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FORD AVE., 1333
o , , . ����"'19���9�l�'� ���Q`°'� � � ������ �86 4th Str�et, Bremertan� P�F! 48�'�� p�r��ea � ��o ) ���-s��s �r�xa g ��� ) �.��-s.�.�s BUILa�NG PERMIT' .:tc.�h Acir,�r : t �s;�;� ��'C)�tC� �VF" ���:r�ma f: Nc� � 9�,_.C71. t�I 1� �:�r..�'i: i. r�1`� � 1. ;3:3: �-�r�r�tr.� ���. �;� �a�: �.��3 »�!: �:, atJ��l:? ���r'r,�l Nc,�� ���C�l f�:�: C1:3/3.r:a/15�c�f� � ���a�:��i a ��� �. ��� � ���, ����;a1.:GC�:�Y1'i: � f�ai�'CM�31..�Y [7N=:AN �I�°_Ci!,�5�,���. l::X�XY'E".3� ��i/1l./1.5"r'F> �,;3;:�;;3 F� C)f�C) �1Vh° F3i��Mk�:w�'T'ClN WF� C,'�i"3 a<? Clwr�ra� � G��):M1:31...Y I:y1�.(�N A��`���0`iy:"? 1. k1;�3� w° �t��l �1VI:=: F:3I�r::M�:FZ'1"�1N W� 5'�i;3 �:� C'.r'yn�'r�ar•t.'c�rd i�..��: �C^ C°:x{:�: , ����tar:c�rifi r � C1�;�,c :(�Ft� f° l.)RN�1C:E. , t���; l�:� C� � NC� , 4�if�'C� Wtl'C'F:FZ 7'ANK 3i•3t li� �i� �3� 3�� #..M x,.x„�, �{.,3F 3F �x 3(� •Yf •��F h �M•�# �?E• ��� l� � �f �t � �E3(� �4� �(� � X 3t•�i� l��(� 3t� �t 3@3S�3E # 3k �H�3t•3( 3t fi4� �t� �k M� �4 � �t� K� �i��M �� §f� �t��� �4 �E �� �t��t �?� �f�3k t� 3( it�� � �H, �, �„x, y�, x Val����:�can � K �'�:�:��: �t „'r0 °t'c�t;�:�X Cr��c;Gil��;�ci f°'�;r�:� �Fy„7C� uQU �� f�a.��n t:hi��r.�k f°'��:�. �CICI (tt�r11.�: i.an�;l. r°r�c,a�,�. �c)Q x t�t;��r�r F��:ti�s ;:�oC70 °i"���t�a N�:rm�� E"e•:��:� ��,,,10 �#: �i• 34 � �t� � � �t �'�'� �t• �f •�F#• �# # �M •x� �t•3f �4 �{ H� �?( 3t•�( 3f # �3t� 3��� 3£� #� �f� # �t �DE �(� �k 3t� �•�x• �(� X �(• �Y� #� �i• H� # �E � # �f �t �( � •3t• � #• �t• # 3E # •3f 3( � �(•#�## ��• #• �f �( #• D� � ��t �t 3�3F �t• �E �F �! �f� 1�•3� �M� �� M�CH�tNiCAL/PLl1M8ING FIXTURES-- MECH-Ge� Furnace to 100k i�tuo� 1 MECW-Gas Pipirg (outlets),e..: 1 PLBG-Water N�ater............ 1 # 3t• •H•# •� # #3t 3t••?E•��: •DE # �H �3� �( R�•�•� #�€�k •}F �#• )4 �DE •��# 3k � 3t �f 3t �E �?E �� •3t # � �•#• 3E #•�E H�#3E•� ��°� 3f �)� 3k •k �� �?� � k� 1�•�•3f �2�3t•3��M• �k 3� # M �S 3k # �t� 3� 3E �H� �M � 3t� 3� � #� )t••2� �k 3f �� �r3t��� �(• This permit shall become null and vaici if the building or work authorized by this p�rmit is not commenced within 1B0 days from the d�te of such permit, or if this building or work authorized by such p�rmit is suspended or abandoned at any time afiter the work is commenG�d �or a periad of i8n days. No?ICE - It is t�e responsibility ofi the permit holder, not th� Gity of 8remerton or Building Official to see ta it that required inspections �re made. 1'he permit holder must na�ify the Buildin� Official when ready for inepact:onso Faflure of the �ermit holder to notify the Building Official of required inspec�ions may rPSUIt in the stoppage of th� wark until such time that the permit halder can suhstantiat� to the building official that the cancealed work meets or exce�da code requirements. Any demol,itian, testing or financial burden shali be borne direct:y by the permit halder� Failure ta substantiate code requirements will inderonify the City against any and alt respansibility or liability connected wxth the construction. I hereby certify that I have read anc� �zdmined fihis ��rmit and knaw the �ame to �e true and corr�cto AlI pr�vision� of Iaws and ardinances governing tfiie type af work will be camplied with whether specified herein or not„ The granting of a permit daes not presum� ta give authority to violate or cancel the pravisian� of any ather etate or c 1 law regulatirg anstruction or the performance of can�truction. si��,��u��e ..��,-� ��_ ___ _______ oa��.d__��°1_�- �'�_______.___ I cer�ify that I am e�empt from the r�quiremer�t� the �tate c�ntractar'� rEgigtra�ion law, under Section �, Chap�er , laws of 1967 5ignature'__ _Q-�-�'�____ __ Dat��_� �1_s� �b� .... _ . ____ , __W..__ _ _ _____�-- - ---------------------- �x�� x •�•x•�x x • �� �•a��; �x ��•�• ��•x���x•a��x �x�•� �€ � � E�E �rm�i�r , (.:�r�1:�:r.. E3ya,� . . b...