HomeMy WebLinkAboutCONSTITUTION AVE. S., 516
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER l?~iE.06os1~~'
DATE ISSUED: ~~!1t~p'03
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
3790-004-023-0003
JACOBSON BRIAN
JACOBSON BRIAN
SELF
SUBMITTED:
10/21/2003
VALUATION:
$92,716.63
$50.00 4580
$4.50 0236
$944.75 2211
$614.09 4580
$122.00 2215
$104.00 2213
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.:; :~$~,83i~
State Energy Code
State Surcharge
Building Permit
Plan Review Fee
Mechanical Fixture Fee
Plumbing Fixture Fee
TOTAL FEES:
Inspection Requests
DCD: Building Inspections
L&I: Department of Labor and Industries
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
SITE ADDRESS:
ADDRESS:
ADDRESS:
,ADDRESS:
516 S CONSTITUTION AVE, LOT 23
PO BOX 2274
PO BOX 2274
SF-3
(360)731-0932
(360)731-0932
0-
APPROVED:
11/24/2003
OS/23/2004
Residen.ti~~:~~\fg Per,,~ .
NEW SINGLE FAMILY RESIDENCE W/ATTACHED GARAGE
Building Code Edition: UBC: 1997
Occupancy Group:
Type of Construction:
Flood Zone:
Setbacks: (Front) (Side) (Rear) (Other)
Sanitation Method:
Number of Bedrooms:
Square Footage:
Dwellings - Type V Wood Frame
Private Garages - Wood Frame
1,321 SOFT
275 SOFT
(360) 473-5870
(360) 415-4000
Fire Inspections
H/D: 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 P7it expiration and obtain a certificate of occupancy prior to use or occupancy.
y the' conditio
SIGNATURE OF OWNER OR .
AGENT:
PRINTED NAME:
DA .
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,
'f..-.... CONDITIONS / '--.........
City of Bremerton's approval ofthis.application pertains only to the City's regulatory jurisdiction, and thus compliance with City
regulations does not neces"sarily ensure compliance with federal or state law~.
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1. Prior to performing ,any renovation or demolition work, Puget Sound Clean Air Agency (Clean Air Agency) and "VI
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).
2. For more information, please contact Clean Air Agency through their web site at www.cieanair.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.
3. Right-of-Way Permit required prior to issuance of a building or grading permit. R-O-W PERMIT #4586, ,ISSUED
10-09-2003. VW
4. Temporary Erosion & Sedimentation Control shall be according to BMC 15.04.042 for Small Parcel Minimum
requirements.
5. Frontage Improvements are required per City Ordinance 11.12.110.
6. Frontage Improvements Agreement will be required for installation of curb. gutter, sidewalk, streetlighting, and
associated pavement and stormwater conveyance.
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Page 1 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
PERMIT NUMBER 13.93 O'~.5.:..::::
DATE ISSUED: .'5/20€l~:.
286 Fourth SI. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
ASSESSOR NUMBER: 3790-004-023-0003 ZONING: SF-3 SITE ADDRESS:
APPLICANT NAME: JACOBSON BRIAN PHONE: (360)731-0932 ADDRESS:
OWNER NAME: JACOBSON BRIAN PHONE: (360)731-0932 ADDRESS:
CONTRACTOR: SELF PHONE: ADDRESS:
LENDER NAME: PHONE: 0- ADDRESS:
SUBMITTED: 10/21/2003 APPROVED: 11/24/2003 EXPIRATION:
516 S CONSTITUTION AVE, LOT 23
PO BOX 2274
PO BOX 2274
OS/23/2004
FRONTAGE IMPROVEMENT AGREEMENT
APPROVED 11-10-2003 VW
7. All utility fees and assessment shall be paid prior to final occupancy approval
8. Building Plan Review:
1. Braced Wall Panels-Provide engineering on braced wall panels under 2'8"(engineering will not be required if an
approved Simpson wall panel or equal is used)
2. Smoke Alarms-Shall be interconnected 11 O-volt battery backup, one in each bedroom, adjacent hall, and on
every floor .
3. C.F.M. Fan Rating-Bath and laundry 50 C.F.M., range hood 100 C.F.M.,whole house fan (2 bed 50-75)(3 bed
80-120)(4 bed 100-150)(5 bed 150-180)
4. Foundation Footings-1st floor foundation shall be 12" below undisturbed soil, 2nd floor foundations shall be 18"
below undisturbed soil, the ground under the floor may be excavated to the top of the footing and no lower.
