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Home My WebLink AboutALMIRA DR., 3423 A, B, C & D INSPECTION REC~D CARD CITY OF BREMERTON BUILDING DEPARTMENT - ?9Ri ~ 7114 PERMIT NUMBER ADDRESS & DIRECTIONS 3423 - A. B. C. & D ALMIRA DR. OWNER VIEWCREST ASSOCIATES CONTRACTOR OWENR (208) 343-8645 PHONE PHONE COMMENTS: 1 FOUNDATION CORR O.K. 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: 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 9PAN -- 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 M · e 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: 12. GAS PIPING TEST -- WOOD STOVE APPROVED BY: 13. GAS PIPING SIZING -- 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 -- 8. VENTING -- 9. CLEANOUTS -- 10. PROPER GRADE -- 11. HOT WATER TANK P. R. VALVE -- 12. OTHER -- UNDERGROUND APPROVED BY: ROUGH-IN APPROVED BY: Jt: 7-/'~oI37 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. 1. HANDRAILS -- 2. GUARDRAILS -- A-HEIGHT -- B-INTERMEDIATE -- 3. EXHAUST FANS -- A-KITCHEN VENTING -- B-BATHROOMS -- C-LAUNDRYROOMS -- D-DRYER -- 4. TILE AT TUB OR SHOWER -- 5. DISHWASHER PROPERLY INSTALLED -- 6. FIRE DOORS -- A-SELF-CLOSING -- B-SWEEP OR THRESHOLD -- 7. ATTIC ACCESS -- 8. HOT WATER TANK -- NOTES: PLANNING: CORR O.K. 9. OUTSIDE GARAGE 10. CLOTHES CHUTE 11. SEWER/HEALTH DEPT. 12. COMMERCIAL BUILDING A-MECHANICAL APPROVED B-PLUMBING APPROVED 13. SMOKE DETECTORS 14. FIREPLACE HEARTH 15. SAFETY GLAZING/ DOUBLE GLAZED 16. INSULATION CERTIFICATE 17. FREE-STANDING FIREPLACE APPROVED 18. WINDOWS & DOORS CAULKED WEATHER-STRIPPED FINAL INSPECTION APPROVED BY: .~C; Ltdt1~/h ~O r-3U'u)NG ~:rV1T City of Bremerton,Washington Phone: (20~) 478-5281 ASSESSOR'S ACCOUNT NO. 3992-001....010-00 - """" SITE ADDRESS/LOCATION 3423 - A, B, C, & D ALMIRA DR.. II: III Z . ;= ADDRESS P.O. BOX261, BOISE, IDAHO S3Z01 PHO'KlE(208)343-86450 ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING:' , . . OWNER'S SIG. NATURE . ". . . .... ". '. . .' .BYfZ. ... w:-~. .~ . . .' : .' . . Autl)orized Agent OWNER'S NAME VIEWCREST. ASSOCIATES OWNER'S ADDRESS . PHONE CONTRACTOR OWNER . STATE CONTRACTOR'S L1C.#. ~SEE AND REAP NOTICE ON REVERSE SIDE) r . . ex RESIDENCE D BUSINESS D OTHER. D NEW tJ REPAIR '[]{REMODEL ,D ADDITION ..J "' Do'EMOLISH D SIGNS PLANNING/ZONING #$TORIES OCCUPANCY THIS PERMIT ISSUED FOR: REMODEL 4:"'PLEX All provisions of laws and ordinances governing this type of work will be complied with whether specified hereiR<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 perf0rmance ()f construction. INSPECTIONS REQUIRED: Foundation D Framing D Plumbing tJ Electrical D Wallboard D FINALD 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: - >- ... - U SURCHARGE: $1. 50 BUILDING OFFICIAL: VALUATION $6.308.67 BUILDING INSPECTION DIVISION - '-... PLAN CHECK FEE $ 40.63 RECEIPT NO. . PERMIT FEE 75129 $62.50 RECEIPT NO. DATE 75129 . 1/29/86 Bremerton, WA 98310 Permit No. I 7114 1../ COPIES TO: WHITE - BUilDING, YEllOW - AS~ESSOR, PINK - OWNER , ~ - "\ ,e This shall become nun and is not commenced authorized by menced for a or or is com- be to and after aU etc., are in- , t;~ -ltis OUidal to see to it that the the . . I .. " ......,,1 fr- .' '., i c c' , "1 " .. , ,l/.1 1 ^., : \~ . 