�,,.... !;)r;��'i,�:�.......�.._.�'...�t.......�--�..._.....~._!.� � . .. . :'i ,.. . , "� � .}" , i G.�. Id'�. � � � � 9 � 9 � � � f7"�e. 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M � � ����� � � �� ,�%�i' �`' - . � e � Dean Grimbly Telepnone (360) 479-0682 13�i Ford Ave Bremerton, Wa 9�312 _ _ Sept. 9, 1996 Permit No: 96-0187 Please extend my permit for at least 30 days to complete installation at address as listed above. � Thank y u � � /`- /`'� �''� 1�"" �— �✓ ,r,,,,� e.�a�..�-�, � —� � I 1 S � � � , � ... . . . .:: :...:::.:: :.��....: :-.;:�:::' :.:::: .. . . . . _ . :: ,. : . . . . . ..;: . . - . - : .::,:....:: . .. ; � : �. .. �-:::: .:� - '::`.:: _ ,.�.. : : >>`.:<`::::::`:::::;:.::.<_���:��_><>___::�:'::��::'.� �:. :>�;..:;':::<:'.::::: � . :: .:::;::`>.::..>::? `. . . : :. �:: ,`':;.` ` ::.: :::;.: : . :.: .. �_,_ `-. :: __>:: ::�;:;::';';::;�:<�.';:::;:.�. :� ::::: ��:::>:;.:: .;_:: ������: : :����������<::; � �:::��:;.�:-.:':=�::_`: �: � ,;�<_;. ��; ;>;:.- :<: :.. . . . . . . , .:; ., . .. ..: . .:. ...:.:.... � <..:.. . . : :,.. ::. : .:.� . .:. . � .:.;....: ... �... :� .:..:...:: .: . ... . :::�;:.::. �:.�. :. .... .: : .......: . . .... :.:..-. ... �... ..; ..::......:... . ,.�... � . . . .;:. .: . .::::_:.�i of:Bremertoi� �Xtats�un n�:..983���:�::``>::_ o�er: �t�C�: ��8=������ :: �:�X:: �Qf�:. �8�-52�8� �: �:: � ��: �:� �::��::=:::�:<::. ;....::::: : :.::::::>::� _:::::::>::.:;:�._..:::: ::..: �:�.::.. .::.�::::.:.�.�:_ : . . �::_ :::�::.;:::_..>�I��$A�N�+�A�:�.:: -. :�':_-:�`::_�<:<��::�>::::=::�`:_<':':�.'����B��..'::�_.:::::::_:::.��'` ��<:'' APPLICANT: � OWNER � CONTRAGTOR � oTHER: COMMENTS: SITE ADDRESS: /.� �� r�� R J �-� � � � � � O OWNER /�1�=�'il�' �/�//�I � �- N _- ------ -- ADDRESS: s.�r� +1 r ��6 CONTRACTOR ADDRESS �R€N4ERTON CONTRACTOR LICENSE # EXPIRATION DATE �U��OIN� A�PARTM OWNER PHONE # 7 7'� � S/ v� CONTRACTOR PHONE # ;.;. 'I�O�::<� ::<:>:;`>`::>��::>:::>::<::::'�''��?��.�F:::E ' ��1�IE1!�'�":;�>�;�:;'::>�:::;::::: �:<`��.:.:: <>�Q:`: �.-:;:<::;>.::><':;>:�;:::::::'�'`Y�E't��:�F�'�>I:�RE�::::«'':::>'<::'�;;:::<::� �>::::�E�:>:. RANGE WATER CLOSET WO�D/PELLET STOVE BATHTUB GAS FURNACE btu's: LAVATORY CONVERSION BURNER bn:'s: SHOWER UNIT HEATER bru's: KITCHEN SINK B011.ER btu's: DISHWASHER GAS PIPING LAUNDRY TRAY EVAPORATION COOLERS bru's: CLOTHES WASHER AC UNIT bru's: WATER HEATER HEAT PUMP btu's: rosu: URINAL REHEAT BOX bnc's: DRINKING FOUNTAIN AIR HANDLING UNIT ba�'s: FLOOR SINK OR DRAIN EXHAUST FANS SLOP SINK RANGE HOOD (residential) WATER PIPIING & ALTERATION RANGE HOOD (commercial) GREASE TRAP/INTERCEPTOR CLOTHES DRYER HOSE BIBBS tNCINERATOR LAWN SPRINIQ.ER SYSTEM DUCT ALTERATION SWIMMiNG POOL TANKS e: BLDG. SEWER (mobile / moved house) REFRIGERATION UNIT ROOF DRAINS OTHER OTHER MECHANICAI. PERMIT FEE $15.00 PLUMBING PERMIT FEE (15.00 or 4.50) MECHANICAL FEES: PLUMBING FEES: � TOTAL FEES: APPLICANT'S SIGNATURE: DATE: ., ` BREMERTON �UILDING DEPARTMENT ' � Plwmb�ng/Mechan��cal Inspectfon Report Scope of work Gas furnace, piping, htwr Perm�i Number: 96-0187 Address: Fo� AvE 1333 Uwner: cRrn�Y, D�v Contra�cior: Phone: a7�_��� _, t GAS PIPING Undu oesc (10 si for 15 nunu[es) Pro sizir _& aup 12" minimum below nde when un ound Coaood/wra when un round or witluh 6" of euth Grouad-joint unions rohibited in oertain locations Bushin noc allowed in concoakd ana.r COMMENTS: � � GAS PIPING APPROVED: FIIRNACB Manufaeturer's s 'fiadons on site l�ocation, zcoess, au ort , Ckannoe to combuscible9 Vend : ckarance co combusubks Vent siain & su orc/coruxctions VtI1C [C[IilltlallOA Combuscion air Chim . Gner and/or se arate flues as uirod Gas shut-off witltin 3' Pilot ekvated oE� floor in e Duas 917�G �C 9LL rdinsulated when wrod Return ur COMMENTS: FURNACE APPROVED: G�v����� � MI3C. APPLIANCBS Manufacturer's s 