5. Insulation Requirments (over 12% glazing)-Walls R-21 , Ceiling R-38, Vaulted ceiling R-30 (2x12 const. 2" air
space above insulation for ventilation), Floor R30, Concrete Floor R-1 0 perimeter.
6. Egress Windows-are required in basements in dwelling units and every sleeping room below the 4th floor. Egress
rescue windows shall have a minimum net clear opening of 5.7 sq ft, a minimum of 24"clear height, and a minimum
of 22" clear width.
7. Code Compliance-All work in the City of Bremerton shall adhere to the following codes:
1997 Uniform Building Code
1997 Uniform Fire Code
2000 Uniform Plumbing Code
1997 Uniform Mechanical Code
2001 WA State Energy Code
2000 WA State Ventilation Code
CHECK FOR NOTES ON APPROVED PLANS.
CHECK FOR NOTES ON APPROVED PLANS.
Robert Doobovsky, Plans Examiner, Building Inspector ?Phone (360) 478-5286 ? Pager 337-3553 ?Fax (360)
478-5278? ? e-mail Doobovsky@ci.bremerton.wa.us
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9. Approved Plans, Engineering, Site Plan, Permit, and Conditions, Shall remain on site and be available for inspection.
10. Driveways and parking areas must be paved.
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.
Foundation Footings
Foundation Walls
Mechanical
Plumbing Groundwork
Plumbing Rough-In
Shear Wall Panels
Framing
Insulation
Sheetrock Nailing
Driveway
Sewer Lateral
Final Inspection - Building
Page 2 of 3
CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
286 Fourth St. Bremerton, WA 98337
(360) 478-5275 Fax: (360) 478-5278
PERMIT NUMBER
DATE ISSUED:
ASSESSOR NUMBER:
APPLICANT NAME:
OWNER NAME:
CONTRACTOR:
LENDER NAME:
SUBMITTED:
3790-004-023-0003
JACOBSON BRIAN
JACOBSON BRIAN
SELF
10/21/2003
ZONING:
PHONE:
PHONE:
PHONE:
PHONE:
APPROVED:
SF-3
(360)731-0932
(360)731-0932
0-
11/24/2003
SITE ADDRESS: 516 S CONSTITUTION AVE, LOT 23
ADDRESS: PO BOX 2274
ADDRESS: PO BOX 2274
ADDRESS:
ADDRESS:
EXPIRATION:
OS/23/2004
Qty
2
2
1
1
1
3
2
Description
R-Water Closet and/or Urinal
R-Hose Bibs
R-Clothes Washing Machine
R-Dish Washer
R-Water Heater
R-Sink (Lavatory, Kitchen, Mop or Bar Sink)
R-Tub and/or Shower Unit
FIXTURE LIST
Qty
3
1
1
1
3
1
Descriptior
R-Bath Fan and/or Exhaust Fan
R-Natural Gas Furnace +/- Ducting
R-Gas Water Heater Vent & Combustion Air
R-Clothes Dryer with Exhaust
R-Gaspipe System LPG/NA TL/OIL
R-Range Hood
Page 3 of 3
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1fl1 OCT 21 2003 ~
BREMERTON
BUI!p~~1'!f[Nl' CENTER
Department of Community Development :f 286 4th Street :f. J3remel1:oD :c \!lA:~ 98337
(360) 478-5275 :;. Fax (360) 478-5278
'1 .
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Phone #:
(
Phone #:
License #
Expir. Date:
Authorized Agent Address:
Contact Name:
Contact Phone #:
City, State, Zip
Phone #:
(
)
Check the type of application for below:
~
o
o
o
o
I~EW SINGLE-FAMILY RESIDENCE
NEW DUPLEX
NEW MANUFACTURED HOME
RESIDENTIAL REMODEL
RESIDENTIAL ADDITION.