1 ~, e PERMIT e CITY OF BHEMERTON BUILDING DEPARTMENT PHONE: 478-5281 JOB ADDRESS ~~2~ - A, B, C,& D ALMIRA DR. o ER MAl L ADDRESS VIEWCREST ASSOCIATES, P.O. BOX 261 CONTRACTOR MAIL ADDRESS ZIP BOISE, IDAHO 83701 PHONE (208) 343-8645 PHONE LICENSE NO, OWNER Class of work: 0 NEW o ADDITION o ALTERATION o REPAIR 4J MECHANICAL Q PLUMBING CHIMNEY (No fee information only) Masonary Lines Unlined Factory Mfg Type B Type L Location: Internal Outside Wall INSPECTION: Groundwork Wasted Vents Htg. Ruffin Stove or Insert Gas Test Water Chimney Refrig. No. Type of Equipment STOVES Gas_ Oil_ Wood_ 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_J Under 100,000_ Over 100,000_ Oil_ UNIT HEATERS 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_ SpliL- Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CFM_ BTU_ FANS Exhaus~ Supply_ Bath_ RANGE HOOD Residential*- Comm._ CLOTHES DRYER Res,_ Comm._ Incinerator ALTERATION TO DUCT SYSTEM Heating/Cooling_ Exhaus~ TANKS Oil_ Gas_ Propane wlOK from Fire Dept._ Gallons_ REFRIGERATION UNIT Type of Fixture or Item Fee WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP. 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 & BACKFLOW DEVICE LAWN SPRINKLER SYSTEM SWIMMING POOL - Private Public GROUNDWORK SUMP ALTERATION POST & BEAM o 4 00 16 00 16 00 15 00 o --L8.. .ML PER M IT $ --1..{L ---D...O..... TOTAL$~ PERMIT $ TOTAL FEE $ -J...O. -0-0- ~--O-O-- NOTICE . THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- IZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED 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 COMPLIED. WITH WHE- THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE- SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOR- MANCE OF CON TRUCTION, FINAL APPROVAL (DA TE) (SEE OTHER SIDE) RECEIPT NO. SIGNA TURE OF OWNER (IF OWNER BUILDER) PERMIT NO. ..1S? 75129 (DATE) 2983 (White-ORIGINAL, Yellow-INSPECTOR, Pink-APPLICANT) ,-B U I L 0 I N G City of Bremerton, Washington Phone: (206) 478-5281 ASSESSOR'S ACCOUNT NO. S97Z-tJhl-tJlt:r~ e PERM I T ~tPLIC~ION ~ SITE ADDRESS/LOCATION VIEW OWNER'S NAME Viewcrest - 83701PHONE343-8645 PHONE . ~ . . . C CONTRACTOR Owner ADDRESS Same as Above ISSUANCE OF OCCUPANCY CERTIFICATE REQUIRED BEFORE OCCUPYING BUILDING STATE CONTRACTOR'S L1C. # OWNER'S SIGNATURE BY Authorized Agent .'-.. PLANNING/ZONING ...J ~ LJ NEW 0 REPAIR ex REMODEL 0 ADDITION 0 DEMOLISH o SIGNS r . 0 RESIDENCE U BUSINESS 0 OTHER # STORIES OCCUPANCY THIS PERMIT ISSUED FOR: RpmnrleJ - 4 Plex 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. OWNER OR BUILDER SHALL CALL FOR I\LL REQUIRED INSPECTIONS AND RECEIVE APPROVAL PRIOR TO CONTINUING WORK. SEPARATE PERMITS ARE REQUIRED (WHERE APPLICABLE) FOR PLUMBING, MECHANICAL AND ELECTRICAL. COMMENTS: -. - I . C ~ Sf) ..5..w4e.64~~ BUILDING OFFICIAL: VALUATION $ f.e J 30~. (,1 BUILDING INSPECTION DIVISION - \.... PLAN CHECK FEE $ 40. (,,3 817 PACIFIC, RECEIPT NO. PERMIT FEE ~~5 \ i~~ $ ~.S1> Bremerton, WA 98310 RECEIPT NO. 