'fiadons on �ite Locauon, ac.cess, su ort Clrarance to combustib{ey Ventin : ekarance to combuetibks Vent 912ir & su ort/con[ICaloru� Vent termina[ion Combustion air Chi . liner and/or se ance flues as wrod Gas shut-oE�within 3' � Woal stave & 6r lioe.v: ro hnrth Wood stave�: EPA a raved Gaa 1 : s shat-o[�' V�ood 9twes & fire laaw: ti ht fitd doors Gas ahut-off'within 3' COMMENTS: MISC. APPLIANCES APPROVED: WATBR HEATBB Manufacturer's s '6caaons on site Location, acoess, su ort Ckaranoe to combusribks Vend : claranoe to combustibks Vent sizi & eu ort/oo�u�ocrion9 Vrnc cermitucion " Combustion ur C�i . liner andlor ante tlues as uired Gas ahut-ol�wichin 3' Piloc ekvacod oI�'tloor in e Gate valve on cold vracer au Relief valve drainod to outside Co to alvwized co�uieuions Unione on water i Sciamic stra COMMENTS: WATER HEATER APPROVED: ���'�� , ALL WORK UNI)II� TSIS PF1� �%��� MiT APPROVEII: . ��/ �� / �. � o . i � � L �- 1�1 �i 4 4'7 4 5 F � �----....-•-••••----••-••• �•-••••••••-•••••••••..._.._-•--••-----._ Receipt No. .•-•--���''-?S -•�---...-----•••-•-•-•--•--•--• B�ILDING PERiv11T . CITY OF BREMERTON • BUILDING DEPARTMENT �/ F. E. IRISH, Building Inspettor • ESseu 3-1411, Ext. 36 �� Owner s Value � Bldg. Dept. Value DESCRIPTION: $ �� � Lot Block Additions Address on Job __./__�� � ---- �_� �-----�'--�---'--�-=----------------------------------------------------- Date .----'�'_-�-'---'- =- � `�----------------- Building ---------------- X---------------- and ---------------- stories ------------------------ basement. Lot ---------------- X---------------- Front Yard ------------------------ Rear Yard ------------------------ Side Yard ------------------------ Garage ------------------------------ OCCUPANCY PERMIT RE�UIRED BEFORE aCCU�PYING BUILDING Zone __________________________________________ O wner� -, r�------r� - e - yr���:-�=--------------------------------- Address -------------------------------------------- Phone ----------------- J . Contractor--------------------------------------------------------------------- Address -------------------------------------------- Phone ----------------- This permit is issued f or: �,.�'�r_�-.�.� c� ----------�`�� --=''�: �: �..�----------��'------------------ ---------------------------------------------------------------------------------------- �--- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- All avork to con f orm to all applicable building ordinances and amendments. Please note the f ollowing special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB IPISPECTION — Reinforcing steel must be inspected afte� placing and before cove�ing. FORMS shall be inspe�cted and appraved befo�e pouring. All plumbing, wiring and the frame af a11 buildings must be inspected and appraved before cavering. WoQd preservatFVe to be used an a!I woal against masanry. Ventilate foundation and attic. Sepa- rate permits required for plumbing, wiring and heating. See City Engineer before working on streets or s�dewalks. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- � ----------=----------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------•------------------------------------------- =------------------------------------ ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- --------------------------------------------------•----------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------- ---------------------------------------------------------------=------------------------ ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- --------------- -=----------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- -- ----------------------------------------------------------------------------------=--- ----------------------------------------- -"_.'