RESIDENTIAL REPAIR
o NEW COMMERCIAL
o COMMERCIAL REMODEL
o COMMERCIAL ADDITION
o COMMERCIAL REPA1R
o NEW MULTI-FAMILY
o TENANT IMPROVEMENT.
o NEW GARAGE/CAR PORT
o NEW ACCESSORY SLOG
o NEW SIGN
o STRUCTURE DEMOLlTION
.0 GRADING (Cubic yards: -)
o OTHER
IS THIS PROPERTrWITHIN 200 FEET OF A SHORELINE? YES 0 NO D
Scope of Work Proposed:
N ~ ~ F~ "t t;1J~lJt.~
Square Footage: Dwelling: /3:1...1
Garage: :J'>'
Decks:
Valuation
Plan Review Fee
o~ 33~
n~ '7 .
f\.pplication for which no permit is issued Jthin 180 days following the date of application shall expire by limitation, and
plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the building official.
The building official may extend the time for action by the applicant for a period not exceeding 180 days on request by
the applicant showing the circumstances beyond the control of the applicant have prevented action frorn being taken. !'.}o
applicant shall be e)jended more than once. In rder to, renew action on an application after expiration, the applicant
shall resubmit plans and pay a new plan review
,L'PPUC;",NTS SIGi\jATURE: ~
DATE:
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PERl\1IT CENTER
De}:)artment of COlTllTmnit), Development :c 286 4t.L Street ::. Errmertol1 ;;- ,Y/A =;-
(360) 478-5275 ;;- Fax (360) 478-5278
PLUMBING
98337
MECE-lANI eAL
lKLl
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Type of Fuel:
Occupancy:
Site Address:
(f"ll
.
o Oil
D
Propane
D Electric
CONTRACTOR:
15..b?J~
Address:
City, state, Zip:
License # & Exp. Date:
Contact Phone #:
3/0
Phone #:
NO. I TYPE OF EQUIPMENT NO. TYPE OF FIXTURE
I I R4hJGE -:L WATER CLOSET
! I WOOD/PELLET S lOVE/GAS FIREPLACE j BATHTUB
ii!?/ GAS FURNACE btu 2- LAVATORY (BATH SINK)
( CONVERSION BURNER: btu I SHOWER
UNII HEATER btu ) KITCHEN SINK
BOILER btu ) I DISHWASHER
.3 GAS PIPING LAUNDRY IRA Y
EV APOP-P.TI ON COOLERS btu J CLOTHES WASHER
AC UNIT btu . , WATER HEATER
/
HEAT PUMP btu UR1NAL
REHEAT BOX btu: DRINKING FOUhlTA1N
-3 EXHAUST FAr~S FLOOR SINK OR DRAIN
/ RANGE HOOD (RESIDEtH1AL) ~ WATER PIPING &ALTERATIOr\!
.
,PJ\NGE HOOD (COMMERCIAL) GREASE TRAP/II\!TER CEPT OR
I CLOTHES DRYER ..J- HOSE BIBBS
11;JCINERATOR LAWr;J SPRINKLER SYSTEM
DUCT ALTERATION I SWllviMING POOL
-
I TANK TYPE: I BLDG. SEWl::R: (MOBIUlv10VED HOME)
REFRIGEHATIOI-J UI\!/T I ROOF DPAINS
o I HER: I OTHER
/#' ~.;2J-I?J
Date
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
80000609:1"''911
~,,"''C'C,' ':':"'~:q,
286 Fourth Sl. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
8803 00605
1/4580
Origi~rFe~"
,,<, Arrl'ff',unt,':.'"
"1\11': jil: .
$ 614.09
Total:
1:1ljI~
'Fee,;,Jj
, alan~,~
'~~;:,AJ' ' "!1""':;:':UIf:
Receiptil.!J!'!te: 10/21.J2if03'
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}~,,',',',',',',' "',"
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1;
$ 614.09
$ 614.09
$0.00
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IReceipt t#
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Total:
$ 614.09
$ 614.09
CHECK
5289
Page 1 of 1
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CITY OF BREMERTON
DEPARTMENT OF COMMUNITY DEVELOPMENT
Receipt Number:
BDbo001055 :::;Ji:l
286 Fourth 51. Bremerton, WA 98337
(360) 473-5275 Fax: (360) 473-5278
880300605
880300605
8803 00605
8803 00605
8803 00605
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ript
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State Energy Code
State Surcharge
8uilding Permit
Mechanical Fixture Fee
Plumbing Fixture Fee
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;.::'::,'i,;:Fee.