'l,S \ 1~ DATE \\J1\ 6~ ~ e CITY OF BREMERTON BUILDING DEPARTMENT' PHONE:478-5281 e Joe .l.DDRESS Ol,VNER ~AIL ACORESS ZIP PHOI..E CONTRAC7-JR MAIL ADDRESS PHONE LICENSe NO. Class ')f.vor!<: 0 NEW o ADDITION ALTE:RATION o REPAIR CHIMNf',}!"~m~o~"~AN I CAL Mascnaf'1 Lines Unlined Faco(\{ :\Hg 7y~e 9 Type L Outside Wall LCCJtlon: Internal ~ PLUMBING INS?ECTION: Groundwork Gas Test Wasred Vents H:g. Ruffin S:ove or Insert Water Chimney Refrig. No. Type of Equipment Fee STOVES Gas_ 011_ Wood_ FIREPLACE INSERT FURNACE Gas (Nat._ LPG. _I Oil_ 'Wood add un _ Other_ E!ectric_ sri) Type: Uo "ow_ Down flcw_ Hor1zontal_ \Vall_ CO,"JVERS10N BURNER: Gas_[Nat._ LP_) Uncer 100.000_ Over 100,000_ OIL- UNIT HEATERS 6TU_ Gas_ Elec._ BOilER Gas_ 011_ Electric-- Other_ HP_ GAS SYSTEM :'13"'. 5 ourlet Total_ EVAPORATION COOLERS Roof_ Wall_ $- B;U~ AC UNIT Eiectric_ Gas Elec. Combo BTU_ HEAT PUMP Single Package_ SpliL....; Add on_ BTU Ton_ MIXING OR REHEAT BOX CFM_ BTU_ AIR HANDLING UNIT CFM_ BTU_ FANS Exhaust-.. Supply_ Bath_ RANG E HOOD Residenllal-X- Comm._ CLOTHES ::lRYER Res_ Cori-:m_ Incinerator ALTERATION TO DUCT SYSTEM He..;tlng,"Coolin9-- Exhaust-.. TANXS Oil_ GdS_ Propane wlOK frOM C:ire Depl._ Gallons_ ReFRIGERATION UNIT L-=-- PERMIT S TOTAL FEE S ~-=- .3 '2-- - iNAL APPROVAL (SE~ OTHER SIDE) RECEI PT ~w. t'1'1/"'''.ORIGINAL. Yellow,INSPECTOR. Pink.AP?L1CANT) PERMIT Nt - _-----: .~_. .0. No. Tvpe of Fixture or Item I WATEii CLOSET (TOilET) BATHTUB /LAVATORY (WASH BASIN) SHOWER 1KITCHEN SINK &.OIS? DISHWASHER LAUNDRY TRAY 1 CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR - SINK OR DRAIN SLOP SINK WATER PIPING & TREATING EQUIP. WASTE INTERCEPTER (Grease) VACUUM BREAKERS & BACKFLOW DEVICE LAWN SPRINKLER SYSTEM SWIMMING POOL. Private Public GROUNDWORK SUMP / ALTERATION POST & BEAM Fee 1+ eA- i I~+- I I I~+- I.;-F-- PERMIT S TOTAL S 1 I I j I l.(~ I 10 ~ 5CJ 1- NOTICE THIS PERMIT BECDMES NULL AND VOID IF WORK OR CONSTRUC-:-:CN A IZED IS NOT COMMENCED WITHIN 120 DAYS. OR IF CONSTRUCTION OR ',' SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY T:Ml WORK IS COMMENCED. ! HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL:CA 7:1 KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF lA', ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP!...:ED 'N!7 THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMl, ::CE5 '< SUME TO GIVE AUiHORITY TO VIOLATE OR CANCEL THE PRCV:S:C:;S OThER S7ATE OR LOCAL LAW REGULATING CONSTRUCTiON CR 7:-: ;; MANCE OF CONSTRUCTION. SIGNA TURf OF CONTRACiCR OR ~UTHORIZED AGENT SIGNA TURE OF OWNER IIF OWNER 8UILD~gl 'e e ee N<J 42336 f;l t~~..... l/ ,,/' . ,,,), .._S -';?- / 0 Fee $m..mm......'....m...........'............,__..,........,.,____, ReceIpt No. m.m.............mm...m.__m......__....._____... BUILDING PERM IT CiTY OF BREMERTON BUILDING DEPARTMENT F. E. IRISH, Building Inspector . ESsex 3-1411, Ext. 36 /~ Owner's Value Bldg. Dept. Value DESCRIPTION: / (:'){) /7 $ , .~ " Lot Block Additions Address on J oh,:3l.::l~:::!-__ ~_ [~~~:~?:?~~~~~! 00 _ __ _ 00 __ ___ _ _00 ____._ _ ___ 00 _00 _ m 00_ 00 __ 00 __ _ 00_ 00 _ 00 _ _ Date /l:~~ __.;.t ::.