _. _ _ _.... _.. _ _ _ _.. _ _ __ _ _ _ ....._ _ _ __ _.._ _ _ __... _ __ _ _ ..__.._ - a -._ __ ___ ____ _._ _ ..__ _._ _ _.. ."'_ _ __ _ ___ __ ____ _ _ __ ___. __.._ __ _. __ _ _ __ _ ..__.._._._ ___ _ ___ _ ___ _. _ a _ .__ _ __ _ _ _.. _. a. _ _ __ _ _ _._ __.. _ __... _ __ __ ____ ___ _ ___ _.___.... _ _...... _"'_ __..____._ _.. __.....___...___ - - - -.. -.. - - - - - - - -. - - - -- - -.. -.. - -.. - - - - - - - -... - - - - - - - - - - - - - - - - - - - _ -. _ - - - - - -. -.. - - - -.. _ _ - - _ _ _ -.. -. - - - _ -. _ _ - - -... - - - - - - - - -... - - - - _ - _ _ _ _ _ _ _ -. _ _ _ _ _ -.. _ _ _ _ -. -. _ -.. _ _ -.. _ _ _ -.... -.. -. -- - - - - - - - - - -.. - - -- - - - -.. - - --.. - -.. -.. -.. - - - - - - - - _. _. - - - - - - _. - - - - _. - _.. - - - - - - _.. _. _.... - - _. _. - a _ _ _ _.. _ _ _. _.. _. _ _. _ _ _.. _ .. _ _ _ _ _.. _" _ _ _..___ _ _ _.. _ _... _ _.. _ _ _.. _ _ _ _..... _ _ _... _.. _ _.. _. _. _ _ _ _ _ _. _ _ _... _ _._ _. __ _. __ _ _ _ _... _ __ _ _ _ _ _ __ - - - --- --. - --.. - - - -- - -. --.-. --- -. -. - - - -.. --- -- -- -- - -- -- -- .-- _ _ --.. _ --- - --- ---... _ -. -- -- _ _ _ -- -. . --...- __a _..._ __ __ __ ._...._ .__ __ - - __ - ___ - - __.. - _.. __ __.. - ___ ___.._ __ _____ ___a ____ - ___ __________ --.. - -- - -- - - -- - - -- - - -- - - -- - ---- --- -- -- - - ------ ---- -- -- -.... -- -- -- _ -.. -- -.. -- --- _ --- ---- _ -- --. - - --.. _ _ -- - _ --- -.-_.. -- -- - - - _ -- -- -.. -- --- ---- _ --.. _ -- _ _ -- -. --- ---- - -..-- -- -- --- - -.. - - ---.. ----- _____....____a.....____.._....___..____......_____.._.._______..______________________________.._____.._________________._______..__.._____a_____a_______.._____....___..__________.._..__..__.._._..____...._ - - - a _ _ _. _... _.. - _ _ _.. _ _ _ _ _ _ _.. _ _ _ _.. _ _ _ _ _ _... _ _ _ _ _.. _.. _ _ _ _. _ _.. _ _.. _ _ _... _ _.. _ _ _ _ _ _.. _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _...... _.. _ _ _ _ _.. _. _ _ _ _ _ _ _ _ _ _ __ _ _ __ _ _ _ _ _ _.. _ _ _ _ _ _ _ _.. _ _ _ _ _ _. _. _ _ _ _.. _ _ _ _ _ _.. _ _.. _ _ _ _ _ _ _ _ _ _ __ _ __ -----------..------~-..------------....----...------------------.-.---------.-..-----~----...-..-------__~_____..__....______....______....._______..__......___a____.._______._____...._..___..________ - - - - - - - __ - - - - - a _ _ _ _ _ _ ~ _ _ _ _ _ _.. _ _ _ _. _.... _ _ _ _ _ _...... _.. _ _ _ _ _ ~ _ _. _ _ _ a _ _ __ _.. _.... _ _ _.. _ _ _ _ _ _.. _ _ _.. _ _.. .. _...... ~ _ _ _ _ _.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.. _.. _ _. _ _ _ ~ _ _ _ _ _ _ _.. _.. _ _ _ _ _ _ _ _ _ _ _ _ _.._ _ _. _ _ _ _.. _ _ _, _ _ _ _ _.. _ _ _.. __ --__~____________.._______________a______________..._______..______..___..____...._____________.___________..__..____.._______....____..________.._._____.._______.___..___________....___________ -.. - - -- - --..- - - ---.. -.. --.. -- -- ---- --- - -.. -- - -- - - -- - - -- - - - - - - -- - -- - - - -- - -.. - - - -- - - -- -.. -...-- ---- - _ _ _ -- _ _ -- -- --... -- -- _ _ _ _ _ _ _ _ -.. _ -.. .------...--- -- - - -- - - - -- --- - - --.. - --- --.. - --..... -.....--------..-- - - -..... - -- - - -.... ---- ..-- -- --..... -....- .-- - -- - - -- - - _ -- - - - - ..---- -- -_ _ _ __ -- - - --... -.. - - -__ _ -.._ ____.... _ _ _ _ _ _ _ __ _ _ __ a _ _ _ _ _ __ _ __ _.. _ _ _ _ _ __ _ _ __ _....._ a _ __ _.. _.._ _.._ __ ..__.. _ _ _ _.._.._ _Oo._ _.. __ _...... ___ ___.. __ ------------.-----..----.------------..-------------------------..-----..-------..-------...---..-------..----....-----..----..--------....--------..-----.---..---..---.----.-------------..----- -.. - - - - ~ --- - - -- - - -- - -- - - _ -.. _ -- ~- -.- - -- - - -- -- --- - - - - ---- _ -- -- -- -- -- - --- - --- -....- -- ..--- --- -- .. _ _ _ _ _ _ -- _ -... -- -- - - -- - -.... - - -- - - - - -.. - - - - -.. -.. --..- --.... ..-- --- -- -- -- --.. ---- ---- -..- ----- ------ - - - - - - - --- -..- - - -- - - -- - - - - -.- -- - ---- -- - - --- -----..- -- .-- .--- -- -- ..--- - .-- - ..-.. --_.. ___ -_..___.. _ _ _ __ _ _ __ __.._.. _ __ _ _ _ __ _ _.... _ _ _ _ _ __ _.. __ _ ___ _ _ ________ _ _.. _ __ __._ _.. ___ ___ _ a___ _ .__ _____.___. Owner' s Signature. _. n. _ __.. _. u __ _.._ __. __ _. _.. __...n. _ _.. __. _ __...._. u.. __ By _ .7.JJ.~ ~t _. _...gldn~:o_:G.ii,'t_: __ _._ .~_ ~~:: _. _ _ _. n. _ n._.. "- His A;;thorized Agent ~D" B 'ld' I ,,,-.-) Ul mg nspector -m~~;~~=3"n.m.m-.m--n--...n. By.... __. __. _ _ _.. _ u _ __ _.. __ _ __ _..__. n.. __... __ n__ ___ __. __ ..______n. __ u_ __... n._.. ,___