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'"wr;,'_
$0.00
$0.00
$0.00
$0.00
$0.00
1/4580
1/0236
1/2211
1/2215
1/2213
$ 50.00
$ 4.50
$ 944.75
$ 122.00
$ 1 04.00
Total: $ 1,225.25
8000000919
1 0/21/2003
Plan Review Fee
$614.09
8803 00605
CHECK
Total:
$ 1,225.25
$ 1,225.25
Page 1 of 1
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PERl\1IT CENTER
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Department of Community Development ':- 286 4th Street :;- Bremerton :;- WA ::- 98337
(360) 478-5275 ::- Fax (360) 478-5278
RESIDENTIAL SITE PLAN REVIEW QUESTIONNAIRE
Pennit applications are reviewed by our staff to make a preliminary determination of the presence or
absence of unique areas on the property. To help us make this determination, please supply the following
information with a scaled and dimensioned site Ian.
Applicant: 131) /
.OBJt;J;J
Description of Proposal:
Street Address (or street name ifno address has been assigned):
Tax Account Number:
/70 -tiO
Critical Area Questionnaire:
1. Is there any standing or running water on the surface ofthe site at ANY time DYES ~NO
during the year? If YES, please describe condiTions:
,
2. ,"ue there wet areas on the site? If YES, please describe: DYES fEJ?NO
., Is the site characterized as: )k1 Forest 0 Cleared 0 Developed
;).
4. Please give the overall slope of the parcel it- % and the slope 'at the building site ~ %.
5. Is the property within 200 fe.et of a shoreline? DYES ":gJ NO
6. Will the proposed structure be aesthetically or functionally disruptive to DYES WNO
surrounding properties, the neighborhood or the community?
See diagram explaining the slope calculation on the back.
The applicant hereby certifies that all of the above statements and the information contained in any other
transmittals made herewith are true, and the applicant acknowledges that any action taken by the City of
Bremerton based in whole or in part on this application may be reversed if it develops that any such
statement or other information contained herein is false.
/(J-~Cl3
Date
I"
Site Development Figures
Percent Slope Calculation
Slope is calculated by dividing the vertical distance
by the horizontal distance, then multiplying the result
by 100. Example:
Vertical Distance of 20 feet
Horizontal Distance of lOO feet =: .2 x 100 = 20% slope
(..;
60% ~'\
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Residential Site Plan Review QuestiOlmaire
I J SITE ADDRESS
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=> I (0 -s L6\1\6 t1 fu f) {SV\
PROJECT BE SCRIPTION
N'~ V\.C S
18r\tUtl3uCUb
~'Mechanical ~ Fire Alarm/Sprinkler D
BUILDING PERMIT
INSPECTION
FILE CARD
Building
Plumbing
CITY OF
BREMERTON
Permit # BB03 -0 0 & Q 5 FILE COPY
Aeeroved Date Notes
Erosion Control In Place
1 st Foundation Footing 1/ ..z1-i)Lf.
1 FOUNDATION Foundation walls
Plumbing Ground Work
DO NOT POUR CONCRETE
PRIOR TO APPROV AL In Slab Mechanical
Footing Insulation I
J 2nd PLUMBING Rough In
MECHANICAL Duct / Vent
GAS PIPE Support / Test / Meter set
3rd Hold down connections
J Shear Panel nailing
FRAMING L&I Electrical Approved
-----
If pI & 2"d are approved Ventilation requirements
Framing
\ 4th Under-floor
walls
~ INSULATION ceiling
5th SHEETROCK I 10 I~
\
6th All of the JJ UILDIN(i 473-5870
above W:4J:.EJ( MAfN- CE
473-5927
FINAL Must be
approved PUBLIC Driveway 473-5270
Prior to WORKS Sewer 473-5270
final - -.
473-5384/5385
ALL FINAL INSPECTIONS COMPLETED
ODO~oOCo05
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11\\111 \\1\\ 11111\ 1\\11 \111\\ \1\1 \I\\\l!!\\\\~~ \!!I i\1r~2i;~i J~~::
B J BUILDERS .
Filed for Record at Request of:
....~~~~~~~
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When Recorded Return to:
Name:
Address:
City Clerk
239 Fourth Street
Bremerton, W A 98337
Document Title:
Project Name:
Developer Name:
Location:
Tax Parcel #:
Abbreviated Legal
Description:
Improvements Agreement (without bond)
Jacobson SFR
Brian Jacobson
516 S Con~tituj:ion
3790-004{023-,G003
Lot 23, Block"4, Port Orchard, accord to the Plat as Recorded in Vol 1 of
Plats, pg(s) 96, records of Kit sap County, W A.