-�----------------------------- � �sr ------------------------------------------------------------------------------------------- � � � � �,. BS Owner s Si atur - r --l���- --- =---- --..1_"-?,!�ct__1�c..�-----'-• ' - � --------------------- --------•------•-----------•-----•-------------------- ' Hrr Autborixed Agent a„ uilding Inspector -- `----=-- � :- ���=---�1-'------------------------------------------------------ r By ------------- ---�--��---------------------------------------------------------------- DF � , . ' ( � . _ � �� , N � 4 2 4 6 4 Fee $•-°------------------ �``----- -f ----------------------------------. Receipt No. ---- °'�"� - �-�---------------------°-•-----° BtJILD9NG PERIv� IT / �-, CITY OF BREMERTON • BUILDING DEPARTMENT ./ F. E. IRISH, Building Ins•pector • ESsex 3-1411, Ext. 36 r� Owner's Value Bldg. Dept. Value DESCRIPTION: �� � �'� � Lot Block Additions Add ress on Job _._f__�.�.�----___`�'-'�__�_d-_:L_s �'-----------------------------�------------------------------------ Date -----�=--'- Building ---------------- X---------------- and ---------------- stories ------------------------ basement. Lot ---------------- X---------------- Front Yard ------------------------ Rear Yard ------------------------ Side Yard ------------------------ Garage ------------------------------ OccupancY ---------------------------------------------------------------------------------------------------------- Zone ----------------------- - ---------------- O wner � ���.�='='=------''-`-��. Address -------------------------------------------. Phone _---------------- C ontractar_.�'=' ='--===°='=--------- - - ---------- � ------------------------- Address -------------------------------------------- Phone ----------------- This permit is issued f or: a--.F-c±:.rf-s��.- .,�f��x-:. .. ,�A r� ��i_.:..7 ..: ��"1 �T�t_�% , ,; r : r .�'�L".' r.d_„f , -=- _ ..-GP'..A_G/� -"""-'-"--"'-"'°-'--------°---°°-_--°"--'-"'-'--"---°°'---'---'-- -'-°'------'-'----'- """"---°' ------"-'-'-°°_''-"'------- ' ":--'-" " �i' (� - c._.r� � !'..v l i� , .r ✓ ""'""'"'"'"'"""'" u""'"'"""""""'"""""""'""'""'""""""'"""""'"""' "�"""'""""'"""""'"'"'"'""""""'"'"""'"""""'""'""""""""""'"""'""'""'" "'"""""'"""'"""'""""'""""'""""""""""""'"'""'""""""'"'""'"""'"'"""""""" """"""""""'""'"""""""'"""'""'""""'""'"'"'"""'""""'""""'"'"""'""""""""""" All work to conf orm to all applicable building ordinances and amendments. Please note the f ollowing special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION — Reinforcing steel must be inspected after placing and before cavering. FORMS shall be inspe�cted and approved before pouring. AII plumbing, wiring and the frame af all buildings must be inspected and appraved before cavering. Wood preservative to be used an all waod against masonry. Ventilate faundation and attic. Sepa- rat pe rmit s r for plumbing, wiring and heating. See City Engineer before working on streets ar sidewalks. ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- -•-------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------------------------- --------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------- """"""""""""""""""'""'""'""""'""""""""' _ e t"""""""_" _ _"""""""""' _"""""""""""""""'""'""""""""'"""'""""'""""' .+..i , '�! M , . ./�i# , r! r . � Owner's Signature : „ -- Y ----------------------------------------------------------------------------- �.t_..�F'�,:`.: � �^...- ' B A . r .. . • r�. �- _ . L'�!-�-"� _ � � ''� � ��� '~'T----- � ''' ��t� B ld v f^ rr Authorszed g t -----------------------------�� --- . r H' ' A en :;i �:s;,�s ; �:� .� y;_�:.r:��t ui ing Inspector ------``-'-l' �_ ���.4 , --------- ------------------------------------------------ �., .. C �., ; . _, ; . �L��' a ' � � - -- -- -- - ----------------------------------- - -- .7:� � '- �s _� �`' � ,'!