~__ -7.1--- _______ _ __ Building m__m___.nn x m___n_mn__ and _m_____m____ stories hn__m_h____hnnn basement. Lot ____n___m_m x m_n'm__m_ Front Yard mmhm_______nn__ Rear Yard _mn______n_______m Side Yard nnm__n_m_m_____ Garage m_m___n_____n__m_nm Occupand:y _00 ___ __ ___ ___. ___ __ __ _ _ _ _ _ _ __ __ __,! _" _ _ 00__ __ __ ___ _ _ __ _ _ ___ n' 00 _ __ 00___ ____ 00__ _ 00_ 00_ __ ___ _00_ _ _____ __ __ Zone .0000__ __ nn n_ 00_ 00 ___ _00 00 _00 __00 __0000 {1.J2 1 l[/ I,. ,/'.4' ~ Owner =":::-:_~ _..:-:f.:~'::'.:n _C:,/_~Q-!?:,~ _ _ ;2'~~,:,"_ m _ :""!.:~9.::__ __ 00_ _ _ _ _ _ _. Address _ 00' __ 00_ __ ___ ___ 00 __ 00 _ ___ ___ 00 __ _ _ __ m 00 _ Phone _. ___ 00 mOon m C /:L;(L"'/1'')''\J? Add Ph on tractor '"",,:-~-:: 00'::00 _ -'._ 00_ __" 00 _ __ 00_ _ _ 00 __ ___ _ 00 _ _ __ 00 _ __ ___ _ _ _ __ __00 ___ _ _ n ress _._ __ 00 __00__ __ _ _ __ _00 _ _._ ___ 00 n 00 __ _ _ 00 _ _ _ one _ 00 _ __ ___ __ _ ___00 This permit is issued for: :::::: ~!.~~g~~':~~~~~~iZ:'::::::::::::::::::::::::.:::::::::::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: , If - - - -.... -.................................. ~..............................................................................-.................................... --...... ...................................................................................................................................................................... --...... 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 - Reinfo,rcing steel must be i1nspected afte,r placing and be,fo,re co,vering. FORMS shall be inspected and approved before pouring. All p,lumbing, wiri'ng and the fralme o,f all buildi'ngs must be i,nspected and a1pproved before covering. Wood pre'servatiye to be used on aU wood a,ga,inst maso'nry. Ventilate fo'undation and attic. Se1pa,. ralte permits requ'ired fo,r plumbing, wirirng alnd he,ati,ng. See City Engi,nee1r before wo,rki'ng o,n stree>ts or side'walks. ~-.._---_.._-_.._-_...._----_.._----_.._-_..__.._.._-------_....------.........--....------..------------------..------------..----------------------------------..-----------..-------..--..---......---....-- ---------------..---..---..-------_.._---...._---_...._----_..----..--..-------------....-------..--.... ---..-------------------------------------------------------------------------------..---- ................................................................................................................................-.............................................. .............. --............................................................................................................ --.............................................. ------------------------..--------------------------..--..-----------------------------------------..--..-----------..------------------------------..----------..---------------------- ..--------..---------------------------------------..-------..---..-----------------..------....---..-----------------------------------------....---..--------------------..