IMPROVEMENTS AGREEMENT
WHEREAS the City of Bremerton requires certain land developments to include public
and private improvements including, but not limited to curbs, gutters, and sidewalks, street
lights, street widening and stormwater improvements, as a condition for plat, P.D.D., or building
. permit; approval; and
WHEREAS the undersigned, as owner of real property within the City of Bremerton,
described in Exhibit "A" and attached hereto by reference herein, (hereinafter "Premises") has
made application for Short 'Plat which requires a Frontage Improvement Agreement for future
. frontage improvements according to City of Bremerton Ordinance 4856 Section 11.12.110.
NOW, THEREFORE, the undersigned owner (hereinafter "Owner") and the City of
Bremerton (hereinafter "City"), in consideration of the City's approval of Owner's project and
the mutual covenants set forth herein, the parties do hereby promise and agree as follows:
.
f-'
1. Local Improvement District. Owners, by signing below, grant to the City of
Bremerton a Limited Power of Attorney to include this Agreement as Owner's consent to the
formation of a Local Improvement District under RCW Ch. 35.43 for the construction of
improvements on or abutting said property as described in Exhibit "B" encompassing all or' part
of the property described in Exhibit "A", as part of any Notice of Petition or Resolution
presented to or by the City, for the purpose of performing any of said improvements.
Owner agrees not to sign any petition to defeat a Local Improvement District formed by
the use of this Limited Power of Attorney, except the Owner may protest the special benefit to
the Premises.
"
This Limited Power of Attorney is irrevocable.
2. Construction of Improvements. Upon the City's decision to have the
improvements subject to this agreement constructed by the Owner rather than through a Local
Improvement District, or the City's inability to form a Local Improvement District, the Owner
shall construct those improvements, described in Exhibit "B", as directed by the City within six
(6) months of notification by the City to construct said improvements, unless an alternative time
has been mutually agreed upon. If the Owner fails to construct said improvements within the
time described above, the City shall have the authority to construct said improvements and the
costs of construction shall be assessed against the Owner and filed and recorded as a lien on the
Premises under procedures for a mechanic and materialman's liens.
3. Covenant. The undersigned further agrees that this Agreement and the promises
made herein constitute a covenant running with the land and shall be binding upon the
undersigned and their heirs, successors, and assigns, and that this Agreement shall be filed for
record in the office of the Kitsap County Auditor.
4. Standards. Owner agrees to construct said improvements, in compliance with
City standards in effect at time of construction.
5. Permits. Owner shall obtain a Right-of":Way permit from the City for all work
performed within the City Right-of-Way. Owner shall also obtain all other petrnits required to
complete the improvements.
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B ~\ BU 1 LUERS
.
r DATED: I \ / \ D ( D3
j I
STATE OF WASHINGTON)
: ss.
COUNTY OF KlTSAP )
On this day personally appeared before me -.:R( \ CJ,"Y'\ ,J (\0~ D ~') ~(J ~\ ' to me
known to be the individual(s) described in and who executed the within foregoing instrument,
and acknowledged that \he\ signed the same as their free and voluntary act and deed, for the uses
and purposes therein mentioned.' h ig
GIVEN under my hand and official seal this t DtkJday of N D'J'C'('{\\:x:r ,2003.
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~;QrSEPT20 2006:
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CITY OF BREMERTON
ACCEPTED:
W. EUGENE S , P.E.
DIRECTOR OF PUBLIC WORKS & UTILITIES
II~/~ ~{Yl! ~m~~1 ~II D~II ~ IIUI ~IlD ~~,~~ 11,; ~0440
AGNT $2~ 6/'" K1 !ti 113/.:'6/6/3 6/3: j"p
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..
EXHIBIT A
Lot(s) 23, Block 4, Port Orchard, According to the plat recorded in Volume 1 of Plats, Page(s)
96, Records of Kit sap County, Washington; together with that portion of the vacated alley
adjoining on the east that will pass by Operation of Law, as described in Ordinance No. 4530,
Recorded under Auditors File No. 9511140134
EXHIBIT B
Frontage hnprovements to include street lighting, curb, gutter, sidewalk:, and associated storm
conveyance plpmg.
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