� DF ` 1jL.. L ���s 3;;�� ��:�� �� Bv ------- — -�-� • , . �j P' N � 4 2 0 5'7 Fee $•-••---------------------=`-�f ------�---------------------------- Receipt No. ---� ='�-�--`-':�,/�,�---------------------------� / �d99LDING PERM IT • `" CITY OF BREMERTON • BUILDING DEPARTMENT F. E. IRISH, Building lnspecfor • ESsex 3-1411, Ext. 36 Owner's Value I Bldg. Dept. Value DESCRIPTION: .. ,� :1 , '' � .� Jl ��.«�_..-.. � � .Y'r:�'�' Lot Bl Additions ` Address on Job �'�' :��__'��_ � -� tl . r ;�_: _�-�%- �� p'• • -.: ----------------------------------------� --------�------------------------------------ ate ------ ------------------------------- Building ---------------- X---------------- and ---------------- stories ------------------------ basement. Lot ---------------- X---------------- Front Yard ------------------------ Rear Yard ---------------�-------- Side Yard ------------------------ Garage ------------------------------ OccupancY - ;; --- ; ----------------- - -: ------------------------------------------------------------------------------- Zone ------------------------------- ,� ; , , , ., ----------- Owner ' �' � ----------------------- S ----------- -- ne . . ,. .._ ,s�.,.�_�,1� :_��. �_. � �:..?,..,-�•� A re s Pho ------------------------�: --------- = =-------------- - ------------------------------ ----------------- �' Contractor --------------------------------------------------------------------- Address -------------------------------------------- Phone ----------------- This permit is issued f or: •, r, , ,- . . , � ,�. . w _s .�.:� r .-r ' .o ,, G' ..-'--_�`_= ' ' -------------------------------°---------------------------------------- � . � � ' � � �� ��� �'���'��'�_ '� __�_��.���������'�.��� �'�����_��__���_���_��__��__��__�__'�__��___�_____"�___�__'�_������������"�"�__'__���__� _�__�__�__����"_��_����������_��.������_�"��������_��_�.���������.���������������_����� ���'�����������������������������������������������'�������_��__�__'����__�����_�_'����� �_�����_��_��_��_��_��_��_�����_��_��������_�_�����������__�_�'���__.������__������_���� All work to con f orm to all applicable building ord inances and amendments. Please note the f ollowing special instructions and requirements. DETACH HERE AND POST THIS SECTION ON JOB INSPECTION — Reireforcing steel must be inspected after placing and before cavering. FORMS shall be inspe�cted and appraved before pouring. All plumbing, wirireg and the frame af all buiBdings mu�t be inspected and appraved befare covering. Wood preservative ta be used an all waod against masonry. Ventilate foundation ared attic. Sepa- rate permits requ�ired for plumbing, wiring and heat ing. See City Engineer before warkireg on s�reets ar sidewalks. ---------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------�--- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------=------------------ ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------------------------------------------------------=--------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------------------------------------------------------------------- --------- ----------------------------------------------------------------------------=----------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------- =------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- --- ------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- � ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- � . , . � ., . . --� . � • '� ri � ,��.. • � Owner s Signature-=-=-�'-'=''`=°-='� , ,. u .ri . '�.�'- . -. ------- BY -------- ° ------ -°---------FY f +---- g -------°-----------------------------------------------------------° _ ' _,.' , v< ------- His Authorized A ent � ,� ., . . Building Inspector _________ s_•_� "ti ,=�� �.- ��-,� -�� r.•.�� � .., P ,. F. B ' ..✓ ��_ _.. �.f oF ' � -'°---"----""---=--= _ sc"'--'-'--"'-'-'----'--'-"'--'-'-"'--'-'--'-'-'-'-'--'--'