----------..----- - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - -.. - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - _..- - - -.. - - - - - - - - - - - - - - - -.. - - - - - -- - - - - - - -.. - - - - - - - - - - - - - - -- - - - - - - -.. - - - - -.. - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - -.... -.. - - - - - -- ------..--..---------------..--------------------------..---------..----..-------------..-..--..- -----..-----..--------..-------------..-------------..---..-----..-------------..--..----..------- -------------------------------..-..-..----------..-----..----..------------------------------ ----------------..----..------------------------------------------------------------------ -------------..----------------------------------------..-----..--------..-----..-----------..-------------..------------------..-------------..---------------------------------..------- ______________________________________.._____________________0___------..-------------------------..---..-------_____________________________________..__________..____..______.._____.... - - - - - - _..- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - -.. - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - - - - - - - -.. - - - - - - -.. - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- -----------------------------..-..--------------------------------------------------..---..- -------------------..----------------------------..-----------..------------------..-..------ --..---....-------..---..-..-------..-..-------------------------------------..-..-..---------..---....---..--------..-----..---------------..-----------..-------------..------------..---------..--- -----------..-------..-----..------......--..-------..---..---..---..----------------------..----..--....-..----------..---------------..--------------..----------------------------------..--..---- ..-..---------------------------------..------..-..------..----------..---..-----------------..-- --..--------..------------------------..--..--------------..--..--..--------------------------- -------------..--------....---------....--------..---------------....---..--------------..----..-..------------------------------------..--------------------------------..-..---------..-----..- -----------------------------------..-----....---..----------......--------..----------------------..-----..--..------..---------------..-..-------------------------..-----....-----.._---------~ '} f' ,-~-J // . Owner's Signa ture_<:&hI-Et _ _ ~:-2~:~':::I.;'!~'-.:<I _ _.-t;tff:.:--::;J.:1n _ _ _ _ _ _ __ _ _ _ 00 _ __ By _ _ _ __ _ _ _ __ _ __ _ _ _ __ _ __ _ _ _ _ _ _ _ _ _ 00 _ _ _ __ _ _ _ _ _ _ __ _ _ __ _ _ _ _ _ _ m _ 00 _ _ _ 00 __ _ _ _ __ _ _ n . .' >>>/' . "-...--- His Authorized Agent n?0i ~;n~n Id I It. UU.;(tu Bui ing nspector mm.:.~rm--hh.---nm-m--m--------m--------------m-----m-n_nn-n_ By _ _/-~( ...!.'- _ __ ___ _ _ __ _ __ 00 _ __ _ _ __ _ _ _ _ _ _ ___ _ __ _ _ __ n _ __ _ __ 00 n _ _ _00 ___ _ _ _ 00 _ __ 00 _._ 00_ _ __ arl'nrwyw , f!i', t"i'-i::.'" h-"-,.,1",.;.;1 ~ REfunE